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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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End stage Alzheimer's. Constant movement of pelvis. Taking Lorazepam, Diazepan, Seroquel. Safe to change medication?

hello my mother has endstage alzheimers, is been prescribed lorazepan to sleep (or trazodone) but really neither of both are working, she constantly moves her pelvis as if she was having contractions. at one time they gave her diazepan 5mg. will it be safe to start giving her that instead?...she also takes seroquel twice a day 10am and 6pm YYYY@YYYY
Sat, 22 Mar 2014
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Neurologist 's  Response

Thank you for posting your query.

I have noted your mother's complaints. She has severe Alzheimer's disease, and her current main problem seems to be sleep disturbance. We should be careful in giving her sleeping pills. This is because her metabolism would be slow, and sleeping pills can make her more confused.

The best option would be zolpidem tablets, which does not produce any hang-over and its action lasts for 6-8 hours.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
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