geris 2

Question 1

lewy body tx

• for each sort of symptom
• what medication is a bad idea

Answer 1

• donezapil 1st line for behavioural/ cognitive. and rivastagmine, 2nd line- memantine. this is same as alzheimers
• levopoda/ carbidopa for motor (rigidity, slowness, PD-like symptoms)
• sertraline for related depression (severe only)
• zopiclone for related REM disturbance

NOT antipsychotics esp risperidone/ typical ones - haloperidol – can –> irreversible parkinsonism. only use for high risk/ high distress