Passmed Geriatric Medicine - Pharmacological Managements Flashcards
1
Q
Acute confusion/agitation
A
1st - haloperidol
If Parkinson’s = lorazepam or quetiapine or clozapine
2
Q
Alzheimer’s disease
A
Mild/moderate = acetylcholinesterase inhibitor (donepezil, rivastigmine, galantamine)
Severe = memantine
3
Q
Drugs that can cause fall by way of postural hypotension
A
Nitrates
Diuretics
Anticholinergics
Antidepressants
Beta-blockers
Levodopa
ACE inhibitors
4
Q
Drugs that can cause fall by way of non-hypotensive mechanisms
A
Benzodiazepines
Antipsychotics
Opiates
Anticonvulsants
Codeine
Digoxin
Sedative agents
5
Q
Lewy body dementia
A
Acetylcholinesterase inhibitors + memantine as in Alzheimer’s
AVOID neuroleptics (pts more sensitive = irreversible Parkinsonism)