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Research Letter
August 18, 2020

Prevalence of Psychotropic and Opioid Prescription Fills Among Community-Dwelling Older Adults With Dementia in the US

Author Affiliations
  • 1Department of Psychiatry, University of Michigan, Ann Arbor
  • 2Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan
  • 3Department of Medicine, University of Michigan, Ann Arbor
  • 4University of Pennsylvania School for Social Policy and Practice, Philadelphia
JAMA. 2020;324(7):706-708. doi:10.1001/jama.2020.8519

A 2015 report highlighted the paucity of knowledge about prescribing of psychotropics to adults with dementia in community settings.1 Prior estimates are more than 10 years old and exclude benzodiazepines and opioids.2,3 Given the risk of harm when prescribing such central nervous system (CNS)–active medications to older adults with dementia, more data are needed to inform research and policy.4 We estimated CNS-active medication prescriptions among community-dwelling older adults with dementia, identifying the most commonly prescribed medications.