The atypical antipsychotics are a new class of agents with great promi
se for use in the elderly because of their reduced propensity to cause
acute extra-pyramidal adverse effects. Treatment of older patients wi
th these agents, however, needs to take into consideration age-related
changes in pharmacokinetics and the risks of drug-drug interactions.
Additionally, current evidence of their efficacy in late-life psychose
s is derived largely from case series and from the extrapolation of re
sults obtained in studies of younger patients with schizophrenia. Cont
rolled clinical studies of atypical antipsychotics in elderly patients
are urgently needed.