The aim of this study is to discontinue antipsychotics and antidepressants, and to study its effect on Behavioural- and Psychological Symptoms in Dementia (BPSD).
Patients with dementia have cognitive deficits, but also hallucinations, delusions, agitation, aggression and apathy. These symptoms are called Behavioural- and Psychological Symptoms in Dementia (BPSD), and are difficult to treat. Antipsychotic and antidepressant medication is used as treatment, despite its lack of clinical evidence. We will discontinue risperidone in one group of 30 patients and compere them to 30 controls and we will discontinue antidepressants in a group of 76 patients and compere them to 76 controls. Patients should have dementia of Alzheimer- or vascular origin. They should live in Nursing Homes and have no other psychiatric disease for which they receive psychotropic drug. They will be registered with 7 different questionnaires at baseline and after 3, 6, 12 and 24 weeks. The study period is 24 weeks. The questionnaires are filled in by the patients and the nurses at the nursing homes. This is a double blind RCT study with placebo-controlled group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
149
Sykehuset Innlandet HF - Sanderud
Ottestad, Oppland, Norway
Sykehuset Innlandet HF
Reinsvoll, Oppland, Norway
University of Bergen, Løvaasen Nursing Home
Bergen, Norway
Eikertun Nursing Home
Hokksund, Norway
Changes in Neuropsychiatric Inventory
Time frame: 24 weeks
Changes in Cornell's Depression Scale
Time frame: 24 weeks
Changes in UPDRS subscale
Time frame: 24 weeks
Changes in Severe Impairment Battery
Time frame: 24 weeks
Changes in Lawton's PADL
Time frame: 24 weeks
Oxazepam given p.n.
Time frame: 24 weeks
Number of falls
Time frame: 24 weeks
Changes in Body Weight
Time frame: 24 weeks
Quality of Life - Alzheimer disease
Time frame: 24 weeks
Clinical Dementia Rating
Time frame: 24 weeks
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Discontinuation
Discontinuation
The Nordmøre and Romsdal Hospital Trust
Molde, Norway
Diakonihjemmets Hospital
Oslo, Norway
Ullevaal University Hospital
Oslo, Norway
Telemark Hospital
Skien, Norway