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My 80-year-old husband has Alzheimer's/dementia; he's on Donepezil and Celexa; I can handle caring for him during the day just fine but at night it's very difficult; he's always had a couple of drinks in the evening, but now, with these meds(?), only two drinks but he has more shots in a 24 oz glass, and he's fallen (with a walker) several times; I can't stand him drunk and slept on the couch last night. He won't go to AL, but how do we stop the alcohol; he knows it's not good! Could alcohol mixed with these meds cause him to get drunk quicker. He didn't used to get this bad.

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Alcohol doesn't mix well with any medications, so let hubby know that if he continues to drink that you'll have no choice but to have him placed in the appropriate facility, and that he WON'T have a choice.
And if he continues to drink then stick to your guns and get him placed.
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The answer to your question is yes.

He's an alcoholic who can't get along without his booze. He's inebriated, which contributes to his falling, though since he has dementia, he'd probably fall anyway even without the alcohol. Expect a lot more falls.

You must take this up with his doctor! Did you know that drinking alcohol contributes to memory loss? Did your husband know that? Be honest with the doctor; something tells me that husband has been enabled for a long time so that he could continue his addiction, and doctor may not know the extent of it. The enabling needs to stop. Who supplies the booze?

Someone is going to advise you to go to Al-Anon meetings to help yourself cope with his alcoholism. But he has dementia, and it's not that easy for you to get out to go to meetings because he shouldn't be left alone. So that may not be practical.

Someone else will probably suggest AA for him, but he's not going to want to go. Also, since he has dementia, working the AA steps or understanding and retaining information he gets at the meeting is not likely.

At some point, he'll have a really bad fall, which means hospital, rehab, and after that back home where you'll take care of him, or he'll go to a skilled nursing facility where someone else will. I'm so sorry you're having to deal with this, but it's a familiar story and that's the trajectory.
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Don’t bring anymore alcohol into the house . Dump the rest out . Tell him the doctor says no more .
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As to a mix of alcohol with any medications I'll let you do your own online research. Drug companies give complete information of what medications don't work well as cocktail mixers. If you don't really wish to do this, then have a talk with any pharmacist who will be glad to help you.

Your husband is self-medicating. It's time for you to attend Al-Anon, and time for hubby to go to AA meetings if he will.
There is very little you can do to control access to alcohol OR to control drinking in another individual.

If your husband fully understands that you may not stand by to witness a descent into alcoholism, nor to deal with an alcoholic, he may accept help. Of course he may NOT! You may be left with a very difficult decision for yourself.

I'm 82 and aware that taking up alcohol is going to have my bottom on the cement; our balance just becomes trash as we age, and can't take alcohol without serious spills. Falling is often the beginning of the end for us seniors.

I wish you both the best of luck. You'll get wonderful suggestions/helpful support at a community at Al-Anon. I PROMISE you that.
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Cheryl19 Jan 11, 2025
Thank you for the Answer; every answer helps me to determine what I will do; such hard decisions because our days are good with no drinking, but the evenings not so good!!
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Who is supplying the alcohol? Is he ordering the stuff himself and having it delivered?

Alcohol and dementia doesn't mix.

There are Al-Anon online and telephone meetings available.
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Cheryl19 Jan 11, 2025
Thank you, I didn't know that.
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How is he getting the booze? If it's not him driving to get it, then you should in no way be enabling his drinking, and should not allow anyone into your home who is enabling it. If he is driving himself to the store, you must prevent it at all costs (for the safety of other people, if not his own). Of course he'll be livid. You can't have his recovery for him -- and at 80 and with ALZ he's probably not capable of detoxing himself. He may have Wernike-Korsakoff syndrome, which is a type of dementia that alcoholics get (also called "wet brain"). It's from a vitamin deficiency caused by the alcohol consumption. It may be treatable, but only if he stops drinking.
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Cheryl19 Jan 11, 2025
Can't drive and can't walk too well even with a walker.
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This suggestion may be silly, but here goes. Give him ‘shots’ of neat cordial, preferably lime or lemon which packs a stronger taste punch. The strong taste can seem a bit like spirit. Sipping a couple of those first, might (???) reduce the urge to sock back the hard stuff. It’s cheap and easy to try – that’s why I’ve tried it myself.
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Thank you for your thoughtful answer which does include things that are very true in our situation and you gave the same answer that I would give someone in my situation and yes doctors and I have told him all of this but he forgets and can hardly comprehend what I tell him he did the night before. Apologizes of course but after one good night goes back to the booze again.
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My mom was an alcoholic and got dementia. I took away the alcohol. If she got more, I threw it out. We did lots of yelling and crying. I continually told her I AM IN CHARGE NOW AND I AM DOING WHAT IS BEST FOR YOUR SAFETY. She cussed me out more times than I can count. I eventually put her in assisted living and then memory care. She fought me the whole way. None of her arguments ever made sense, just mostly name-calling and delusions about me being a prostitute.
Now, her dementia has progressed naturally and some days she likes me, some days she hates me. I didn't give her dementia. She is in a safe place with nice people keeping an eye on her. (Sometimes they're prostitutes too. Oh well.)
There's only so much you can do! A person with dementia cannot be in charge of himself, and there is no "happy" dementia patient. Just safe or unsafe ones.
Be kind to yourself. You are doing the best you can and nobody is cut out for this job.
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I’m confused. How is he getting the alcohol? Why don’t you water down the bottles? Cut him off to start. You need to take control, or call ambulance every time he falls and let the ER evaluation start the process of getting him placed in a nursing home.
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