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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for chronic visual hallucinations

Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3488 Questions

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Posted on Thu, 24 May 2018 in Elderly Problems
Question: My father is 92 years old and is having hallucinations, i'm his daugher and take care of him. I've noticed in the past 3 to 5 mouths this problem. Any advice would help this is going on several times day or night and he does not sleep well [ on seroquel 50 mg. at night ]
doctor
Answered by Dr. Panagiotis Zografakis 27 minutes later
Brief Answer:
dementia

Detailed Answer:
Hello,

the hallucinations are almost certainly caused by dementia. If he's not having an acute disorder (like an infection for example) which may cause disorientation, confusion, hallucinations and other neurological symptoms to patients of his age, then he's just exhibiting symptoms of dementia. His doctor should exclude an acute disorder and then raise the dosage of seroquel appropriately. He should be taking the lowest possible dose of seroquel that keeps him symptom-free. His neurologist is the best person to help with dose-titration.

I hope it helps!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis 26 hours later
You do think my father needs to see a neurologist? His family Dr. said he needs to get a level in his system for about two weeks no change up 25 mgs. I'm am trying to get the most information i can. Thank you.
doctor
Answered by Dr. Panagiotis Zografakis 13 minutes later
Brief Answer:
he needs to see his primary care doctor first

Detailed Answer:
You're welcome!

Your father has to see his primary care doctor first to exclude acute disorders like a urinary tract infection (even with minimal symptoms) or other disorders that may exacerbate his dementia. If the doctor cannot detect any potential cause for your father's worsening then seroquel can be titrated up slowly (little increases every 1-2 weeks). The optimal dosage is better left for the neurologist to decide.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis 35 minutes later
Thank you very much for the information. I have been taking care of my father now two and a half years i have no one else to help me and now i have more information i can ask and talk about with his family Dr.
doctor
Answered by Dr. Panagiotis Zografakis 1 hour later
Brief Answer:
Glad to help

Detailed Answer:
Glad to help... Coping with dementia is hard and needs patience. Caring for the patient is the most important part, so I'm sure things will work out well for both of you.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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