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siaad

What is the next step?

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An 88 years old dementia patient got diarrhea and rhinorea. He was stable on 5 mg donpezil. This all has occurred after increase of dose from 5mg to 10mg. What is the next step?

a. Ignore as the drug is donpezil

b. This may not be a side effect of the donpezil and do nothing

c. Reduce the dose to 5mg and review after 3 months

d. Stop the drug and review after 6 months

e. Watch and wait

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To be honest, the option I would do is not in the list. I would ask GP to check out the patient for other physical causes first before doing anything else.

In the above options, may be "E" is the best choice.

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