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Medical Forum / Diseases and Disorders / Alzheimer's / June 2008

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Meds for sleep not recommended

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Diane P. - 04 Jun 2008 12:33 GMT
I posted previously here about MIL and her issues related to dementia.

The posters here were most helpful.

She recently fractured her shoulder and not much could be done for the
injury, but home exercises after the swelling went down.

Her mental capacity had dropped like a rock and the disruptive behavior has
dramatically increased, particularly the sundowning and the "yoo-hoo's" we
get at 1 & 2 AM.

My two neighbors have a bed-ridden mother, (Alzheimer's related) who they
have been caring for for as long as we have, 5 years or so. I mentioned the
sundowning to them and they said that their doctor gave them a mild sleeping
pill to help get everybody thru the nite.

When we took her to the doc and asked about some medication, the dr was of
the opinion it would be more dangerous then helpful and more for our
convenience then hers. MIL is ambulatory and does cross the hall from her
bedroom to the bathroom sometimes a couple of times a nite. This is when the
"yoo-hoo's" come because that's supposed to be our wake-up call. When the dr
mentioned the convenience thing, I just wanted to scream, you bet your a--it
is. I am a light sleeper as it is, and getting interrupted for the few hours
I do grab is not helpful. Anyhow, does anyone here have any experience with
the use of a mild sleeping pill to control the sundowning. I have tried to
keep her from napping for long periods and walking around more to get
exercise, but these tactics don't seem to have done much good but tick her
off. Going to be for the night at 630, doesn't help either, but we get the
agitation thing when we discourage such behavior...any thoughts?

Apps to a dementia center are in and MIL has been assessed by public health
to confirm her condition; we are just waiting for a bed that I hope becomes
available soon. TIA

D.
Evelyn - 05 Jun 2008 01:48 GMT
>I posted previously here about MIL and her issues related to dementia.
>
[quoted text clipped - 32 lines]
>
> D.

We used to give my mother in law a Tylenol PM at bedtime and it did help a
bit.   It was also thought to be helpful with the alzheimers, but we gave it
to her for the slightly sleepy effect it gave.   It's only benadryl, so it
is safe.

Signature

Best Regards,
Evelyn

"Like the light of the sun moon and stars, may the love, compassion and
wisdom shine forth.  May they strike every single living being and dispel
the darkness of ignorance, attachment and hatred that has lurked for ages in
their being.  When any living being meets with another may it be like the
reunion of a mother and child who have long been separated.  In a harmonious
world such as this may I see everyone sleep peacefully to the music of
non-violence.   This is my dream."    --  17th Gyalwa Karmapa Orgyen Trinley
Dorje

Diane P. - 05 Jun 2008 11:07 GMT
> We used to give my mother in law a Tylenol PM at bedtime and it did help a
> bit.   It was also thought to be helpful with the alzheimers, but we gave
> it to her for the slightly sleepy effect it gave.   It's only benadryl, so
> it is safe.

Thanks, Evelyn. It's worth a try.

D.
Bud - 07 Jun 2008 16:40 GMT
>> We used to give my mother in law a Tylenol PM at bedtime a
>> Evelyn
>>
>  Thanks, Evelyn. It's worth a try.
>
> D.

By the generic for a few bucks saved, the Benadryl and/or Tylenol.
 (Diphenhydramine HCl...Acetaminophen)

Bud
Evelyn - 07 Jun 2008 18:14 GMT
>>> We used to give my mother in law a Tylenol PM at bedtime a
>>> Evelyn
[quoted text clipped - 7 lines]
>
> Bud

Absolutely.   It's the same thing but cheaper.

Signature

Best Regards,
Evelyn

"Like the light of the sun moon and stars, may the love, compassion and
wisdom shine forth.  May they strike every single living being and dispel
the darkness of ignorance, attachment and hatred that has lurked for ages in
their being.  When any living being meets with another may it be like the
reunion of a mother and child who have long been separated.  In a harmonious
world such as this may I see everyone sleep peacefully to the music of
non-violence.   This is my dream."    --  17th Gyalwa Karmapa Orgyen Trinley
Dorje

august - 07 Jun 2008 08:37 GMT
>I posted previously here about MIL and her issues related to dementia.
>
[quoted text clipped - 32 lines]
>
> D.

