CAT investigates antipsychotic list

Does your home have any residents with dementia taking any of these antipsychotics?


  • Abilify
  • Aripiprazole
  • Asenopine
  • Clozapine
  • Clozaril
  • Fanapt
  • Geodon
  • Iloperidone
  • Invega
  • Latuda
  • Lurasidone
  • Olanzapine
  • Paliperidone
  • Quetiapine
  • Risperdal
  • Risperidone
  • Saphris
  • Seroquel
  • Ziprasidone
  • Zyprexa

These were commonly used to manage resident behavior.  Now we know that they can be dangerous — possibly causing falls, strokes, or death.  Other side effects include: restlessness, tight muscles, weight gain, high blood sugar, high cholesterol, low blood pressure, swelling, confusion, sleepiness or grogginess, constipation, and problems urinating. 

The FDA has issued a black box warning about these medicines. Now, there is a national campaign to stop their overuse.  Missouri surveyors will now look at the charts of residents who receive these drugs which could identify a deficiency. 

Staff should identify and try other approaches to address behaviors.  We’ll discuss this in future CAT tips. 

Action Steps:

  • Post this tip for your staff to read. – Download the printable versions below
  • Make a list residents who receive one of the above medications and why.
  • Get staff on board.  Refer them to the Hand in Hand Toolkit, which most homes have.
    • Play the disk, An Introduction for Facilitators and Administrators. 
    • Choose the middle box: Person-Centered Approach to Care of Persons with
  • Dementia explaining why antipsychotic reduction is important.
  • Brainstorm as a group. Gather ideas about what residents might be trying to communicate through behavior.
  • Choose one resident where antipsychotic reduction might be possible based on your brainstorming and   
  • Look for the next tip to be a CAT detective! 

Don’t miss these training opportunities:

Building Blocks to Reduce Antipsychotic Use is a one-day FREE workshop for Show-me Quality QAPI participants, Tuesday, April 30, 2013, 9 a.m.-4:30 p.m. at Hilton Garden Inn & Conference Center, Columbia, MO.  Register with Sarah Williams swilliams@primaris.org.

Join the Advancing Excellence campaign.  Go to www.nhqualitycampaign.org to register.  Choose the Medication goal for step-by-step help as your facility reduces antipsychotic medications for people with dementia.