Recent visit to the PCP and we decided it was time to wean off the Tramadol. Over two months ago she was weaned off Zanax. Prior to that it was prednisone, but she is now holding at just two milligrams per day. Now she is experiencing eye pain and having headaches (supposedly) and feels her other meds are causing this. She doesn't want to take prednisone any longer and wants to start eliminating other mandatory meds as well. She is arguing about her heart meds, high blood pressure meds and Cymbalta (which she is taking for both depression and as off label for pain). I explain to her that to stop taking these can be life threatening, but she insists she doesn't feel well because of them. This was never an issue before and I feel she has it in her head that she can stop all of them since we eliminated two. We see her geriatric specialist next week.
Question is....PCP thinks she should be seen by an ophthalmologist and neurologist....but is aware that this is probably nothing more than a ploy to stop taking her meds. He thought that might be an issue when he suggested weaning her off of Tramadol. She is already being seen by four specialist on a regular basis in addition to labs, tests, etc. and to add two more visits will be a burden since I have only two days a week in which to take her....and she can only do one appointment per day as fatigue becomes a problem. Do you think I would be amiss if I waited to talk to the geriatric specialist about this? I'm willing to bet the symptoms she's experiencing will be gone by then anyway. I certainly don't want to put mom in harm's way, but I think her dementia might be playing a role in her stubbornness. She has always been a hypochondriac. Has anyone else dealt with this and how does everyone else manage to be a taxi driver and advocate for a very elderly parent with dementia? I'm finding time management to become a serious problem.