A Double‐Blind Comparison of Trazodone and Haloperidol for Treatment of Agitation in Patients With Dementia
作者:
David Sultzer,
Kevin Gray,
Ibrahim Gunay,
M. Berisford,
Michael Mahler,
期刊:
American Journal of Geriatric Psychiatry
(OVID Available online 1997)
卷期:
Volume 5,
issue 1
页码: 60-69
ISSN:1064-7481
年代: 1997
出版商: OVID
数据来源: OVID
摘要:
The authors compared the efficacy and side effects of trazodone and haloperidol for treating agitated behaviors associated with dementia. Twenty-eight elderly patients with dementia and agitated behaviors were randomly assigned to double-blind treatment with either trazodone (50–250 mg/day) or haloperidol (1–5 mg/day) for 9 weeks. There was no significant difference in improvement between the medication groups. Adverse effects, however, were more common in the group treated with haloperidol. Improvement in individual areas suggested that repetitive, verbally aggressive, and oppositional behaviors responded preferentially to trazodone, whereas symptoms of excessive motor activity and unwarranted accusations responded preferentially to haloperidol. These results indicate that moderate doses of trazodone and haloperidol are equally effective for treatment of overall agitated behaviors in patients with dementia, but specific symptoms may respond preferentially to a particular agent.
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