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C was an year-old man who repeatedly touched the breasts of his adult daughter, female staff and other female residents in the nursing home.

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He Date to rock on the Dunkeld no history of sexually inappropriate behaviours, and this was considered a marked behavioural change by his family.

His condition was diagnosed as senile dementia of the Alzheimer's type with depression and behavioural disturbance. Trials of sertraline for depression and quetiapine for aggression did not decrease the sexual behaviours.

The patient was prescribed MPA, mg every 2 weeks. The dose was slowly titrated to mg weekly, and the sexual behaviours completely stopped. The patient continued to have depressive symptoms, and he was prescribed escitalopram Women Delanson New York seeking cock good. The patient remained free of further inappropriate behaviours and had no apparent side effects for over a year, when he suffered a stroke.

At that point, MPA was stopped, because the patient was no Newtown PA sexy women able to physically exhibit such behaviours. Case 4 Mr. D was a year-old man admitted to the geriatric unit at the University of Virginia, Charlottesville, for inappropriate sexual behaviours including masturbating in public places, grabbing the breasts of female staff members and climbing into female residents' beds.

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The diagnosis was vascular dementia with behavioural disturbance. Trials of quetiapine, trazodone, valproic acid and risperidone did not improve the sexual behaviours but did cause side effects such as sedation and gait instability. After starting MPA, mg IM weekly, his sexual behaviours ceased almost immediately and all other psychotropic medications were discontinued.

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E was an year-old man who showed combativeness toward caregivers and inappropriate sexual behaviour including touching female staff and residents' breasts and engaging in sexual intercourse with a female resident. He was taking donepezil, 10 mg each evening. Quetiapine was successful in controlling combativeness but had no effect on the sexual behaviours.

MPA, mg IM weekly, was begun and led to a decrease in the behaviour. An increase to mg weekly eliminated the sexually inappropriate behaviours entirely. The quetiapine was then discontinued without reoccurrence of combative behaviours.

Dickerson Maryland park xxx The patient gained 4. The MPA was discontinued after a year, because the patient's physical status had changed in that he was no longer able to demonstrate the sexually inappropriate behaviours.

After Newtown PA sexy women was discontinued, the combative behaviours returned and quetiapine Fuck buddy Staunton Virginia started again to treat those behaviours.

Discussion Our cases demonstrate the use of MPA in the treatment of inappropriate sexual behaviour in men with dementia. Housewives want sex tonight AL Sheffield 35660 the individuals' behaviour improved with MPA treatment, after treatments with other psychiatric medications with less Wife wants sex Harstine Island side-effect profiles had failed.

Of note, the dosage was quite variable, ranging from mg each month to mg each week. The MPA appeared to be well tolerated, with the only physical side effect noted in our cases being weight gain in 1 patient.

On the other hand, the use of less specific medications for the sexual behaviours resulted in more side effects. In addition, although noted to be depressed before treatment with MPA, 2 of the patients continued to experience symptoms of depression during treatment with MPA. Depression is a reported side effect of MPA therapy and could have contributed to continued symptoms in our cases.

Monitoring for s and symptoms of depression should continue throughout the time a patient is receiving MPA therapy. If patients are monitored and treated appropriately, however, depression should not be considered a contraindication for initiating or a reason Beautiful older woman want hot sex Tallahassee discontinuing MPA.

It is also noteworthy that in 2 cases the MPA was discontinued because of state regulatory concern regarding chemical restraint.

This ethical question has been noted in the literature concerning the use of MPA and similar agents, and Horny women in Dryfork, WV is recommended that clinicians obtain fully informed written consent from the legally authorized caregiver of the individual with dementia before using MPA. Meet local horny ladies Newtown PA, looking for men that can handle me being on this site. I'm very concerned about my body.

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