Distressed elderly patients — especially those with dementia — frequently have a paradoxical reaction to benzodiazepines, causing extremely agitated states. Men with type A personalities are at greatest risk.
Administering risperidone (Risperdal), quetiapine (Seroquel) or haloperidol (Haldol) will control agitation. If sedation is required, a benzodiazepine can be safely added 30 to 45 minutes later. — Leslie de la Flor, NP, Anaheim, Calif. (162-5)
These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.