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Medical Forum / Diseases and Disorders / Alzheimer's / April 2005

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Warning about anti-psychotic meds and dementia

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Jo Ann Malina - 12 Apr 2005 09:03 GMT
http://www.healthscout.com/news/1/525088/main.html

This article, apparently posted on Monday, warns that the use of
anti-psychotic meds for elderly dementia patients may have adverse
health affects, mainly heart problems and infections.

The drugs mentioned are olanzapine, aripiprazole, risperidone and
quetiapine.

Of course, there are worse things than somewhat premature death for an
elderly Alzheimer's patient, especially if the drug brings some peace
of mind.  But caregivers should understand the risks.

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Jo Ann Malina, make spamthis best to find my address
He neither drank, smoked, nor rode a bicycle.  Living frugally, saving
his money, he died early, surrounded by greedy relatives.  It was a
great lesson to me.                              -- John Barrymore

Tumbleweed - 12 Apr 2005 09:56 GMT
> http://www.healthscout.com/news/1/525088/main.html
>
[quoted text clipped - 8 lines]
> elderly Alzheimer's patient, especially if the drug brings some peace
> of mind.  But caregivers should understand the risks.

Thats the trouble with studies like this, they focus on one negative without
considering the positives. For example, if people are dying lets say 1 year
earlier, and are usually on the drugs for 4 years, then 3 years of
relatively good quality of life may well be preferable (for patient *and*
carers *and* other patients in the same facility) to 4 years of pschotic,
confused  and anxiety ridden life. But the study (or at least the
headlines ) will just say 'drug cuts life span short by 25%'.

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Tumbleweed

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

pitirish - 12 Apr 2005 10:42 GMT
As the caregiver for my wife, I sometimes feel that in the end, after she is
pronounced, my last scene in this tableau will be with Mike Wallace sitting
in the shadows, all the lights on my sweating carcass, grasping for a
coherent answer to his insinuating questions, "You let her doctor (give her,
not give her) _________?! You fool! Didn't you heed the studies?"

It's a jumble out there.

go'l.

> Thats the trouble with studies like this, they focus on one negative
> without considering the positives. For example, if people are dying lets
[quoted text clipped - 3 lines]
> pschotic, confused  and anxiety ridden life. But the study (or at least
> the headlines ) will just say 'drug cuts life span short by 25%'.
Anthony Shipley - 12 Apr 2005 10:45 GMT
>Thats the trouble with studies like this, they focus on one negative without
>considering the positives. For example, if people are dying lets say 1 year
[quoted text clipped - 3 lines]
>confused  and anxiety ridden life. But the study (or at least the
>headlines ) will just say 'drug cuts life span short by 25%'.

To be fair to the researchers, their report is probably primarily directed to
other researchers and, definitely not, to laypersons such as us.

-
Mind control is being able to make all the voices in your head take turns.

Mod as a hooter!
Evelyn Ruut - 12 Apr 2005 11:54 GMT
>> http://www.healthscout.com/news/1/525088/main.html
>>
[quoted text clipped - 16 lines]
> pschotic, confused  and anxiety ridden life. But the study (or at least
> the headlines ) will just say 'drug cuts life span short by 25%'.

Yes, exactly.  My mother in law was on risperdol for almost three years, and
her heart is just fine, but she did start having some high blood sugar
problems.    This was a tendency before she ever started the risperdol, but
I am sure it exacerbated it.

Bottom line is that the risperdol was a lifesaver for her, since she was
having awful delusions and suffering from a great deal of anxiety from them
before starting it, and while on it, she was more comfortable and more
"normal" in every way.  I didn't regret her using the drug.   But everyone
is different and you need to discuss it with your doctor.

Signature

Best Regards,
Evelyn

(to reply personally, remove 'sox')

Mary_Gordon@tvo.org - 12 Apr 2005 16:52 GMT
Well, as my family doctor is fond of saying...everything has price tag.
Name me a drug or medical procedure that doesn't bring with it its own
set of problems or risks. I wish we were all blessed with perfect
health into extreme old age so we didn't have to worry about doing the
cost/benefit analysis to figure out if the down side is balanced out by
the up side.

I'm always surprised by people who are outraged at medical science that
this is true - who want there to be some perfect solution with no
strings. Biology is complicated and we're all terminal creatures.

Mary G.
Karen - 13 Apr 2005 03:43 GMT
My MIL kept trying to break the windows to get to her car when they took her
off Risperdol for a while.  And getting aggressive with the other residents.
She had put on weight and they were worried about diabetes, but there is no
facility that can be right at her side 24/7 to keep her from hurting
herself.  I figure the studies may give us risks or probabilities but
quality of life has to figure into the equation.

Karen

> http://www.healthscout.com/news/1/525088/main.html
>
[quoted text clipped - 8 lines]
> elderly Alzheimer's patient, especially if the drug brings some peace
> of mind.  But caregivers should understand the risks.
 
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