We tried Ambien but it was way too dangerous as she would stumble around
when she got up to go to the bathroom and we did not want to have to nurse
her through another broken hip.  We switched to trazadone, an antidepressant
that in low doses makes a person very sleepy.  We have an RX for 1-3  50mg
tablets per night.  Currently we only use 1 tablet nightly but in the past
have used 2 tablets - 100mg.  Makes a person go to sleep quickly and tend to
stay asleep.  On this low dose there are few side effects after the first
few nights.  It works so well that I got myself an RX for the same medicine.
Now  we both get a better quality of sleep.  My MIL doesn't stumble around
when she gets up to go to the bathroom.  Also you can give 1 tablet and then
another 2-3 hours later if needed and still be at a safe dosage. The typical
antidpressant dosage is double or triple the amount used as a sleep aid -
300mg daily.  Also, trazadone is dirt cheap and not addictive.

good luck,    AW
sweetpickleNO@SPAMknology.net - 08 Jun 2008 13:41 GMT
I was prescribed trazadone for myself some time ago because  was having what
the doctor called catnaps at night instead of sleeping through.  Worked fine
to put me to sleep, but kept me asleep much too long.  If I took it when I
went to bed I could have slept all the next day.  Did at times except to get
up to eat and then back to bed.  I didn't know it was a depressant, but
definitely a sleeping pill!
Gwen

>I posted previously here about MIL and her issues related to dementia.
>
[quoted text clipped - 32 lines]
>
> D.

We tried Ambien but it was way too dangerous as she would stumble around
when she got up to go to the bathroom and we did not want to have to nurse
her through another broken hip.  We switched to trazadone, an antidepressant
that in low doses makes a person very sleepy.  We have an RX for 1-3  50mg
tablets per night.  Currently we only use 1 tablet nightly but in the past
have used 2 tablets - 100mg.  Makes a person go to sleep quickly and tend to
stay asleep.  On this low dose there are few side effects after the first
few nights.  It works so well that I got myself an RX for the same medicine.
Now  we both get a better quality of sleep.  My MIL doesn't stumble around
when she gets up to go to the bathroom.  Also you can give 1 tablet and then
another 2-3 hours later if needed and still be at a safe dosage. The typical
antidpressant dosage is double or triple the amount used as a sleep aid -
300mg daily.  Also, trazadone is dirt cheap and not addictive.

good luck,    AW
Diane P. - 13 Jun 2008 15:49 GMT
>I was prescribed trazadone for myself some time ago because  was having
>what
[quoted text clipped - 6 lines]
> definitely a sleeping pill!
> Gwen

Thanks Gwen and to all OP's.

We are using nothing for now...the doctor didn't want to prescribe the meds
for the reason August said...stumbling around.

Right now, screeners from several nursing homes are scheduled to come here.
The PRI has been done and we have been to the attorney; everything is done
except for notice of an available bed.

I think the hardest thing for us is the sundowning though..keeps us up
worring about falls. We have told MIL we are looking for alternative living
accomodations for her. If we didn't the nurses who come here to meet her
would under NY law, so it's best we did it. I don't know if what we've told
her was retained, but some of it must have remained in what little memory
function has been retained.

Our penance is that every morning the closet is emptied on the bed, ready
for all the stuff to go in her purse so "all the people"can move. It's tough
being a parent when my parenting skills are really starting to suck-big
time.  ;-)

Have a great weekend everyone!

Diane
Evelyn - 13 Jun 2008 17:57 GMT
>>I was prescribed trazadone for myself some time ago because  was having
>>what
[quoted text clipped - 32 lines]
>
> Diane

Diane, my husband put one of those doorknob locks on the closet.   When the
lock is on, the doorknob just turns and turns ineffectually and the door
can't open.   It worked for us.

Signature

Best Regards,
Evelyn

"Like the light of the sun moon and stars, may the love, compassion and
wisdom shine forth.  May they strike every single living being and dispel
the darkness of ignorance, attachment and hatred that has lurked for ages in
their being.  When any living being meets with another may it be like the
reunion of a mother and child who have long been separated.  In a harmonious
world such as this may I see everyone sleep peacefully to the music of
non-violence.   This is my dream."    --  17th Gyalwa Karmapa Orgyen Trinley
Dorje

DJ - 19 Jun 2008 00:45 GMT
You said "On this low dose there are few side effects after the first few
nights." What side effects? Could you please explain? My Dad's doctor has
recommended Tazadone for sleep; however, I'm skeptical as Dad has had bad
side effects (aggitation, sometimes really BAD) from most antidepressants.

David
 
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