Use may be justified if other factors have been considered

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7047.1668b (Published 29 June 1996) Cite this as: BMJ 1996;312:1668
  1. Robert Tobiansky,
  2. Martin Blanchard
  1. Consultant old age psychiatrist Colindale Hospital, London NW9 5HG
  2. Consultant old age psychiatrist Royal Free Hospital, London NW3 2QG

    EDITOR,—The report by Alice McGrath and Graham Jackson1 warrants further comment. They report that 88% of nursing home residents received neuroleptics inappropriately. They did not report psychiatric diagnoses nor reasons for the prescription. Mann et al found that nearly half the residents of local authority homes were receiving psychotropic medication, but also reported on the high levels of psychiatric morbidity among this group.2

    Delusions and hallucinations are not limited to severe functional disorders but are common in dementia. They increase distress …

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