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Medical Forum / Diseases and Disorders / Alzheimer's / June 2007

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Dad just started Aricept

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Barbara H - 08 Jun 2007 21:35 GMT
Greetings - I'm very new here and have been reading your posts for the past
week.  My father has mild memory impairment and was just started on Aricept
yesterday.  He's called just now with stomach upset and pain and I'm
wondering does this go with the medication and will it subside after a few
days?  He lives alone and I go over every day to get his breakfast and
dinner for him.  He was calling to tell me he couldn't eat.

I know I'm not prepared for all thats headed my way but right now he's
hurting and I see where this is a common side effect.  I just can't find
where it tells how long that lasts.  Would it be okay for him to take
mylanta or pepto or some other over the counter stomach pain reliever?  The
doctor's office is closed after noon on Friday of course!

Any general advice will help.  Might be a rough weekend.

Thanks -  Barbara H
MEH - 08 Jun 2007 21:44 GMT
> Greetings - I'm very new here and have been reading your posts for the
> past week.  My father has mild memory impairment and was just started on
[quoted text clipped - 12 lines]
>
> Thanks -  Barbara H

My mother started taking hers before bed so if there is discomfort, she
sleeps through it.  Might help him, too.
Evelyn Ruut - 08 Jun 2007 22:02 GMT
> Greetings - I'm very new here and have been reading your posts for the
> past week.  My father has mild memory impairment and was just started on
[quoted text clipped - 12 lines]
>
> Thanks -  Barbara H

Barbara, we always gave Aricept to my mother in law after dinner.   Having a
good meal in her stomach helped to buffer it a lot.   I don't think a
spoonfull of pepto would harm any.   It does tend to go away with time.
Signature

Best Regards,

Evelyn

June - 09 Jun 2007 01:04 GMT
> Greetings - I'm very new here and have been reading your posts for the
> past week.  My father has mild memory impairment and was just started on
[quoted text clipped - 12 lines]
>
> Thanks -  Barbara H

Evelyn's right, it needs to be taken with food.  It made my mother very sick
to her stomach and in her case it didn't work anyway.   This may be
difficult if he's taking it on his own.  Maybe taking an extra dose
too,......June
Evelyn Ruut - 09 Jun 2007 01:28 GMT
>> Greetings - I'm very new here and have been reading your posts for the
>> past week.  My father has mild memory impairment and was just started on
[quoted text clipped - 17 lines]
> difficult if he's taking it on his own.  Maybe taking an extra dose
> too,......June

Omigoodness I forgot about that!! Yes... sometimes they forget they already
took their pill and take another one.   Ida did that in the beginning and
she was soooo sick from it.

Don't trust them to take their own pills.... you give it to them each day.
They really can't remember that they already took it.

Signature

Best Regards,

Evelyn

Barbara H - 09 Jun 2007 02:49 GMT
>>> Greetings - I'm very new here and have been reading your posts for the
>>> past week.  My father has mild memory impairment and was just started on
[quoted text clipped - 24 lines]
> Don't trust them to take their own pills.... you give it to them each day.
> They really can't remember that they already took it.

Thank you all.

The idea of taking this with food and in the evening is good.  Tomorrow's
dose will follow dinner.

I went over tonight and took him some pepto and also made him a grilled
cheese - very lightly grilled.  He felt better.  This is just his second day
on the drug.  He can't remember why he's taking it and not very happy with
the upset to his system.  I did decide to keep his pills with me and
administer them each day myself.  I even wrote on the package the date and
time of his first dose.  I'm really new to this.  Although I've been helping
my Dad for a few years now it's been fairly minor.  Until recently he's been
able to fix his own daily pills in a week at a time box and I just check
from time to time to see if he's taking them.  I've also been keeping his
prescriptions filled for him and taking care of his finances for him.  He
can't do anything with numbers.

My hope is that I can continue to convince him to take this drug.  We won't
know if it will help him unless he continues to take it.  He goes back to
his doctor in one month.  He still does not believe there's any thing wrong
with his memory but he is thinking about it, I can tell.

I'm so glad I checked to see if this group exhisted.  I know I'm going to
need you.  I'm still looking for a local support group.  Hoping to find
something here.  I'm beginning to feel very frightened.

