Which medications can be used in low doses only when necessary for patient safety in cases of delirium?

The use of haloperidol (Haldol), risperidone, and olanzapine in low doses for delirium is a recognized practice, especially in managing acute agitation or severe distress associated with this condition. Antipsychotics, particularly these medications, are often employed in low doses to minimize potential side effects while providing the necessary sedation and control of psychotic symptoms that can accompany delirium.

Haloperidol is a typical antipsychotic that has been widely used for its effectiveness in managing agitated delirium. On the other hand, risperidone and olanzapine, which are atypical antipsychotics, provide some advantages such as a potentially lower risk of extrapyramidal symptoms, which is particularly important in older adults or those who may be more sensitive to medication side effects.

In the context of delirium, careful consideration of medication use is crucial due to the vulnerability of patients, especially older adults, to adverse effects. The use of antipsychotics in this manner allows clinicians to aim for a balance between providing necessary treatment for distressing symptoms while being mindful of the safety and overall well-being of the patient. Hence, these medications, when utilized judiciously and at low doses, can be