Saturday, July 26, 2014

Friday, January 09, 2009 mike, Community Member, asks

Q: is there a drug to sedate the anger out of a dementia patient?

My dad is 73 yrs. very good shape physically and is very anger a violent towards my mom. Is there a drug that can calm him down. He won't bath, stays up all night and destroys the house.

Answer This
Answers (6)
Christine Kennard, Health Pro
1/11/09 2:45pm

Hi Mike

 

There are a number of different medications that can be used to help people with Alzheimer's disease that become aggressive or violent. There are anti psychotic medications, tranquillizers such as valium and ativan and there are now mood stabilizing medications too. You need to see a doctor specializing in dementia care to see which, if any, will help your father.

 

Most violent episodes linked to dementia are a feature that does go away as the disease progresses, so it is important that any medication is frequently reviewed. Medication can be fantastic and can help in the short term. They also have side effects that can adversely affect people with Alzheimer's and there is a lot of research that suggests that they shorten life.

 

Dealing with aggression is very hard for you all. You must get help to diagnose its cause and see what treatment plan will be best.

 

Good luck,

 

Christine

Reply
Connie Moore, Community Member
1/10/09 5:17am

Is your dad in home hospice care? If he is yes but you have to tell them what he is doing. My husband is in Home hospice and the biggest mistake I made was not getting him there sooner. He sundowns very badly and becomes extremely aggitated during the evening hours. they have him on three different medications now that help. They even have a medication you can rub on them that will help to calm them and it is fast acting because most of the time when this happens they will also refuse to take the medication. At the point your dad sounds like he is at you need him in home hospice. Once he is there they will take a huge burden off your mother. He can still be home but he will be calmed and nolonger abusive. If you chose to go this route you can email me and I will give you more information on Home hospice care and the medications they have my husband on. If I can help please feel free to write. texasrosem@yahoo.com. I will help in any way I can I am living the same thing right now. My prayers are with you and your family. Connie

Reply
Christine Kennard, Health Pro
1/11/09 3:28pm

Hi Mike

 

I forgot to add these links that might be helpful.

There is a link to an article on a piece of research that I wrote and a more recent news item that maybe helpful. Although they do point out the downside to antipsychotic medication it should not stop their use if closely monitored by a your father's doctor

 

Short Term Use of Antipsychotic Drugs in Older People with Dementia Risky

 

Antipsychotics for Alzheimer's up death risk: study

 

These shareposts may also be informative:

 

Aggression in Alzheimer's Disease

 

Christine

 

 

 

 

 

Reply
Dorian Martin, Health Guide
1/11/09 6:31pm

Hi, Mike,

 

CBS News also had a story on anti-psychotic drugs last week in relation to Alzheimer's patients:

http://www.cbsnews.com/stories/2009/01/08/health/main4708936.shtml

 

I've just written a post on my mother and anti-psychotic medications (she was on Risperdal). Hopefully, that will be posted tomorrow so watch for it.

 

Dorian

Reply
Martha, Community Member
1/13/09 11:49pm

Hello Mike;

My mon, 84 year old, was diagnosed with Alzheimer's five years ago.  She went through the usual Neuro clinical evaluations, MRIs, & neurology consults.  Started on Aricept, now taking Aricept, Namenda, Cerefolin & Seroquel.  The Seroquel has managed her "nastiness" very welll.  Starting out at low doses of 25 mg twice a day she is now on 100 mg twice day and tolerates its very well with no somulence.  She currently is living with my husband and I. We have caretakers that keep her very active Monday thru Friday from 10:00 am till 6:00pm.  Her schedule includes trips to the senior centers, library for lectures, lunches and just plain socilaizing.  She now laughs everyday, is happy and a joy to be around. The difficulty that we have currently is finding foods that she enjoys other than ice cream, cakes & cookies.  Getting her to eat a balanced meal is a challenge that we constantly research.

 

Through my years as a nurse and caretaker I have found that often time men can become a "little bit" grumpy as they get older.  One thought is that the reduction of testosterone levels due to the aging process may be part of the problem.  Speaking to your Dad's primary care physician or urologist may be of benefit.  Keep in mind that any man treated for prostate cancer is not a candidate for increasing testosterone levels as it may potentiate the risk of recurrence.

 

I wish you well in your quest. I understand very well what you are experiencing.

Reply
Jean, Community Member
10/28/13 1:26am
When your mom was on 25 mg of seroquel did she seem more confused and agitated? How did she respond to the 25mg and why did you increase to 100 mg? Reply
Carol Bradley Bursack, Health Guide
10/28/13 10:20am

Your dad need to see a doctor as soon as possible. There are medications that can slow symptoms available, but he may need an anti-anxiety medication or, considering the violence you imply, some psychiatric medication. Please have him seen soon for everyone's sake. "Sedating" him may not be possible, but calming him down to some degree may be possible, even if he needs some alternative housing.

Take care,

Carol

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

By mike, Community Member— Last Modified: 04/03/14, First Published: 01/09/09