Friday, May 9, 2008

Case of Hypersexuality in Dementia Relieved by Sertraline

Patient continually demanded sex from wife, and got violent if refused. On sertraline 50 mg b.i.d., both excessive sexuality and aggressiveness diminished. ALS 8:189-190, 2007.

Antipsychotics Increased Mortality in a Large Canadian Study

Here. The effect is weak. It likely would not be felt at the clinical level. This large sample included typical neuroleptics. These cause more movement side effects, have greater effects on cardiac function and on blood pressure. The sample did not include any use of aripiprazole nor ziprasidone.

Compared to the risk of agitation, self-injury, and injury to others, this increased risk is small.

Saturday, May 3, 2008

Suicidal Ideas Among Seniors with Home Health Care

Here. About 10% thought of suicide; 7% had made an attempt; 1% in the past year.