Wednesday, June 19, 2013

Friday, June 26, 2009 louisia asks

Q: If one has dementia or alzheimers and is misdiagnosed will celexa cause any harm?

My mother is nearing 90.  She has changed over this last year--not nearly as active, often tired, and has been losing weight.  We have a caregiver coming in 6 hours a day to drive her around and assist in daily chores, as she does not want anybody living with her.  Occasionally, she shows bouts of confusion but comes around and resumes normalacy.  In addition, she still enjoys going out with her friends and family for lunches and will take 1 mile walks when the weather is not unbearably hot. She can be strong willed at times and challenging but never in a violent mannerism. 

 

Since my mom is in FL, the woman takes her to her doctor appointments and reports back to us.  Recently, the caregiver told her doctor that my mother was depressed and overly anxious which lead to his prescribing 20 mg. of celexa.  I speak to my mother 3X a day and my sisters and I do not see that this is depression.  After calling the doctor, he agreed that his diagnosis was strictly based on the caregiver's account.  I am not going to go into details but this woman seems to want my mother to be so dependent on her that she can get more hours.  If this is early alzheimer's or dementia what will celexa do or not do to alter the brain chemistry?  I know it is an SSRI and don't want to put her on anything that is couterproductive.

 

Thank you for this wonerful website.

 

Lois

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Answers (1)
Carol Bradley Bursack, Health Guide
6/27/09 9:05am

Hi Lois,

One problem with antidepressants is that not everyone reacts the same to them all. Celexa works wonderfully for some people, but all medicines have side effects, some of them mental. Will taking Celexa cause harm? If she is showing signs of mental strain or physical deterioration that she didn't have before, perhaps it's not right for her.

 

If the doctor wants her on an antidepressant, I'd ask him if he could put her on a different one, to compare. They generally take several weeks to get rid of side effects that are temporary, so they are tricky with someone that age. Also, older bodies don't metabolize meds as well as younger ones do. That said, antidepressants help many older folks dramatically. The real question is does she need one?

 

If you don't trust this caregiver, and it sounds a bit like you don't, maybe you should get another and after a trial ask that person's opinion. The doctor has to go by someone, and if this person is not trustworthy and doesn't have your mother's best interest at heart, then I'd try someone else.

 

Long-distance caregiving is hard since you can't evaluate her yourself. The phone calls help a lot though, and you are sensing changes over the phone. Do what you can, but consider a change of caregiver for another opinion, and watch the changes from the antidepressant to see if negatives can be chalked up to that. The doctor may be willing to experiment a bit. I'm glad you are in contact and hope he or she is flexible.

Take care,

Carol

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By louisia— Last Modified: 01/20/13, First Published: 06/26/09