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Suggest Remedy For Behavioral Change After Brain Tumor Surgery

Posted on Fri, 24 Oct 2014

Question: My mother is 58yr old.she has k/c/o brain tumor.she was taken for vp shunt on 5/6/14 and she was operated for cp angle meningioma on 18/6/14.medication given to her is levera 500mg thrice daily and neksium 40 mg daily.after operation she is not keep quite , very talkative, irritated, massive behaviour change and unable to walk properly.for past three months not able to sleep.any suggestions. thanks

Answered by Dr. Chintan Solanki (34 minutes later)

Brief Answer:
Rispridone,Lorazepam and tiapride,see below

Detailed Answer:
Hello XXXXXXX

I can understand your situation as your mother in trouble.

She is irritable and sometimes delirious due to underlying medical condition. To control her behavioral problems following can be used alone or in combination.

Risperidone 1 mg half tablet two times or Tiapride 25 mg three times a day.

Above both medicines are antipsychotic and control agitation. Discuss about these medication with your treating doctor.

At night she can be given 1 mg lorazepam. It is short acting benzodizepines without affecting her alertness much as she has operated. Lorazepam can be increased up to 2 mg fif seep inadequate with 1 mg.

Continue levera and neksium.

If not controlled with antipsychotic, Sodium valproate can be used also.

If sever behavioral disturbance is there, injection lorazepam or injection haloperidol+phenargen can be used on required basis.

Please ask her treating doctor for above options.

Hope I have answered your query,

I will be happy to help further if any.
regards,
Dr.Chintan Solanki.

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju