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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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85 Yr Old Suffering From Dementia, Memory Loss, Extreme Anxiety, Unhappiness. Medications To Relieve This?

My mom is 85 and declining rapidly with no short term memory. I am her live-in, full time caregiver, bt in the last month she has become obsessive, (lost her sunglasses a month ago and I discuss it 15 hours a day with her). She gets agitated easily and angry with me, she knows I'm doing everything to help her but think the restaurant she was at a month ago has them. I've driven her there three times, she's sure that they call her every night and wants me to pick them up. She's driving these poor people nuts. I go through it about firty times a day, she wakes me at midnight, I hide in the am until I'm ready to start another day in paradise. It's the rapid increase in the dementia that is my concern. Had her at a neurologist last week twice, she doesn't want to see any more drs. She had o'd on Aricept in March(?) after 5 days on it, was hospitalized four day later because I had been counting them, much to her dismay, lost all her electrolytes and was very sick. They put her on a low dose Exelon patch which I used for two months but she just kept getting worse. Theneurologit put her on Namenda last week an will treat her for Parkinsons after she is established on the Namenda. I'd prefer giving her Atavan or something to calm her down. The depression is a new symptom and she hates living this way. She wants to maintain control over herself and I understand, I help if she asks while I sit there quietly. I'm living in hell with her and her body is much stronger than mine. I smashed my patella 8 mos ago and never healed properly because I've always take care of everything here Do you think there is any med out there to help relieve her obsessiveness and extreme anxiety and unhappiness without kowing her specifics?.
Fri, 28 Jun 2013
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Psychiatrist 's  Response
Hi,
Thanks for using healthcare magic.

I have gone through your available history.

It seems that you mom has behavioral disturbances secondary to dementia.

She may get benefit by cognitive enhancers like donepezil, galantamine or citicholine. Along with congnitive enhancers, she may require drugs like aripiprazole or quitiapine to reduce her agitation and anxiety.

You may get prescription from your doctor for the same. Doctor may rule out physical causes including vitmain B12 deficiency and may prescribe the drugs.

I hope It will help you.

Thanks.
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Psychiatrist Dr. Anjana Rao Kavoor's  Response
Hi.
Behavioral disturbances during advanced stages of dementia are very frustrating and painful for the caregivers. The patients have no memory of the life they had lived. They are also prone to physical illnesses, both due to the old age and to a poor self care. the adequate treatment regime for your mother involves not only medications, but also behavioral management techniques, which include providing the patient with a less threatening and more conducive environments. the details need to be discussed with the treating psychiatrist.
Another thing i want to discuss here is what you are facing. Here is what we call "care givers' burden", which the care givers face while dealing with the demented people. I feel you also need some psychological intervention, to enable you to cope with the stresses of your life-role. Please discuss this with the psychiatrist as well, else you would feel burnt out in a few days.

Hope this helps.
Dr. A. Rao
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85 Yr Old Suffering From Dementia, Memory Loss, Extreme Anxiety, Unhappiness. Medications To Relieve This?

Hi, Thanks for using healthcare magic. I have gone through your available history. It seems that you mom has behavioral disturbances secondary to dementia. She may get benefit by cognitive enhancers like donepezil, galantamine or citicholine. Along with congnitive enhancers, she may require drugs like aripiprazole or quitiapine to reduce her agitation and anxiety. You may get prescription from your doctor for the same. Doctor may rule out physical causes including vitmain B12 deficiency and may prescribe the drugs. I hope It will help you. Thanks.