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Medical Forum / Diseases and Disorders / Alzheimer's / April 2006

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Anyone on Wellbutrin

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Just Me - 25 Mar 2006 16:19 GMT
My mom who has AD has been crying more than usual lately.  I've been keeping
after my dad to go and see her doctor to get her on some meds for AD or
depression.  Doctor gave him two prescriptions for Wellbutrin which I don't
understand.  One scrip for 150 mg and the other for 350 mg.  I'm not sure
she broke it up that way or maybe they don't come in the 500 size?  Anyway,
I will call her doc next week if my dad doesn't.  Doc also increased her
thyroid medication.  Any suggestions on how to give the wellbutrin to my mom
without her knowing it.  She refuses to take any meds.  We sneak the thyroid
meds in her morning cup of Postum.  Thanks for any input.
Gwen Love - 25 Mar 2006 18:39 GMT
My husband, who had AD, was on Welbutrin after other antidepressants didn't
work.  It worked really well for him.
Gwen

> My mom who has AD has been crying more than usual lately.  I've been
> keeping
[quoted text clipped - 10 lines]
> thyroid
> meds in her morning cup of Postum.  Thanks for any input.
Just Me - 26 Mar 2006 12:43 GMT
Hi Gwen, did your husband take the pill by himself.  My mom won't take any
pills and we have to hide the pill somehow in her food.  Do you have any
suggestions on what type of food we could hide it in?  Do you know if it's
safe to ground up Wellbutrin?  Thx in advance.e

> My husband, who had AD, was on Welbutrin after other antidepressants didn't
> work.  It worked really well for him.
[quoted text clipped - 14 lines]
> > thyroid
> > meds in her morning cup of Postum.  Thanks for any input.
Lee - 26 Mar 2006 19:12 GMT
when my MIL started having problems with swallowing pills, I ended up going
back to her doctor ... took some persistance, but eventually he got the
message that I wasn't going away until he came up with easier to manage
alternatives -  we don't do any coated or time release meds ...can't get
them into her

we were crushing stuff and mixing with pudding (or oatmeal)  for awhile -
eventually, though, she got past the swallowing difficulties (and started to
make a fuss about the pudding)  and we were able to go back to just giving
her the pills .... she still doesn't really ~get~ the whole swallowing them
right away concept, but given with lukewarm tea, they'll dissolve and go
down before she can manage to find a place to put her cup down and get her
hands free to try to take them out of her mouth

> Hi Gwen, did your husband take the pill by himself.  My mom won't take any
> pills and we have to hide the pill somehow in her food.  Do you have any
[quoted text clipped - 23 lines]
>> > thyroid
>> > meds in her morning cup of Postum.  Thanks for any input.
Barb Terry - 26 Mar 2006 23:48 GMT
Lee,
  We crush my moms pills too.But occasionally one won't crush and she
waits till were not looking and spits it across the room.It's kinda
funny.We find it and give it back to her.Barb
Just Me - 27 Mar 2006 01:10 GMT
I know, some of their behaviors can be very amusing which I guess is a good
thing when going through such a devastating disease for the patient and
loved ones.  My dad says my mom likes to drink a glass of orange juice twice
a day, so I told him maybe if he crushes the pill and puts her thyroid med
in her morning glass and Wellbutrin in the afternoon glass.  He's been
putting the thyroid med in her hot Postum, but I'm concerned the heat ruins
the efficacy.  I think cold is better than hot.

> Lee,
>    We crush my moms pills too.But occasionally one won't crush and she
> waits till were not looking and spits it across the room.It's kinda
> funny.We find it and give it back to her.Barb
Dennis P. Harris - 27 Mar 2006 02:05 GMT
> He's been
> putting the thyroid med in her hot Postum, but I'm concerned the heat ruins
> the efficacy.  I think cold is better than hot.

or it might make the dose stronger to dissolve it in a hot
liquid.  the best thing to do is to ask the pharmacist.  

there may be an alternative form like liquids, or she/he may be
able to offer suggestions about crushing, putting in pudding,
applesauce, etc.  some pills are coated because the meds taste
horrible, even if grinding them up would be OK.

