TO THE EDITOR: I have intercourse ...

TO THE EDITOR: I have intercourse withed the article (1) on the use of antipsychotic medications in the somewhat advanced in life by Motsinger and colleagues and construct the content to be remarkably helpful. However, the authors failed to differentiate the protoplasts of dementia and to mention a rather used by all and often underdiagnosed, form of dementia--Lewy bodies dementia. This disorder is heralded according to cognitive decline, Parkinson-type behaviors, and behavioral issues, including psychosis. frequently antipsychotic medication would seem appropriate and useful for these patients. However, with this form of dementia, antipsychotics, including atypical antipsychotic physics can exacerbate the problem and lead to iatrogenic complications. Therefore, a family physician who is instanted with a patient who has dementia and behavioral issues should be careful with the diagnosis and archetype of dementia. These physicians should be aware that not all dementias are alike and not all are Alzheimer's disease.

REFERENCE

(1) Motsinger CD doorsteps GA, Lacy TJ. Use of atypical antipsychotic physics in patients with dementia. Am Fam Physician 2003;67:2335-40

CRAIG BENNETT, MD

Midelfort Clinic

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Cameron, WI 54822

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