Off-Label Use of Antipsychotic Drugs in Patients With Dementia

Antipsychotics are sometimes prescribed for problem behaviors in the elderly dementia population. The Food and Drug Administration published a black box warning cautioning use in this population. Treatment of non-psychotic behavior with antipsychotics is off-label use and poses legal implications. The American Geriatrics Society lists antipsychotic drugs on the Beers List and recommends use with caution. State and federal regulatory agencies are closely monitoring antipsychotic drug use in long-term care settings. Use of a systematic approach to collaboratively manage problem behaviors with careful documentation will provide safeguards for the nurse practitioner when antipsychotic drug therapy is required.