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My mom is on Alzheimer's medication she's 79 and lives at home with my dad. I go over every day when I get off work and every weekend. She doesn't cook anymore, clean, doesn't know how to do her hair, but she's been pleasant and remembered things pretty good until today. Today she was vulgar, mean and just angry so when I left to go home within 20 minutes my dad called and she tried to stab him with a fingernail file the old-fashioned metal ones that kind of a point- he got it from her and she went in her room and slam the door. I sent my son over and she was calm and happy to see him so then I called she answered the phone she sounded happy. I said hi Mom, she slammed the phone down so I called back and dad answered and then I hear her in the background her telling him to hang the phone up and not to talk to me. This is very hard but I'm more worried about my father. I told him to lock his bedroom door at night but he said that he wouldn't hear her because they always slept in separate rooms. I don't know what to do.

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Sounds like a need to call 911 is in order, and if possible get your son to follow the ambulance; it sounds like he didn't aggravate her. I think it sounds like your presence could be a trigger for more disruptive and dangerous behaviors. Same with husband. Hoping all goes well!
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This is deemed a medical emergency with the abrupt change in behavior. Call 9-1-1.
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Is her medication to help with memory new? Doctors put my mother on a drug to help with memory and the personality change was polar opposite of her typical demeanor. The medication was stopped at my insistence and she returned to her agreeable self. She had no memory of her outbursts. It would be worth a double check of her medications.
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Good luck in hanging on. I had to cut ties with my mum she got so mean not only to me but to my husband as well. Wishing you the best. Get the doctors involved. (((hugs)))
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Always read the side efects any new drug may have on your loved one.
In this case follow the advice and get to the ER ASAP.
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When my spouse was diagnosed with ALZ I thought I would be able to cope, however he very quickly forgot who I was and demanded that I get out of his home. He had the same reaction with my children. There comes a time when safety is an issue. He is now in a great care facility. He thinks his mother is there with him and that keeps him calmer. Please be safe.
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You don't say how long she has been on Alzheimers meds - but my husband was misdiagnosed w/Alzheimers (had Normal Pressure Hydrocephaleus)- given Aricept - flipped out next day - 2 weeks of hell w/psychiatrist saying "the drug doesn't do that". Finally he nastily said quit giving and see what happens. I did . Husband "came to" asked where the hell he had been and that "he never wanted to go back there again". By Aricept own advisory on package - "It takes 3 months to see if it will work. There may be no change. About the same - or patient may be worse. It works for about 6 months and then patient will go back to where they were before taking drug." I realize some have been helped with this drug but for us it was a nightmare. Take your Mom to geriatric psychiatrist (or get 2nd opinion) to be sure what she has (or since while living no truly accurate diagnosis can be made) get the best advice you can. Agree - if she is threatening your Dad she needs help - more than you or he can give.
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This is not a reply that anyone will support but when my husband had a personality change I took him off all his medications. He’s, for the most part, his old self. He still has flare ups but they’re easy to understand since I know he’s frustrated. He was on Trazodone 25 mg and
Memantine 5 mg.
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When my mom was on the ‘warpath’ because she needed some medication for her dementia, she followed my dad into his bedroom and a physical altercation took place. It was ‘Sundown Syndrome’ and she needed diagnosis too.

Tell your dad to lock up the firearms! My dad had his guns LOADED and assessable but at least he did lock himself in a bedroom. My parents can be so inappropriately casual!

Yes a trip to ER is called for now!!!
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Dear Julie,

I'm so sorry, I know you are doing your best for your mom. But I have to agree with Send, please take her to the doctor right away. I wonder if the medication is affecting her behaviour.

She might also have another undiagnosed issued like diabetes, high blood pressure or something else causing her to act out.

I know its a lot for you already working full time and trying to care for both your parents. But for your dad's safety, I hope you can get her to the doctor soon to see why she is acting out.

Thinking of you.
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Ok, I have re-read your post.
Because there is an abrupt change in her behavior, call 911 or take her to the nearest E.R.
She may be a danger to herself or others, and needs more care than you all can provide right now. Find out what is going on.
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First, take her to urgent care and have her checked for a UTI (urinary tract infection).
Behavioral symptoms pop up in the elderly, and the usual symptoms like fever, pain and burning, urgency, are not seen.
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