Guest guest Posted December 29, 2005 Report Share Posted December 29, 2005 Joan: What your Mother is taking is certainly not as low a dose as my Mother. My Mum is taking only 50 mg a day total and that was increased from 37.5 mg per day when she started. Mum is certainly sleepy on her small dose, she doses off and on all day sitting in a chair. Unless Aricept also causes sleepiness she is taking nothing else to cause her to be sleepy. I think sleepiness is a side effect of LBD itself. Mum doesn't usually talk about hallucinating but I can tell from the way she will look at empty spaces that she is seeing things. in Ontario, Canada --- joansteveh1 wrote: --------------------------------- Hi, I haven't posted in a while, but I do read the messages. I have a question for those whose LO's take seroquel. My mother takes 75mg at night, 25 in morning, and 25 at lunch time. Is this considered a low dosage? My mother's psychiatrist feels this is a comfortable level for her (she also takes 8mg of Reminyl daily)and most of the time I think it is. Since September though, her ability to communicate has really declined. She can talk a blue streak, but often her sentences are totally disconnected. She does know the family, but continues to hallucinate, bouts of paranoia, even has my brother having an affair with one of the CNA's. I will often review the literature on LBD when I get in one of these questioning funks, but realize this decline is all part of the progression of the disease I think, but I am constantly questioning whether the meds contribute to her mental decline- I read the adverse reactions- often sleepyness, but what about increased confusion, anyone experience that. We are going to have my mother seen by another neurologist as advised by the psychiatrist, mainly to help convince myself that this is all part of the dreadful LBD. I sometimes wonder if I have accelerated this disease because I don't demand to take her off the medicines, but who knows where she would be. sorry to ramble, but I am in one of my " I can't believe this is happening " periods. Joan Hackett Welcome to LBDcaregivers. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2005 Report Share Posted December 29, 2005 Joan, My Mother has worked up to a fairly large dose. She takes 50 MG in the morning, 75 MG at noon, 200 MG at night. She wasn't sleeping at night so the 200 helps knock her out. At first the morning and lunch doses made her sleepy, but she adjusted to them. It takes that level to keep her somewhat calm. She still has some hallucinations, paranoia, and delusions, but they are a lot less. Everyone's different and can tolerate different medication and different levels, but the body does seemed to be able to overcome the sleepiness if you increase slowly. I don't think that the trouble with communication is the Seroquel, I think it's the LBD. My Mother was always a very good communicator and one of her first symptoms of LBD was having trouble finding the right words. My Mother declined rapidly, so I have seen her without the medication and she is much better with the medication. The one drug that helped the most for communicating was Exelon. Not everyone can tolerate it, but for my Mother is has been almost a miracle drug. My Mother takes Exelon, Namenda, Zoloft, and Seroquel and it takes all of these to make her life somewhat bearable. The doctored added them one at a time so that we could see if they helped. It took more than six months, but it had made a hugh difference in her quality of life. I hope I have helped you a little. Good Luck, in Dallas > > Hi, I haven't posted in a while, but I do read the messages. I have > a question for those whose LO's take seroquel. My mother takes 75mg > at night, 25 in morning, and 25 at lunch time. Is this considered a > low dosage? My mother's psychiatrist feels this is a comfortable > level for her (she also takes 8mg of Reminyl daily)and most of the > time I think it is. Since September though, her ability to > communicate has really declined. She can talk a blue streak, but > often her sentences are totally disconnected. She does know the > family, but continues to hallucinate, bouts of paranoia, even has my > brother having an affair with one of the CNA's. I will often review > the literature on LBD when I get in one of these questioning funks, > but realize this decline is all part of the progression of the > disease I think, but I am constantly questioning whether the meds > contribute to her mental decline- I read the adverse reactions- often > sleepyness, but what about increased confusion, anyone experience > that. We are going to have my mother seen by another neurologist as > advised by the psychiatrist, mainly to help convince myself that this > is all part of the dreadful LBD. I sometimes wonder if I have > accelerated this disease because I don't demand to take her off the > medicines, but who knows where she would be. sorry to ramble, but I > am in one of my " I can't believe this is happening " periods. Joan > Hackett > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2005 Report Share Posted December 29, 2005 Hi, the seroquel (50 am; 50 1pm, 75 at nite and a standing " as needed " dose) was quite helpfull in keeping my dad's agitation from the hallucinations down. They do lose the ability to speak coherently but we communicate by following his gestures and every once in a while he blurts out something clear as day. Exelon may give her some " clarity " for a while but the disease is a rollercoaster ride and for some faster than others. But without the seroquel my dad could not be controlled as he was quite strong. Now he is in the later stages and we have gradually reduced (and this week eliminated) all seroquel. He just sleeps most of the time but still has a great appetite.... Talk to the doctors about your concerns, but most likely the speach issue is due to the disease. If she is sleeping a lot then i would say the seroquel is too strong... > > Hi, I haven't posted in a while, but I do read the messages. I have > a question for those whose LO's take seroquel. My mother takes 75mg > at night, 25 in morning, and 25 at lunch time. Is this considered a > low dosage? My mother's psychiatrist feels this is a comfortable > level for her (she also takes 8mg of Reminyl daily)and most of the > time I think it is. Since September though, her ability to > communicate has really declined. She can talk a blue streak, but > often her sentences are totally disconnected. She does know the > family, but continues to hallucinate, bouts of paranoia, even has my > brother having an affair with one of the