I'll introduce myself properly in another post.

Thanks again - Barbara H

Evelyn , by the way, I read your post in ASD - I appreciate your good sense
approach.  I'm having a hard time controling my bg with the latest turn of
events.  I guess it will get better.
Evelyn Ruut - 09 Jun 2007 03:02 GMT
>>>> Greetings - I'm very new here and have been reading your posts for the
>>>> past week.  My father has mild memory impairment and was just started
[quoted text clipped - 59 lines]
> sense approach.  I'm having a hard time controling my bg with the latest
> turn of events.  I guess it will get better.

Hi Barbara!   Another great group over there.  Hang in there.
The stress of this can really wreak havoc with your bg's. I know.

About the Aricept.  My mother in law was put on it very early on, when we
first noticed a problem and got her diagnosed.  But we never really knew if
it was working until a couple of years down the road and our doctor decided
to switch her to Excelon instead.

Well let me tell you.... it was a disaster.   After the first four days we
called the doctor up and begged him to switch her back.   With the very
first dose, going back on it, there was a dramatic change for the better.
So if you ever wonder if the stuff is helping, stopping will tell you if it
is.

Apparently it works by facilitating a certain brain chemical and allowing it
to have effect.   But as I understand it, ultimately that particular brain
chemical ends up being in very short supply anyway, so the Aricept has
little effect anymore.   On the other hand, there have been some studies
that showed it was helpful even in later stages.   So only you can know by
observing how your own loved one functions with and without the drug.
--
Best Regards,

Evelyn
august - 09 Jun 2007 03:46 GMT
> Thank you all.
>
[quoted text clipped - 29 lines]
> sense approach.  I'm having a hard time controling my bg with the latest
> turn of events.  I guess it will get better.

Make sure and get a full power of attorney and also a medical power of
attorney signed and notarized right now so that you have these documents
ready for further on down the road. This will save both you and your dad
many potential problems. You never know when your father might have a
drastic change of personality or medical crisis where you might need to take
full control of the situation.   AW
Dennis P. Harris - 09 Jun 2007 06:53 GMT
> I'm still looking for a local support group.

check www.alz.org
J J - 09 Jun 2007 03:00 GMT
Greetings - I'm very new here and have been reading your posts for the
past week. My father has mild memory impairment and was just started on
Aricept yesterday. He's called just now with stomach upset and pain and
I'm wondering does this go with the medication and will it subside after
a few days? He lives alone and I go over every day to get his breakfast
and dinner for him. He was calling to tell me he couldn't eat.
I know I'm not prepared for all thats headed my way but right now he's
hurting and I see where this is a common side effect. I just can't find
where it tells how long that lasts. Would it be okay for him to take
mylanta or pepto or some other over the counter stomach pain reliever?
The doctor's office is closed after noon on Friday of course!
Any general advice will help. Might be a rough weekend.
Thanks - Barbara H

mom takes it with her breakfast also the Doc suggested to take it at
night but I don't give it to her at night because sometimes she doesn't
eat very much, But she had no side effects.
JJ
Alan Meyer - 22 Jun 2007 01:56 GMT
Barbara,

Check the dosage that the doctor prescribed.  Apparently
a patient should be given no more than 5 mg for 4-6 weeks
and then, _maybe_ increased to 10.  But some doctors
apparently don't bother to learn about the drugs
they prescribe and start the patients on 10.

See: http://www.rxlist.com/cgi/generic/donepezil_ids.htm

Good luck.

   Alan
Barbara H - 22 Jun 2007 02:28 GMT
Thanks Alan - His doctor gave him a 5 week pack that starts him at 5 mg/day
for 4 weeks then we have another appointment.  The pack also has one week of
10 mg pills but the nurse said to cut them in half.  However, the
instructions clearly say not to do that with these pills.  I'll double check
with his doctor before he runs out of the 5 mg pills.

 I am hopeful that they are helping.  He's been very calm and content and
taking care of the little chores he makes for himself around his house. We
have a home health care nurse coming in weekly and they are getting along
just fine.  I feel like we are in a holding pattern.

Thanks again - Barbara

> Barbara,
>
[quoted text clipped - 9 lines]
>
>    Alan
 
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