Should I continue Aricept & Namenda in late-stage Alzheimer’s disease? - AgingCare.com

Should I continue Aricept & Namenda in late-stage Alzheimer’s disease?

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I, of course, would not make any med adjustments without a drs recommendation.
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Reply to Lostinthemix
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My mil is on both of these meds, and she saw a different dr yesterday who wants to discontinue the aricept (one of the side effects is insomnia ) and then a week later wants to discontinue her namenda and put her on mirtazepine a week later. She is going through many changes due to sleep and behavior issues.
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Mom's doc once talked about palliative care, discontinuing many of mom's meds. I decided that since the meds were not causing issues, that discontinuing may cause issues, to continue as she had been. She had a certain, almost certain, status quo, predictable, that we would continue the meds until there was a significant behavioral change only then would we look at adjusting meds.
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Reply to gladimhere
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There are some new studies that indicate that these medications can have a benefit in late stage dementia. From verywell health:
"One study compared nursing home residents with dementia who were receiving cholinesterase inhibitor medications to treat dementia to other nursing home residents whose cholinesterase inhibitors were discontinued. The researchers found that those whose medications were discontinued experienced more behavioral challenges such as repetitive questioning and frequent health concerns. This group also participated less in activities compared to those who were still on their medication."(www.verywellhealth.com/drugs-late-stage-alzheimers-98217)

On the other hand you might want to consider stopping if there are no noticeable benefits or is there are troubling side effects, it is really an individual decision.
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Reply to cwillie
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