Seroquel, Comtan and vitamins, D, Folic Acid, B12. He has become combative and sometime violent, danger to his caretakers and himself. What to do?
Martin has Lewy Bodies from Parkinsons Disease, he is on Carbidopa , Aricept, Azilect, Effexor?
- Posted:
- 22 Feb 2011 by ARTFOCUS
- Topics:
- aricept, azilect, comtan, effexor, seroquel, vitamins, insomnia, paranoid disorder, parkinson's disease, parkinsonian tremor, carbidopa, folic acid, mild cognitive impairment
Details:
Answers (3)
DzooBaby22 Feb 2011
I would call the Dr and ask for a psych referral if he doesnt have one yet. If he does, contact the psych Dr and let them know what is going on. They may be able to adjust his meds a bit. There are several options as far as meds but that has to come from his heathcare provider. They used to use Haldol a lot for these folks but I think they are getting away from using that particular medicine. I have seen good results with Resperidone and also Zyprexa in these folks but I'm not sure if these are compatible with his other meds. Is he in assisted living, group home or SNF? You might begin discussion with family about the need to move this gentleman into a SNF memory care unit if he is in assisted living or group home, as you are not equipped to handle this situation. He would probably benefit by being in a locked memory care ward. Until you can get some help for him you will need to have someone keep a close eye on him.
Mary632009
Psyched23 Feb 2011
DZoobaby is right. Zyprexa is excellent for psychotic agitation and aggression. At my psych hospital, we actually use Zyprexa-Zydis melts because they dissolve very quickly. Also, I'm gonna go out on a limb here and say that if the patient is a senior, it is probably the Seroquel that is making him agitated/aggressive; I don't know why, but it tends to do that with most older patients... especially ones that are coming down with ,or already have, Alzheimers. Hope this helps.
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Dzoobaby is right, I can atest to what a problem it has been within my family, my mother had a brother who was at home he has 4 adult children and 12 grandchildren, it was so difficult my mother's sister in law had to be hospitalized, she has diabetes and she lost so much sleep, my Uncle reach a point where he would be awake at night and sleep during the day, it came down to everyone wanted what was best and I think fought so hard but he ended up in the hospital and was transferred to a Nursing facility, about 10 minutes from home, my Mom is 93 so she was unable to go stay but she went to the nursing home on a regular basis and you know I think he was actually happy, the family went every day, they have a unit just for patients with this problem, I want to wish you the best of luck with this I realize how very difficult this is, try taking it step by step and remember you have to make sure he is safe and that you are able to function also. I care, this group of people cares, please feel free to let us hear from you