000 02124cam a2200265 4500500
005 20251214025814.0
041 _afre
042 _adc
100 1 0 _aBlanc, Frédéric
_eauthor
700 1 0 _aBrangier, Antoine
_eauthor
700 1 0 _aMouton, Aurélie
_eauthor
700 1 0 _aMagnan, Nathaniel
_eauthor
700 1 0 _aRabiant, Kevin
_eauthor
700 1 0 _aAuxire, Pauline
_eauthor
700 1 0 _aSchorr, Benoit
_eauthor
700 1 0 _aRoche, Jean
_eauthor
700 1 0 _aSoto, Maria
_eauthor
700 1 0 _aDelrieu, Julien
_eauthor
245 0 0 _aTreatment of psychological and behavioral symptoms in dementia with Lewy bodies and Parkinson’s disease dementia: Literature review and Delphi consensus
260 _c2025.
500 _a90
520 _aIntroduction Dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD) are frequently associated with psychological and behavioral symptoms (PBSs). Treatment for these symptoms is validated by varying levels of evidence Method We conducted a review of the literature on the treatment of PBSs in DLB and PDD from 2009 to 2023 and formulated treatment recommendations. When evidence from the literature was insufficient, the Delphi method was used to reach a consensus. Results The following recommendations were proposed: for intrusive hallucinations with insight preserved, donepezil or rivastigmine; for delusion and Capgras syndrome (Delphi), low doses of clozapine; for depression, sertraline, venlafaxine, or mirtazapine (Delphi); for REM sleep behavior disorder (RBD), immediate-release melatonin; for frontal syndrome, sertraline or paroxetine first, followed by trazodone (Delphi); for catatonia, lorazepam. Conclusion These recommendations should help improve the management of PBSs in DLB and PDD, thereby enhancing the quality of life of patients and caregivers.
786 0 _nGériatrie et Psychologie Neuropsychiatrie du Vieillissement | 23 | 2 | 2025-09-20 | p. 235-253 | 2115-8789
856 4 1 _uhttps://stm.cairn.info/journal-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2025-2-page-235?lang=en&redirect-ssocas=7080
999 _c1573057
_d1573057