another good source of possible solutions is your local AD
caregivers' support group.  
Gwen Love - 27 Mar 2006 23:57 GMT
Just Me, my husband took his pills okay.  I don't know if Welbutrin can be
mashed up to put in food or not.  If you will call a pharmacy and ask, they
can tell you how it can be taken.  If it is the Welbutrin ER, which is
extended release, I know it can't be cut or mashed.  Wishing you the best.
Gwen

> Hi Gwen, did your husband take the pill by himself.  My mom won't take any
> pills and we have to hide the pill somehow in her food.  Do you have any
[quoted text clipped - 23 lines]
>> > thyroid
>> > meds in her morning cup of Postum.  Thanks for any input.
Just Me - 28 Mar 2006 15:13 GMT
Gwen, dad tried putting Wellbutrin in mom's tapioca pudding.  She didn't
like the taste of the pudding and didn't eat it.  The pill is coated which
means it probably tastes pretty horrific.  My dad ground it up but I think
it would have been better to make a hole in the pudding and place the powder
in the hole, as opposed to stirring the ground up pill in all the tapioca.
Any other suggestions to get this pill in mom's food.  I will call
pharmacist today to get some feedback.. Tx. much.

> Just Me, my husband took his pills okay.  I don't know if Welbutrin can be
> mashed up to put in food or not.  If you will call a pharmacy and ask, they
[quoted text clipped - 29 lines]
> >> > thyroid
> >> > meds in her morning cup of Postum.  Thanks for any input.
Evelyn Ruut - 28 Mar 2006 15:41 GMT
> Gwen, dad tried putting Wellbutrin in mom's tapioca pudding.  She didn't
> like the taste of the pudding and didn't eat it.  The pill is coated which
[quoted text clipped - 4 lines]
> Any other suggestions to get this pill in mom's food.  I will call
> pharmacist today to get some feedback.. Tx. much.

Wow.... If I were you, I would tell her that if she didn't take the pill
that the doctor will have to come and give her an injection, or that she
will have to go to the hospital to get the medicine injected every day
instead, and that she really needed the medication.

In the beginning, my mother in law would ask me what each and every pill was
for, and I would tell her each and every one's purpose, no matter how many
times I had to tell her to set her mind at ease.

She once in a while balked at taking her meds, and her son would come and
tell her how important it was, and that she had to take them.  She did.

Without the medication I can assure you she would have ended up in a nursing
home a lot sooner than she did.   The medication enabled her to stay as
functional as possible, with the least stress for everyone (including her)
for as long as possible.

Signature

Best Regards,

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

Just Me - 28 Mar 2006 23:15 GMT
Evelyn, you don't know my mom.  You don't know how difficult she can be.  We
have attempted to give her meds in the past and she refuses.  I wish it were
easy, it would make things so much easier but she is a very difficult person
all around.  She's very independent and stubborn as anything.  Maybe we'll
try your suggestion with giving her ultimatum about doc stopping by to give
her injection.  Of course you don't know how she can be when I have given
her ultimatums in the past. :)

> > Gwen, dad tried putting Wellbutrin in mom's tapioca pudding.  She didn't
> > like the taste of the pudding and didn't eat it.  The pill is coated which
[quoted text clipped - 21 lines]
> functional as possible, with the least stress for everyone (including her)
> for as long as possible.
Evelyn Ruut - 28 Mar 2006 23:26 GMT
> Evelyn, you don't know my mom.  You don't know how difficult she can be.
> We
[quoted text clipped - 7 lines]
> her injection.  Of course you don't know how she can be when I have given
> her ultimatums in the past. :)

Ida definitely caved in when her son read her the riot act.
I wish you luck in getting those meds into your mom.

Signature

Best Regards,

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

Anthony Shipley - 29 Mar 2006 02:40 GMT
>Evelyn, you don't know my mom.  You don't know how difficult she can be.  We
>have attempted to give her meds in the past and she refuses.  I wish it were
[quoted text clipped - 3 lines]
>her injection.  Of course you don't know how she can be when I have given
>her ultimatums in the past. :)

Stand your ground. Far too often I see posters here merrily assume that one size
fits all.

Sometimes I think it's necessary for carers to demonstrate that they have
experienced A.D. themselves before they can qualify for caring.

