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. 2021 Nov 19;27(3):1300–1309. doi: 10.1038/s41380-021-01384-8

Table 2.

Current main pharmacological treatment options of FTLD.

Pharmacological class Therapeutic intervention Drug Effect Evidence References
Antidepressants Behavioural symptoms Citalopram Sertraline Fluoxetine Paroxetine Trazodone May improve behavioural symptoms such as agitation and depression Case reports and series, open label trials, randomised double-blind trial [100104, 132]
Antipsychotics Behavioural symptoms Quetiapine Risperidone Aripiprazole Olanzapine May improve behavioural symptoms Case reports and series, randomised double-blinded cross-over trial, follow-up study [104109]
Antiepileptics and lithium Behavioural symptoms Topiramate Valproic acid Carbamazepine May improve behavioural symptoms Case reports and series [81, 102, 110, 112, 133, 134]
Acetylcholinesterase inhibitors Cognitive symptoms Donepezil Galantamine Rivastigmine No improvement, may exacerbate behavioural symptoms Open label trials, randomised double-blind placebo-controlled trials [86, 117, 118]
NMDA antagonists Cognitive symptoms, behavioural symptoms Memantine No improvement, may exacerbate cognition Case series, open label trials, randomised double-blind placebo-controlled trials [120122, 135]
Dopaminergic therapies Behavioural symptoms, psychotic symptoms Dextroamphetamine Methylphenidate Selegiline Levodopa Reduce agitation, may reduce psychotic and depressive symptoms Randomised double-blinded cross-over trials, open label studies, case reports [104, 105, 123, 124]