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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Memory Loss, Fits And Sleeping Trouble In An Elderly Male?

Hi my grand pa aged 80 years is using epilex chromosome 500 mg tablet 1 in the morning, remit or cv 10 mg 1 tablet in the night and donep-sr-23mg 1 tablet in the night. As he is facing loss of memory and kind of fits in the last couple of months. Now the problem is he is sleeping continuously in the morning and not sleeping in the nights. He is totally unable to control the sleep in the morning. In the nights as he is not sleeping he is keep on disturbing my mom. Do we need to change any of these tablets? Is his morning sleep due to side effect of these tablets? Please suggest.
Mon, 6 Jul 2015
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Psychiatrist 's  Response
hello user, i understand your concern - it seems from your description that now behavioral problems are concomitant with pre-existing dementia . such kind of sleep reversal and behavioral problems are commonly seen in dementia patients . but in such kind of picture , one have to rule out possiblity of "delirium" so getting him evaluated by a psychiatrist/neurologist would be a good idea . they may also perform some investigations like serum valproate levels (as he is on epilex) , eeg (you are mentioning some fits) and other routine blood tests . remitor and donep are unlikely to produce such symptoms , if delirium is ruled out , then such patients can be helped with adding low doses of antipsychotics like haloperidol and for sleep medicines like trazodone , but only after evaluation by an expert . take care
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What Causes Memory Loss, Fits And Sleeping Trouble In An Elderly Male?

hello user, i understand your concern - it seems from your description that now behavioral problems are concomitant with pre-existing dementia . such kind of sleep reversal and behavioral problems are commonly seen in dementia patients . but in such kind of picture , one have to rule out possiblity of delirium so getting him evaluated by a psychiatrist/neurologist would be a good idea . they may also perform some investigations like serum valproate levels (as he is on epilex) , eeg (you are mentioning some fits) and other routine blood tests . remitor and donep are unlikely to produce such symptoms , if delirium is ruled out , then such patients can be helped with adding low doses of antipsychotics like haloperidol and for sleep medicines like trazodone , but only after evaluation by an expert . take care