OT: Dementia and aggression. This is an unsolicited opinion and may be worth just what you paid for it, but you might want to suggest a titration of topomax to the cocktail. The doc has to do this slowly, but if the patient tolerates it, you may be able to back off the antipsychotics. If the aggression has an impulse control component (disinhibition can be particularly problematic for patients with dementia) I've seen topomax turn the trick.
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