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How to Treat Dementia?

Things to note:
  • Depending on the level of impairment, appropriate care and support.
  • Ambulatory care is preferred, if possible , to hospitalization.
  • Family advice and support.

Medical Treatment:
Management is mainly symptomatic.
To control restless patients:
  • Haloperidol, oral, 0.5- 1 mg 8 hours per night with a higher dose, if necessary
For pellagra:
  • Nicotinamide, oral, 100 mg 8 hours per day.
  • Thiamine, IM, 100 mg or IV, 100 mg in 1 L dextrose 5% in water.
Established Wernickes:
* Thiamine, IV, 500 mg 12 hours per 3 days, followed by 500 mg per 3- 5 days per day.
  • Follow 100 mg of oral thiamine 8 hours a day.
Treat other nutritional deficiencies commonly linked.

When to refer:
  • Patients who are suspected of having a treatable underlying condition for specialized investigations including CT scan.