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Medical Forum / Diseases and Disorders / Alzheimer's / July 2004

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Aricept and Namenda?

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Al - 29 Jul 2004 20:44 GMT
(Questions first, I'll introduce myself later -- I'm supposed to be working
right now....)

My mother came to stay with us for a month and I was distressed to discover
she was
taking Aricept, but not the Namenda her doctor had prescribed for her.  (She
just ran out
of pills and never got them refilled) I got her back on the Namenda, and at
first she
seemed to improve.   But over time that improvement disappeared until now
she SEEMS
(She is in early stages, so assessment is difficult.) to be much worse than
when she arrived.

I'm wondering if its possible the Namenda actually made her worse?

Suggestions, advice, appreciated.  Thanks in advance.
Rose - 29 Jul 2004 21:03 GMT
>Subject: Aricept and Namenda?
>From: "Al" codefinger@cox.net
[quoted text clipped - 18 lines]
>
>Suggestions, advice, appreciated.  Thanks in advance.

I'm not a doctor but from what I hear all these meds do is slow the progress of
the disease, they don't stop it. Maybe you could call her doctor and discuss
your concerns?  

When my mom gets worse I try to figure if something is going on to increase her
symptoms.  Sometimes an illness or emotional stress can temporarily increase
her symptoms.

Is it near the anniversary of the death of someone she loved?  Does she have a
cold, hayfever or a bladder infection?  Is she aware of her condition and
becoming depressed about it? Is she drinking caffeinated coffee or cola? Is she
bored or isolating herself?  Is she listening to news about terrorist threats?
Did someone in the family lose a job?  Etc. etc.

Sometimes resolving a problem can get my mom back on track.  If she's been more
symptomatic sometimes I ask if something is bothering her and try to get her to
talk about what might be getting her anxious or depressed, and that can help a
little.

Still, I'd call her doctor if I were you and discuss your concerns.

___
"How do they know the dog food is any good?  Who tastes it?" -- Elaine,
"Seinfeld"
Al - 29 Jul 2004 21:15 GMT
Is she drinking caffeinated coffee or cola? Is she bored or isolating
herself?
------------------------------------------

My mom is here because a tree fell on her house where she lives alone in
Bossier City, and she needed someone to stay with while the repairs were
made on her house. (I live in New Orleans, where I mostly work from home
while I take care of my wife, who is an invalid because of MS).

She is probably as bored as she has ever been in her life.  She is very
isolated
because all of her friends are back in Bossier City.  She drinks caffienated
diet
coke all day long.   I did not know caffienated drinks could increase
Alzheimer's
symptoms.     Thanks for that tip.

> >Subject: Aricept and Namenda?
> >From: "Al" codefinger@cox.net
[quoted text clipped - 43 lines]
> "How do they know the dog food is any good?  Who tastes it?" -- Elaine,
> "Seinfeld"
Rose - 30 Jul 2004 01:02 GMT
>Subject: Re: Aricept and Namenda?
>From: "Al" codefinger@cox.net
[quoted text clipped - 17 lines]
>Alzheimer's
>symptoms.     Thanks for that tip.

She's been through quite a trauma.  Poor lady.  I hope she feels better soon.

I still think it's worth talking to her doctors if you're concerned about the
meds.  If she's been drinking a lot of caffeinated drinks you might ask her
doctor if you should try to stop her cold turkey or wean her off.  I know
firsthand that caffeine withdrawal is not a pretty thing.

___
"How do they know the dog food is any good?  Who tastes it?" -- Elaine,
"Seinfeld"
Tumbleweed - 29 Jul 2004 21:23 GMT
> (Questions first, I'll introduce myself later -- I'm supposed to be working
> right now....)
[quoted text clipped - 13 lines]
>
> Suggestions, advice, appreciated.  Thanks in advance.

as rose pointed out, these drugs dont cure the problem, they just slow its
progression down and in soem cases make the sufferer better for a while
before the inevitable decline continues.
So your mother getting worse is likely a symptom of the diseases
progression. The only respect that I have read about namenda(aka memantine)
making things worse is that if they have gotten bad enough that they dont
cause problems through being argumentative, constantly asking questions and
so on, then if there is a slight 'improvement' they might go back to that
stage.
Signature

Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

Evelyn Ruut - 30 Jul 2004 02:10 GMT
Al, Tumbleweed is correct in what he says, below.   Could be she is just
getting worse too.  This illness is progressive.

About the caffeinated sodas.   I would simply start buying her NON
caffeinated soda wherever possible.   Caffeine may not make Alzheimers
disease any worse, but the stimulation can certainly make them more
argumentative and difficult and wound up.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

>
> > (Questions first, I'll introduce myself later -- I'm supposed to be
[quoted text clipped - 29 lines]
> so on, then if there is a slight 'improvement' they might go back to that
> stage.
 
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