Hypoactive delirium
12 Posts
I wonder, if anybody has personal experience ( preferably positive ) in treating hypoactive delirium? My quick review of literature has shown that:
1. There is no decent evidence on any treatment.
2. Haldol is recommended - looks counterintuitive to use it in patient barely responsive.
3. Methylphenidate mentioned in Uptodate ( there is one study in cancer patients with positive response ) but recommended against - again based on speculations and not on data.
4 Amantadine used by rehab community to increase level of alertness, but not necessary in delirium patient.
So, did anybody really use Haldol or Methylphenidate or anything else in this setting?
1. There is no decent evidence on any treatment.
2. Haldol is recommended - looks counterintuitive to use it in patient barely responsive.
3. Methylphenidate mentioned in Uptodate ( there is one study in cancer patients with positive response ) but recommended against - again based on speculations and not on data.
4 Amantadine used by rehab community to increase level of alertness, but not necessary in delirium patient.
So, did anybody really use Haldol or Methylphenidate or anything else in this setting?
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