September 11th, 2019

Podcast 233: Antipsychotics are no solution to delirium during hospitalization

(2 votes, average: 3.50 out of 5)

Using “Vitamin H” (haloperidol) or newer antipsychotics to treat delirium in hospitalized patients should be off the menu, writes Edward Marcantonio in an Annals of Internal Medicine editorial.

Dr. Marcantonio agrees with the authors of a systematic review who conclude that “current evidence does not support routine use of haloperidol or second-generation antipsychotics to treat delirium in adult inpatients.” In his commentary entitled “Old Habits Die Hard,” he writes “the findings presented are sufficient to stop this clinical practice.”

Links:

Annals of Internal Medicine editorial

Marcantonio’s “Clinical Practice” article in NEJM in 2017

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