Geriatrics and Palliative Caremiddle twist
A 76-year-old man with probable dementia with Lewy bodies has recurrent visual hallucinations that are frightening but not associated with aggression or immediate danger. His hallucinations have increased since he developed constipation and poor sleep. He has marked rigidity after a previous trial of an antipsychotic. Which medicine is most appropriate to consider after addressing these reversible factors?