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Pharmacological measures 668 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 review of aromatherapy (13 studies with 708 participants) found no evidence that it is beneficial for people with dementia although there are many limitations to the exis...

Electroconvulsive therapy (ECT)

Summary Prescribing in older people CHAPTER 6 Pimavanserin (inverse agonist and antagonist at 5HT2A receptors) is approved by the FDA for the treatment of hallucinations and delusions associated with Parkinson’s disease psychosis. One RCT evaluated its use for...

References 676 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 References National Institute for Health and Care Excellence. Dementia: assessment, management and support for people living with dementia and their carers. NICE Guidance [NG97]. 2018...

Management of inappropriate sexual behaviour in older adults 680 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 Management of inappropriate sexual behaviour in older adults This section deals with sexual behaviours that are causing distress eithe...

Management Prescribing in older people CHAPTER 6 have been recommended as the first line of pharmacological treatment after ­attempting non-­pharmacological interventions. Several other categories of pharmacological interventions are listed in Table 6.7. Manag...

References Prescribing in older people CHAPTER 6 References Sarangi A, et  al. Treatment and management of sexual disinhibition in elderly patients with neurocognitive disorders. Cureus 2021; 13:e18463. Dégano P, et al. Hypersexuality in dementia. Adv Psychia...

Depression in older adults 688 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 Depression in older adults The prevalence of most physical illnesses increases with age and physical problems such as cardiovascular disease, chronic pain, diabetes and...

References 692 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 References Katona C, et al. Impact of screening old people with physical illness for depression? Lancet 2000; 356:91–92. Lyketsos CG. Depression and diabetes: more on what the relatio...

Covert administration of medicines within food and drink

Assessment of mental capacity4,6,7

Guidance on covert administration 694 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 Covert administration of medicines within food and drink This section deals with covert medication administration within UK law only. Other countries may have di...

Summary of process 696 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 When considering covert use of psychiatric medication the following must be considered:11 If the patient meets the criteria for the MHA, this must be used in preference to the...

References Prescribing in older people CHAPTER 6 References Wikipedia. Covert medication. 2023; https://en.wikipedia.org/wiki/covert_medication. Royal Pharmaceutical Society and Royal College of Nursing. Professional guidance on the administration of medicine...

A guide to medication doses of commonly used psychotropics in older adults, [1] / National Institute for Health and Care Excellence (NICE). 700 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 6 A guide to medication doses of commonly used psychotrop...

References Prescribing in older people CHAPTER 6 Drug Specific indication/ additional notes Starting dose Usual maintenance dose Maximum dose in elderly Zolpidem Insomnia (short-term use – up to 4 weeks) 5mg nocte 5mg nocte 5mg nocte Zopiclone Insomnia (short-...

Drug choice in pregnancy The Maudsley® Prescribing Guidelines in Psychiatry, Fifteenth Edition. David M. Taylor, Thomas R. E. Barnes and Allan H. Young. © 2025 David M. Taylor. Published 2025 by John Wiley & Sons Ltd. Chapter 7 Drug choice in pregnancy A ‘norm...

Psychosis during pregnancy and postpartum Prescribing in pregnancy and breastfeeding CHAPTER 7 Psychosis during pregnancy and postpartum Pregnancy does not protect against psychotic relapse and psychosis during pregnancy predicts postpartum psychosis.13 The in...