:-p

anthony shipley

Run away with me; I can make you unhappy.
Karen - 29 Mar 2006 04:39 GMT
2 things I've found useful for pills -- orange or grapefruit marmelade will
cover up almost any flavor of pill (prednisone tastes really nasty and
orange marmelade kills the taste).  I've heard cranberries can do a similar
cover job, whole berry cranberry sauce might offer an opportunity to stash a
pill in a cranberry and offer a spoonful.

And to give pills to our dog, I use the canned squirt cheese.  Cheddar &
Bacon is strong enough to cover the pill smell and taste.  Seems like it
might be worth a try with humans.  If your Mom doesn't like pudding, would
she eat a blob of cheese?

You're right about one thing -- if it tastes bad, mixing it thoroughly only
guarantees the whole thing will taste bad.

Karen

>> > Gwen, dad tried putting Wellbutrin in mom's tapioca pudding.  She
>> > didn't
[quoted text clipped - 8 lines]
>> > Any other suggestions to get this pill in mom's food.  I will call
>> > pharmacist today to get some feedback.. Tx. much.
Deborah - 30 Mar 2006 16:11 GMT
> 2 things I've found useful for pills -- orange or grapefruit
> marmelade will cover up almost any flavor of pill (prednisone
> tastes really nasty and orange marmelade kills the taste).  I've
> heard cranberries can do a similar cover job, whole berry
> cranberry sauce might offer an opportunity to stash a pill in a
> cranberry and offer a spoonful.

I've read several times that grapefruit can be detrimental to some
meds. I can't recall exactly what makes that so, and I don't have
time to look it up, just now, but I'll do that later.
Beth Cole - 30 Mar 2006 16:35 GMT
> I've read several times that grapefruit can be detrimental to some
> meds. I can't recall exactly what makes that so, and I don't have
> time to look it up, just now, but I'll do that later.

There are enzymes in grapefruit juice that cause it to metabolize many
medications faster.  The usual warnings relate to blood pressure meds,
but I've heard anecdotal evidence that that it may also affect birth
control pills and psych meds.

Beth

Signature

Don't go around saying the world owes you a living. The world owes you
nothing. It was here first. ~Mark Twain

Deborah - 31 Mar 2006 03:54 GMT
>> I've read several times that grapefruit can be detrimental to some
>> meds. I can't recall exactly what makes that so, and I don't have
[quoted text clipped - 6 lines]
>
> Beth

This pertinent one goes way back:

<http://archives.cnn.com/2000/HEALTH/diet.fitness/09/12/grapefruit.medicat
ion.reut/>

I tried to narrow the search. (Original search: Google: grapefruit
medications) by narrowing it to the past 3 mos. I still got 2,300,000
results.

I'm cautious, and not given to  beliveing everything I see, but I'd
eliminate any grapefruit component administered with meds. YMMV, and I'd
be interested to see any contemporary reports, in particular. (With meds,  
2000 isn't contemporary.) My dementia affected LO doesn't like grapefruit
much, anyway, and, I'm not on meds, just yet, but I still have my annual
physical on tap.

ASA is a great group. I may be weird, but I love the hurled gauntlet/in-
your-face confrontational posters a great lot. They keep me on my toes,
keep eyes on the prize. Keep it up -- you know who you are!

Best,
Deborah
Gwen Love - 31 Mar 2006 06:11 GMT
I can't remember which one just now, but the instrctions with one of my
prescriptions just lately said not to eat grapefruit while taking it.
Gwen

>>> I've read several times that grapefruit can be detrimental to some
>>> meds. I can't recall exactly what makes that so, and I don't have
[quoted text clipped - 29 lines]
> Best,
> Deborah
Just Me - 31 Mar 2006 13:57 GMT
My dad continues to give my mom her thyroid meds in her morning cup of
Postum w/o her knowledge.  The doctor did up her dosage and they will send
the doc's assistanst to get some blood from her in a couple of months.  My
mom has been crying a lot more lately so I thought an anti-depressant would
be useful in helping to eliminate or lessen the crying.  I feel so bad and
with there was more I could do but she is very stubborn and just wants to be
left alone.  She says she is o.k. and does spend a good portion of each day
in bed, albeit she gets up to go to the bathroom and eat.  My dad is in
charge of giving her her meds because I do not live in the house.  I have to
take over a pill cutter so he can break up the pill in two.

