Reducing Polypharmacy Effects

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Reducing Polypharmacy

The first and most important step is to have every physician involved in treatment be aware of every medication and even multivitamin taken by Mom or Dad daily. Collect every bottle and make a detailed list including the drug name, size of dosage (in milligrams or international units), recommended dosage (daily or daily frequency, for example), and any cautions stated on the bottle or package.

Read every package insert or on-box description of the drug – including the small type – which details warnings about not taking the drug if certain other conditions exist, the possible side effects and the possible conflicts with other medications. You will quickly learn why to be concerned and, perhaps, understand how and why the medications can be at war with each other.

Identify on another sheet the possible side effects that you can observe. Refer to the list of symptoms above.

Bring all of the medication bottles/packages to one of the currently used pharmacies to request a database analysis of each drug and the combination, a procedure that will also identify side effects and drug conflicts.

Provide the two lists to every physician and medical center providing treatment to Mom or Dad, asking for a specific analysis of the need for the drug/medication.

Have the revised prescriptions re-written by only one physician who advises the other medical providers. And assign all of the prescriptions and even OTC medications to one pharmacy where the pharmacist can monitor the drugs regularly and serve as professional counsel to you regarding the drug regimen. This service is available without added cost.

 
 

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  •  Comments 1 to 6 of 6 
 
 

Can anyone tell me anything of their experiences using Lexapro and Clonipin to treat anxiety and depression in a dementia patient?

 
 

CajeanL50

Give a Hug

May 20, 2009

Hi Joyce,

My mom is on the generic for Lexapro (Celexa ?) but she only takes half. The whole one put her right out. She is much less anxious, nervous, fidgity, & depressed since she's been on it about 2 years now. She's quite the sleeper now, but not sure whether it's a combination of her meds, or a symptom of dementia. She's 88. Hope this helps.

Cajean

 
 

Fortress

Give a Hug

Mar 30, 2011

a very helpful tool is using the mednotes medication tool. Every time they add another drug to my dad I can add it to his profile on mednotes and it gives drug interactions with his current prescriptions and with his conditions.

It saved him a few times from taking things one doctor prescribed that would make his glaucoma worse. His IOP was so bad and then the ENT doctor prescribed something for allergies that would have been very dangerous to me dads already bad eyesight. My dad has 20 different prescriptions and other things given to him each day and I have found this service a life saver and so much information.

 
 

cabanagirl

Give a Hug

Mar 30, 2011

Very good advice, indeed, except that MIL doesn't listen. MIL KNOWS EVERYTHING so she self-medicates and plays doctor with her husband's meds as well. So, this is great advice IF and only IF elders are willing to listen and take advice from 'just the kids' (read, what the heck do we know?)

 
 

Callsue1

Give a Hug

Mar 30, 2011

Ask the pharmacist for a quarterly review of medications, they are trained and qualified to advise and have all medications on file. Ask for recommendations on whether to continue certain medications and for any contraindications that could be risky. They can also suggest different dosages/medications in lieu of current meds that may treat certain illnesses more effective or at a reduced cost. Seniors typically continue to use the same pharmacy and most have at least a friendly, long known pharmacist that would be more than willing to help. Most pharmaceutical software checks for such recommendations on an on going basis, so take advantage of it and 99% of the time, there isn't a charge, its the law and their responsibility.

Sue Brophy

 
 

karentaylor

Give a Hug

Sep 4, 2011

Does anyone have any experience with Zyprexa being used to treat elderly dementia patients? My mom of 90 years was one of those rare seniors who was on no medication whatsoever. She was physically healthy. I placed her in a short-term "geri-psych" unit due to dementia related issues. She was there 22 days and set to be released when she suddenly became ill overnight. She died a week ago today. Her symptoms all point directly to Zyprexa, which is not FDA approved for use with elderly dementia patients - in fact there were warnings issued against its use with the elderly.

 
  •  Comments 1 to 6 of 6 

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