Bibliographic Info
GuidelineUpdate of the Mental Health Gap Action Programme (mhGAP) guidelines for mental, neurological and substance use disorders, 2015
Year of Publication2015
Issuing InstitutionWorld Health Organization
Recommendation
Status
Updated
Recommended in favor
Conditional
Certainty of evidence
Very low
Cholinesterase inhibitors and memantine may be offered for people with dementia in non-specialist health settings. Non-specialists need to be trained and supervised to ensure competence in diagnosis and monitoring. The use of cholinesterase inhibitors should be focused upon those with mild to moderate Alzheimer's disease, where the majority of evidence is available. Memantine may be considered for those with moderate to severe Alzheimer’s disease and vascular dementia. Memantine should not be prescribed for Lewy Body dementia.