Any better alternative to risperidone, given its side effects, for me to discuss with my mom's doc? she had a tia and developed occassional hallucinations. she has lewys body dementia/parkinsons.

Antipsyhcotics: There are several options available. I would encourage you to discuss these with her doctor. Sometimes it takes a couple of trials to find a good fit for the individual.

monitor closely: Unfortunately, all the medications in this class are called antipsychotics and have a warning for use in patients with dementia. There have been reported incidents of sudden death. Lewy bodies complicates the picture. L.B. Pts can develop rigidity and be very sensitive to this class of med. Talk with your dr about alternative txs. Determine if the tx out weighs the risk or this type of med.

Very individual: The cholinesterase inhibitors like rivastigmine (exelon) or donepezil (aricept) may be helpful. Low dose atypical antipsychotics may be needed but choosing one and dosing it often requires trial and error testing. A geriatric psychiatrist or behavioral neurologist may be needed, if available.