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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Night Terrors While Suffering From Dementia Be Treated?

My 87 year old Mother lives with my husband and me. Due to previous strokes and Dementia, she yells very loudly at night in her sleep. Various drugs have been tried, Xanax, Xanax ER, Melatonin, Ativan, Tamezapam. They will help her to sleep in a deep sleep with no yelling for about 1 or 2 nights at the most and then it starts again. I was wondering if Haldol or another Anti-psychotic drug would be something to consider. And would she need to see a Psychiatrist to be evaluated for this? I am very concerned about side effects also and understand that many drugs have a reverse effect on the elderly. This has been very frustrating and I am determined to find help for her. Thank you
Tue, 29 Aug 2017
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General & Family Physician 's  Response
Hello,
It is possible that an antipsychotic medication (probably the newer ones would be better than haldol) may be helpful in this situation. You are correct however and there is an increase risk of early death in elderly patients taking these medications. The benefits must be weighed carefully against the risks. Talk to her doctor or neurologist. If they are not comfortable prescribing these medications a psychiatrist may be needed.
Regards
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General & Family Physician Dr. Jyoti Goel's  Response
Along with medications she also needs emotional support

Follow advise

1.Involvement in creative activites according to her capabilities

2.contact spiritual organization in your city like Brahmakumaris they teach meditation free of cost and this meditation will surely help in normalizing her mood and emotions

3. Daily outing morning evening and spend some time with nature like in Park will certainly help

4. Soft music and involvement in religious/ spiritual programme will help certainly

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How Can Night Terrors While Suffering From Dementia Be Treated?

Hello, It is possible that an antipsychotic medication (probably the newer ones would be better than haldol) may be helpful in this situation. You are correct however and there is an increase risk of early death in elderly patients taking these medications. The benefits must be weighed carefully against the risks. Talk to her doctor or neurologist. If they are not comfortable prescribing these medications a psychiatrist may be needed. Regards