... 60 minutes? Patient is 88 years old with probable dementia .limited oral communication and is unable to eat, dress, or move without help.
Answers (3)
1 Jun 2011
Hello jubee50. Not sure if I can answer your question. I know its given to elderly people who do have dementia, and its started at 0.5 to 1mg once or sometimes twice a day. I was on haldol some years ago. My dose ended up being 30 and 35mg. I understand the 5mg at bedtime but to possibly repeat it again within an hour. I'm not a dr. I can only guess, and give my opinion, as an outsider looking in, but I'd say given the patients age, that would be a strong dose, if it were given so close together. And maybe its that the patient is not responding to the 5mg, and by having it given again so close together, trying to get the person to respond. Just guesses. Not being very helpfull here, but I do hope that this person does hopefully become a bit better. I have a cousin, only at 65 years of age, and her dementia began less than three years ago. Its progressed so rapidly, she now, needs help in dressing, bathing and so on. Its a terrible illness, and its so heart breaking to watch. very best of wishes go out to you and this person.
1 Jun 2011
I'm going to agree with Pledge and say that does seem like a high dose. I have a 13 year old neice who takes Haldol. Of course given her age and weight her dose is much smaller. I would suggest calling the pharmacist and see what they think. They sometimes know more about proper dosing than the doctors. I'm sorry I couldn't give you a more definitive answer. Good Luck-Alem
1 Jun 2011
5 mg is not that high of a dose. It will help with agitation. Some of these elderly folks tend to "Sundown" meaning their agitation grows worse in the evenings to nights. The haldol given only at night is for this. Many dementia patients are calm during the day then become different people at night. I've seen folks who are normal and lucid during the day, become severly agitated and confused during the night. Their families may not even know this if they were not around them much during the nighttime hours. It can be very scary for the patients too. Haldol used to be used very frequently in nursing homes in the eighties and nineties then the government decided it was a "chemical restraint" and nursing homes had to stop using restraints of all kinds.
Thank you for the info DzooBaby. I guess the old cliche' that you learn something new everyday, is right! -Alem
I concur. Thanks Dzoobaby, appreciated.
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Hi Alem. Good to you, and glad that you also think its high, I never thought to suggest the pharmacist, good point. Very, true they often do seem to know more than some doctors. In an older text book of mine, and I meant to say this but I wasn't very clear in what I said so heres goes ... for elderly patients(with dementia) its started at 0.5 to 1mg once or twice a day. In other people its started at 5mg twice or three times per day, and if the person is not responding well enough, may be raised as high as 60mg per day. However, its recommened that a daily dose be kept to 30mg. That seems to be the norm. Best of wishes.