Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review

The objective of this review was to assess the efficacy and tolerability of analgesics in reducing behavioral and psychological symptoms of dementia (BPSD) among older adults from published randomized controlled trials (RCTs). A literature search was conducted of PubMed, MEDLINE, SCOPUS, PsycINFO, a...

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Main Authors: Rajesh R Tampi, Corey Hassell, Pallavi Joshi, Deena J Tampi
Format: Article
Language:English
Published: BioExcel Publishing Ltd 2017-11-01
Series:Drugs in Context
Subjects:
Online Access:http://www.drugsincontext.com/analgesics-in-the-management-of-behavioral-and-psychological-symptoms-of-dementia-a-perspective-review/
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author Rajesh R Tampi
Corey Hassell
Pallavi Joshi
Deena J Tampi
author_facet Rajesh R Tampi
Corey Hassell
Pallavi Joshi
Deena J Tampi
author_sort Rajesh R Tampi
collection DOAJ
description The objective of this review was to assess the efficacy and tolerability of analgesics in reducing behavioral and psychological symptoms of dementia (BPSD) among older adults from published randomized controlled trials (RCTs). A literature search was conducted of PubMed, MEDLINE, SCOPUS, PsycINFO, and Cochrane collaboration databases for RCTs in the English language that evaluated the use of analgesics in reducing the severity of BPSD among older adults. Additionally, references of full-text articles that were included in this review were searched for extra studies. We identified a total of three unique RCTs that evaluated the use of analgesics among individuals with BPSD. One of the identified RCTs resulted in a total of three additional published papers in the literature, resulting in a total of six papers to be included in this review. All three RCTs identified some benefit for the use of analgesics in reducing BPSD. The analgesics appeared to be well tolerated in the included studies. Major study limitations include the use of data exclusively from published RCTs and limiting the search to English language publications. Additionally, we did not utilize statistical methods to evaluate the treatment outcomes including tolerability. In conclusion, available evidence although limited indicates that analgesics may reduce BPSD among some individuals with dementia living in nursing homes and are well tolerated.
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spelling doaj.art-b7ca64ad32374e93b656c26e0fca89222022-12-22T02:58:32ZengBioExcel Publishing LtdDrugs in Context1740-43981740-43982017-11-0161910.7573/dic.212508Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective reviewRajesh R TampiCorey HassellPallavi JoshiDeena J TampiThe objective of this review was to assess the efficacy and tolerability of analgesics in reducing behavioral and psychological symptoms of dementia (BPSD) among older adults from published randomized controlled trials (RCTs). A literature search was conducted of PubMed, MEDLINE, SCOPUS, PsycINFO, and Cochrane collaboration databases for RCTs in the English language that evaluated the use of analgesics in reducing the severity of BPSD among older adults. Additionally, references of full-text articles that were included in this review were searched for extra studies. We identified a total of three unique RCTs that evaluated the use of analgesics among individuals with BPSD. One of the identified RCTs resulted in a total of three additional published papers in the literature, resulting in a total of six papers to be included in this review. All three RCTs identified some benefit for the use of analgesics in reducing BPSD. The analgesics appeared to be well tolerated in the included studies. Major study limitations include the use of data exclusively from published RCTs and limiting the search to English language publications. Additionally, we did not utilize statistical methods to evaluate the treatment outcomes including tolerability. In conclusion, available evidence although limited indicates that analgesics may reduce BPSD among some individuals with dementia living in nursing homes and are well tolerated.http://www.drugsincontext.com/analgesics-in-the-management-of-behavioral-and-psychological-symptoms-of-dementia-a-perspective-review/dementiareviewpsychopharmacologypainanalgesicsaggressionneuropsychiatryelderly
spellingShingle Rajesh R Tampi
Corey Hassell
Pallavi Joshi
Deena J Tampi
Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
Drugs in Context
dementia
review
psychopharmacology
pain
analgesics
aggression
neuropsychiatry
elderly
title Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
title_full Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
title_fullStr Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
title_full_unstemmed Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
title_short Analgesics in the management of behavioral and psychological symptoms of dementia: a perspective review
title_sort analgesics in the management of behavioral and psychological symptoms of dementia a perspective review
topic dementia
review
psychopharmacology
pain
analgesics
aggression
neuropsychiatry
elderly
url http://www.drugsincontext.com/analgesics-in-the-management-of-behavioral-and-psychological-symptoms-of-dementia-a-perspective-review/
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AT pallavijoshi analgesicsinthemanagementofbehavioralandpsychologicalsymptomsofdementiaaperspectivereview
AT deenajtampi analgesicsinthemanagementofbehavioralandpsychologicalsymptomsofdementiaaperspectivereview