She also asks for her mommy a lot.  Her mother passed away around 25 years
ago.  We try to tell mom that her mommy is at church or with friends as it
it doesn't do any good to tell her her mommy is dead since she refuses to
believe it anyway and to repeatedly tell her her mommy is dead is too
painful for her.

> I can't remember which one just now, but the instrctions with one of my
> prescriptions just lately said not to eat grapefruit while taking it.
[quoted text clipped - 12 lines]
> >
> > This pertinent one goes way back:

<http://archives.cnn.com/2000/HEALTH/diet.fitness/09/12/grapefruit.medicat
> > ion.reut/>
> >
[quoted text clipped - 15 lines]
> > Best,
> > Deborah
Evelyn Ruut - 31 Mar 2006 16:42 GMT
> My dad continues to give my mom her thyroid meds in her morning cup of
> Postum w/o her knowledge.  The doctor did up her dosage and they will send
[quoted text clipped - 16 lines]
> believe it anyway and to repeatedly tell her her mommy is dead is too
> painful for her.

My mother in law went through something like that.   Her dog (age 17) had to
be put to sleep and she kept asking for him over and over again.   Every
time we would explain it to her she would cry like she was hearing it for
the very first time.    Eventually she did begin to understand it, but it
took about a year or so and it nearly drove us crazy.   Sadly there was no
other way, and it had to be.

She was also deeply depressed and having delusions too.   Antidepressants
and antipsychotic medication helped her be in a happier more relaxed state
of mind.   Fortunately we were able to get her to take her medications, but
only after she came to live with us and we could supervise her routine.   I
have no idea how you could make your mom understand how much she needs her
medication, but if she doesn't start taking it, she will continue to be
unhappy, maybe for the rest of her life.

Also, we would not allow her to lay around in bed all day long and mope,
which is exactly what she did until we took her here to live with us.   She
would cry all day and not eat, dress, bathe or go out.   She lost a lot of
weight and looked (and smelled) just awful.   I think it is important that I
add that this was a woman who was an immaculate dresser and housekeeper,
always clean and neat and beautifully put together for all her life.
Alzheimers changed that drastically.

Once we got her here, we saw to it that she had regular showers and got up
out of bed and got dressed every single day.   We got her into a local
daycare program where they did all sorts of wonderful activities and crafts
and outings.   I think she had a happier and better quality of life when all
these things were in place than before when she would just lay around all
day and cry.

After she was on the right medication, hair styled, bathed, well dressed
again, she was a lot happier and even at times was a lot like her "old"
self.   If you saw her out with us, you would not think anything was at all
wrong with her (until much, much later).    Now that she is gone, we are
comforted in knowing that her last few years were good ones.

Think what you would want for yourself.   That is the best rule of thumb.
Would you enjoy your life more if you just laid in bed crying, or would you
prefer feeling a little better.... enough to function, at least, if a
medication could help that?

My husband became "the pill giver" around here, because his mother would
more readily listen to him.   Every night after dinner he would routinely
hand her a glass of water with her medication, and see to it that she took
each one.

Is there someone your mother might listen to more readily who could do that
for her too?
Signature


Best Regards,

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

Just Me - 01 Apr 2006 00:11 GMT
My mom gets up at times and sits in living room to chat a bit w/ my dad and
me (whenever I'm over there).  She doesn't say a whole lot, but she still
has a keen sense of humor, which is a good sign.   I help out doing mom's
laundry and cook some meals for them.  Alz patients come in all flavors if
you will.  Meaning that they are not all made of the same temperament, etc.
and ofttimes what may be easy with one patient would be impossible with the
next.  It all depends.  We have tried many different ways to  get her to do
various things she needs to do but she is a fighter and can get physical if
pushed to that point.  My dad just goes along with her at times because he
doesn't want to upset the apple cart so to speak.  He's also become quite
depressed being with her 24/7.  I am also depressed due to my own "stuff"
and it makes for a difficult situation to say the least.  I even think my
dad is getting into some state of dementia himself as he is showing some
signs although not as bad as my mom.  I can't say your mother-in-law's
situation is more the rule more than the exception or the other way around.
I just know that all alz patients are unique in the severity of their
symptoms and how to handle them.  I also am a firm believer in that
saying....'pick your battles.'

