Risperidone offers physicians the unique combination of extensive, publishe
d clinical experience and a good safety profile for treating patients with
dementia who have symptoms of aggression, agitation, and psychosis. Numerou
s open-label and, more recently, placebo-controlled trials have documented
the efficacy of risperidone in the management of behavioral and psychologic
al symptoms of dementia. These trials also show that risperidone is better
tolerated than conventional neuroleptic agents. Comparatively, patients tre
ated with risperidone experience substantially fewer side effects, includin
g extrapyramidal symptoms, cognitive toxicity, and tardive dyskinesia.