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

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Drugs to Calm Aggression

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Rose - 29 Jul 2004 09:40 GMT
Can someone tell me what sort of drugs doctors prescribe to Alzheimers patients
who become aggressive?  I keep hearing vague statements about medications but
nothing specific?  Is it just stuff like Klonopin (which makes memory worse) or
is it something else?

Thanks.

___
"How do they know the dog food is any good?  Who tastes it?" -- Elaine,
"Seinfeld"
Evelyn Ruut - 29 Jul 2004 12:36 GMT
> Can someone tell me what sort of drugs doctors prescribe to Alzheimers patients
> who become aggressive?  I keep hearing vague statements about medications but
> nothing specific?  Is it just stuff like Klonopin (which makes memory worse) or
> is it something else?
>
> Thanks.

My mother in law was on Zoloft for depression and Aricept for her memory.
When she got a bit difficult as well, having delusions, they prescribed
Risperdol.   She remained on those three drugs throughout the entire time I
cared for her at home.   We tried at various times reducing them or changing
them, but those remained the three that did the best job and kept her the
most emotionally comfortable and compliant with necessary care.
Signature

Regards,
Evelyn

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

Evelyn Ruut - 29 Jul 2004 14:46 GMT
Rose, in addition to my comments I wanted to add that I went to the Doctor
with SPECIFIC instances to relate, of her behavior before Risperdol was
given.

For instance, she was getting quite aggressive and "in my face" about going
outside to look for cows and barnyard animals that she imagined were
starving in some shed somewhere.   We live in a thick forest, and naturally
we were terrified she might get out and get lost seeking these imaginary
cows and animals.

This was apparently a flashback of some kind from her childhood, when she
was a young girl living on a farm and had to care for the cows, feeding them
etc.    Nothing could pursuade her that her imaginings were not real, and
she was actually getting like she was going to hit me when we told her there
were no cows outside.   Taking her outside personally and SHOWING her meant
absolutely nothing, because three seconds later she was caught in the same
delusion again.

She also imagined she had a baby and that people were keeping that baby from
her and it was hungry and needed to be fed.   She would wake in the night
looking for her baby.

So as you can see, these were delusions that made her very difficult to live
with and keep calm, as well as making her suffer and be very emotionally
uncomfortable.

For us the Risperdol made her calmer and it stopped the aggressive
attitudes, and the delusions were easily dispelled when they did arise.

Signature

Regards,
Evelyn

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

> > Can someone tell me what sort of drugs doctors prescribe to Alzheimers
> patients
[quoted text clipped - 12 lines]
> them, but those remained the three that did the best job and kept her the
> most emotionally comfortable and compliant with necessary care.
turkey in the straw - 29 Jul 2004 15:11 GMT
Evelyn,
  My mom takes zyprexa for her dillusions and she still has them every
day starting at around 4 pm.She wants her small children,thinks my dad
is coming to get her,etc.She takes 2.5 mgs.twice daily.Nothing you say
is the correct answer.Yesterday i was a lying bitch cause i answer her
in a way that i think might calm her down.I am wondering if theres
something better out there or if it could be increased.Barb
Evelyn Ruut - 30 Jul 2004 02:05 GMT
> Evelyn,
>    My mom takes zyprexa for her dillusions and she still has them every
[quoted text clipped - 3 lines]
> in a way that i think might calm her down.I am wondering if theres
> something better out there or if it could be increased.Barb

Barb,

You should definitely ask your doctor about it.   Maybe there is something
else that can help.   I can tell you the combination my mother in law was
on, really took the nastiness out of her.   I told the doctor that I wanted
her to be happy as modern medication could make her.   He did it.
Signature

Regards,
Evelyn

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

turkey in the straw - 29 Jul 2004 15:36 GMT
Rose,
  Do you live with your mom? Do you take care of her alone?
Rose - 29 Jul 2004 18:22 GMT
>Subject: Re: Drugs to Calm Aggression
>From: barbfrombethel@webtv.net  (turkey in the straw)
[quoted text clipped - 3 lines]
>Rose,
>   Do you live with your mom? Do you take care of her alone?

I live with her.  I guess you could say I take care of her alone but my brother
helps sometimes and I am looking into daycare and home care.

My mother is in the early-moderate stage (not real early, but still able to
dress herself and feed herself, not wandering, etc.)  She isn't having
delusions except very mild ones like thinking maybe the reason she can't find
her glasses or hat is that someone is coming into the apartment and taking
things.  

She doesn't get dangerously aggressive but when she is agitated and then I try
to get her to do something she doesn't want to do, or if I hurt her feelings by
being impatient or critical when she, say, puts dirty dishes in the cupboard
(which I know I shouldn't do), she gets very angry and sometimes is mildly
physical like light slapping.  Also, sometimes when angry she throws her cane
on the ground. (It kinda makes me chuckle later when I think about it -- gotta
keep a sense of humor.) When I've tried to get her into day care she has become
extremely agitated and we had to get her out because she can't be held against
her will.

I very much want to get her into day care or have a home care person come but I
am afraid that she might need to take something to keep her calm enough to
accept the care.

Thanks for you guys' help, everyone in this thread who has answered.

___
"How do they know the dog food is any good?  Who tastes it?" -- Elaine,
"Seinfeld"
 
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