Which antipsychotic is licensed to manage non-cognitive symptoms of dementia?

• A. Haloperidol
• B. Quetiapine
• C. Risperidone
• D. Olanzapine

Answer: (A)

Non-cognitive symptoms of dementia (like agitation, aggression, and psychosis) are sometimes treated with antipsychotics, but licensing matters. Haloperidol is the antipsychotic that has regulatory approval for managing these dementia-related behavioral symptoms in many regions, typically for short-term use when symptoms are severe or pose safety concerns. The other antipsychotics listed are not generally licensed for this indication, though they may be used off-label in some places. So, the best answer reflects the approved option for this specific use. Use the lowest effective dose for the shortest duration and monitor closely for extrapyramidal symptoms, sedation, falls, and QT prolongation, while prioritizing nonpharmacologic approaches.