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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Confusing Dreams With Reality And Memory Lapses When On Paxil For Brain Tumour?

My Dad is 70 years old and has a stage 3 brain tumour. Part of it was removed last spring and then radiation over the summer. He is also on Paxil for depression. In the past few months, he has been experiencing some strange side effects. Among these: strange dreams, confusing dreams with reality, confusion, memory lapses, increased interest in religion and overwhelming thoughts of the past (childhood memories, teenage years, his 20s, memories of his parents, etc.). We are wondering if these symptoms are more likely to be from the Paxil (I've read a great deal of negative info regarding this drug) or the brain tumour. Any thoughts?
Tue, 28 Jan 2014
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Addiction Medicine Specialist 's  Response
Hi,

In my opinion, the symptoms that you have described are not due to Paxil but are due to the brain tumour and the treatment he received for it. It appears that he is developing cognitive impairment due to the radiation he received for the tumour as well as the surgery. The cognitive impairment can gradually progress to dementia and is common in people treated with radiation for brain tumours. Symptoms usually improve with anticholinesterase medicines like donepezil. Please inform his doctor about the symptoms and I am sure, he will do the needful.

Best wishes.
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What Is The Cause For Confusing Dreams With Reality And Memory Lapses When On Paxil For Brain Tumour?

Hi, In my opinion, the symptoms that you have described are not due to Paxil but are due to the brain tumour and the treatment he received for it. It appears that he is developing cognitive impairment due to the radiation he received for the tumour as well as the surgery. The cognitive impairment can gradually progress to dementia and is common in people treated with radiation for brain tumours. Symptoms usually improve with anticholinesterase medicines like donepezil. Please inform his doctor about the symptoms and I am sure, he will do the needful. Best wishes.