> > My dad continues to give my mom her thyroid meds in her morning cup of
> > Postum w/o her knowledge.  The doctor did up her dosage and they will send
[quoted text clipped - 65 lines]
> Is there someone your mother might listen to more readily who could do that
> for her too?
Dennis P. Harris - 01 Apr 2006 06:41 GMT
> My dad just goes along with her at times because he
> doesn't want to upset the apple cart so to speak.  He's also become quite
> depressed being with her 24/7.  I am also depressed due to my own "stuff"
> and it makes for a difficult situation to say the least.  I even think my
> dad is getting into some state of dementia himself as he is showing some
> signs although not as bad as my mom.

depression can often cause memory problems.  even if you mother
won't take an antidepressant, maybe your father will?  i thought
my mom had AD, but it turned out to be mostly depression,
although she eventually had some mini-strokes after she stopped
taking her diuretic and her blood pressure shot way up.

you might ask her doc about trying an antidepressant that can be
crushed and put into applesauce or some other food.
Evelyn Ruut - 30 Mar 2006 16:39 GMT
>> 2 things I've found useful for pills -- orange or grapefruit
>> marmelade will cover up almost any flavor of pill (prednisone
[quoted text clipped - 6 lines]
> meds. I can't recall exactly what makes that so, and I don't have
> time to look it up, just now, but I'll do that later.

It's statin drugs.... for cholesterol.
Grapefruit somehow interferes with it.

Signature

Best Regards,

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

Tumbleweed - 29 Mar 2006 08:42 GMT
> Evelyn, you don't know my mom.  You don't know how difficult she can be.
> We
[quoted text clipped - 7 lines]
> her injection.  Of course you don't know how she can be when I have given
> her ultimatums in the past. :)

You'll have to decide where to draw the line, not her.

At the moment you are 'merely' talking about pills. Later it may be, her
wanting to get up and go "home" at 3am, or drive to Colorado, or 100 other
dangerous things (to take a real example from a previous poster, his mother
kept on setting fire to newspapers in the house). Irrespective of how
difficult she is, there comes a point at which it doesnt matter, she cannot
be allowed to follow her own wishes, as per the newspapers. And it may not
be possible anyway, going 'home' being the common one.

To reiterate, **you'll** have to decide where to draw the line, not her. So,
if the hassle of getting her to take pills is too much for you, then thats
your decision, but there is a consequence to that, which may be minor, or
may mean her going into a home or dying, years earlier, or it may mean extra
strain on you. But ultimately you choose which happens, not her, even if
thats as a result of you giving in to her.

Signature

Tumbleweed

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

Evelyn Ruut - 29 Mar 2006 12:44 GMT
>> Evelyn, you don't know my mom.  You don't know how difficult she can be.
>> We
[quoted text clipped - 25 lines]
> may mean extra strain on you. But ultimately you choose which happens, not
> her, even if thats as a result of you giving in to her.

Just to say that Tumbleweed has told it the way it really is.

Somewhere somehow the person who is ill has got to trust someone, about
pills, about bills, about everything.

If it can be accomplished sooner, THEY themselves will be better off for it.

Signature

Best Regards,

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

Healthloveandlife - 01 Apr 2006 22:23 GMT
>My mom who has AD has been crying more than usual lately.  I've been keeping
>after my dad to go and see her doctor to get her on some meds for AD or
[quoted text clipped - 5 lines]
>without her knowing it.  She refuses to take any meds.  We sneak the thyroid
>meds in her morning cup of Postum.  Thanks for any input.

This difference in milligram is the fdact that they cannot give you the drug
at the effective dosage right off.
So they start you real slow on the 150s and move after like four to seven
days.
There's also supplements that can help with there condition.  THere is a book
at this website called Curing Illness. THis book truly is amazing. But don't
take my word for it check this out at
www.dontforgettotakeyourvitamins.com/davis47087
 
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