CNA's. I will often review > the literature on LBD when I get in one of these questioning funks, > but realize this decline is all part of the progression of the > disease I think, but I am constantly questioning whether the meds > contribute to her mental decline- I read the adverse reactions- often > sleepyness, but what about increased confusion, anyone experience > that. We are going to have my mother seen by another neurologist as > advised by the psychiatrist, mainly to help convince myself that this > is all part of the dreadful LBD. I sometimes wonder if I have > accelerated this disease because I don't demand to take her off the > medicines, but who knows where she would be. sorry to ramble, but I > am in one of my " I can't believe this is happening " periods. Joan > Hackett > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2005 Report Share Posted December 29, 2005 Hi Joan, My took one tab a day - half in the afternoon and half at dinner. This was all she could tolerate. She did talk a lot at the beginning of the disease, a lot of confusion, but as it progressed she stopped talking all together. Please don't torture yourself over the meds - I did that till I thought my head would explode. You can always try your mom on a little less to see if that helps at all. I only recently had mom taken off all meds (except aricept) because she is at end stages. Up until then I felt that perhaps the meds where helping her a least a bit. We are all just doing the best we know how. Your mom is lucky to have a daughter like you to care for her and question all aspects of this disease for her. Hang in there. Courage Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2005 Report Share Posted December 29, 2005 Joan My Mom have very bad reactions to seroquel. Her hallucinations were a lot worse when she was on it. They kept increasing it saying they would find the right dosage for her. She would see people with plants growing out of there eyes or noses. She became very paranoid about people who would come to visit. She finally ended up in the hospital on the Psycho ward for 5 days. The doctor finally saw for himself what she was like and finally listened to me and took her off seroquel. Keep notes on her to take to the doctor. Especially her reactions after taking the seroquel. Be proactive for your Mom's sake. Make them listen to you, after all they aren't there taking care of her, you are.... Good Luck and Hugs Jacqui Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2005 Report Share Posted December 30, 2005 Another newbie jumps in, My 83 year old mother is in the last stages of LBD. Totally bedridden since a bout of pneumonia last summer, from which the doctors did not expect her to survive, she mainly sleeps and varies wildly in consciousness/coherence. She is lucky to be able to be cared for in her home, tended to lovingly by 3 angels to whom my father and I will be eternally grateful. She has been on just about everything - aricept, exelon, seroquel, sinamet - in miniscule dosages which my father cuts up, since she weighs less than 80 lbs. Seroquel was supposed to help with the terrifying hallucinations caused by the sinamet. She is so sensitive to the dopamine-related meds that even tyrosine made her crazy. When she was being pumped up with antibiotics last summer, she was taken off of all other meds and has improved greatly since. The frightening visions are gone and she is happy and peaceful. If she shows any agitation she is given a tiny dose of Xanax, which she has always tolerated well. The other, bizarre thing that has happened since she was in hospital is that after months of not eating, she is now eating like a small shetland pony. She has to be fed and everything goes into the blender but she eating more healthily than I can ever remember: oatmeal and fresh fruit for breakfast, a thick soup and something like chicken salad for lunch, fresh fish and vegetables for dinner. SHe also loves any manner of potatoes and those prepared puddings in little tubs. This appetite started in hospital, when all the doom doctors, hospice staff and palliative care people were hovering like buzzards and passing out brochures like the one that has recently been published here. I must say, my darling Mum has always kept us guessing about what she does next and she continues so to do. We celebated her birthday the other week, having despaired last summer that we would see it with her. So my experience is to cut out the psychotropics and dopamine drugs, if poss and try to provide fresh food as chemical free as possible. Also, lots of cranberry juice. On another note, a few of use here in the UK (such as Sally who recently posted) are forming a support charity here. We would be glad to hear from you and even more glad if you would like to help. We are just starting out and there is a lot to do. You can contact either me or Sally or all@... and would be very welcome. With every wish for an happier new year. in Essex (England) > > > > Hi, I haven't posted in a while, but I do read the messages. I > have > > a question for those whose LO's take seroquel. My mother takes > 75mg > > at night, 25 in morning, and 25 at lunch time. Is this considered > a > > low dosage? My mother's psychiatrist feels this is a comfortable > > level for her (she also takes 8mg of Reminyl daily)and most of the > > time I think it is. Since September though, her ability to > > communicate has really declined. She can talk a blue streak, but > > often her sentences are totally disconnected. She does know the > > family, but continues to hallucinate, bouts of paranoia, even has > my > > brother having an affair with one of the CNA's. I will often > review > > the literature on LBD when I get in one of these questioning > funks, > > but realize this decline is all part of the progression of the > > disease I think, but I am constantly questioning whether the meds > > contribute to her mental decline- I read the adverse reactions- > often > > sleepyness, but what about increased confusion, anyone experience > > that. We are going to have my mother seen by another neurologist > as > > advised by the psychiatrist, mainly to help convince myself that > this > > is all part of the dreadful LBD. I sometimes wonder if I have > > accelerated this disease because I don't demand to take her off > the > > medicines, but who knows where she would be. sorry to ramble, but > I > > am in one of my " I can't believe this is happening " periods. Joan > > Hackett > > > Quote Link to comment Share on other sites More sharing options...
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