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Re: Hallucinations

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Susie: I think I posted to you yesterday re your

father's decisions and changing of mind. Will reply

to this, also. My husband did not have hallucinations

early on, nor sleep disorder. The only sleep disorder

he had was falling asleep the minute he sat down in a

chair (for almost all our married life), sleep most of

the evening, and then get up and go to bed and sleep

all night. Could drink coffee right up to bedtime

with no effects. If he had hallucinations, he never

mentioned anything, even much later. The first he

mentioned them was after he had a broken shoulder

blade when he was given heavy-duty pain medication.

He told me to get those kids to stop jumping off and

on the table. Then, later, he mentioned, matter of

factly, that the cat over there looked cold. He also

mentioned the horses and cows. He was born and raised

on the farm and farmed the first 15 years of our

marriage. After he really worsened, I think he saw

many things that weren't there, but nothing was

frightening that I could surmise. However, this might

be something for you to consider. My husband had both

AD and LBD. I think originally he started with AD, as

his symptoms then were more in line with that. It was

after the broken shoulder blade in 2004 that he

exhibited symptoms of LBD. His personality also

changed from being very laid back, nonconfrontational,

easy going, etc., to angry, argumentive, aggressive,

cursing, kicking, hitting, etc., in the last few

years. He never had what I would consider REM sleep

disorder, although he did snore if lying on his back.

He was able to sleep soundly through all kinds of

things, and I would lie awake and worry if the kids

weren't home, etc. The only sleep disorder he had was

the last few weeks before NH placement, when I think

he had a UTI, and then in the NH, he did not sleep

well at all. It might have been because that was the

first time he had slept alone for many, many years.

No sleeping meds kept him asleep thru the night. I

tried to get them to try Rozerem (sp), but they would

not until they had tried everything else. By that

time, he got very ill and subsequently died before we

were able to try it.

--- Susie1 wrote:

> I'm curious if anyone's LO did NOT have

> hallucinations early on, but developed them in later

> stages. Dad has had none, no sleep disorders that I

> know of. I read of so many that have fewer delusions

> later in the progression of the disease ... I wonder

> if we should expect those to develop? Thanks -

> Susie

>

> ---------------------------------

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Oh Kim, you poor lady. Hallucinations are a hallmark of LBD. AD patients

don't have hallucinations until late, but LBD has them almost right up front.

As

long as they are not frightening to your Mom I would let them be. Some

medications can and do most assuredly make a patient worse. Risperdal almost

killed my husband. But, I saw something bad wrong, and took him off it within

three weeks if beginning the medication, and he recovered. If an LBD patient

isn't removed from Antipsychotic soon enough it can very well make them worse.

My

Darling man cannot take any antipsychotic. Some people can, but

antipsychotic medications are usually a big NO NO for LBD.

Love a bunch,

Imogene

Caregiver for my true Texas Gentleman Husband of 36 years. He has LBD with

Parkinsonism.

A happy personality is contagious. Infect someone today.

In a message dated 8/2/2007 9:23:59 AM Central Daylight Time,

kimberkoz@... writes:

Do your loved ones all experience hallucinations?

For my mom, it has been a hallmark of her illness. (She has not been

diagnosed with LBD, but I suspect she may have it.) I wondered if all

of you have been able to control the hallucinations and if so, how.

We have worked with psychiatrists for years adn tried many

antipsychotics. Geodon worked for about a year. We tried Risperdol and

Seroquel too. Her psychiatrist last night started her on Abilify.

What's interesting is the hallucinations are still there but the

dementia-related behaviors have really kicked up and almost overnight

seem to have eclipsed the hallucination problem. We have been really

experimenting with drug combinations in recent weeks and I am not sure

if what's happening to her is because of the disease progression or

improper medication. Does anyone have thoughts? THank you, Kim

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The combo of Aricept, Namenda & Zyprexa work for my Dad for now.

Debbie in SoCal

_____

From: LBDcaregivers [mailto:LBDcaregivers ]

On Behalf Of Kim K.

Sent: Thursday, August 02, 2007 4:53 AM

To: LBDcaregivers

Subject: Hallucinations

Do your loved ones all experience hallucinations?

For my mom, it has been a hallmark of her illness. (She has not been

diagnosed with LBD, but I suspect she may have it.) I wondered if all

of you have been able to control the hallucinations and if so, how.

We have worked with psychiatrists for years adn tried many

antipsychotics. Geodon worked for about a year. We tried Risperdol and

Seroquel too. Her psychiatrist last night started her on Abilify.

What's interesting is the hallucinations are still there but the

dementia-related behaviors have really kicked up and almost overnight

seem to have eclipsed the hallucination problem. We have been really

experimenting with drug combinations in recent weeks and I am not sure

if what's happening to her is because of the disease progression or

improper medication. Does anyone have thoughts? THank you, Kim

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Hi Kim,

Well in our case, Mom has hallucinations, more so when she is inactive. The

doctor had her on 25mgs. Seroquel, then upped it to 50mgs., then up to 75, but

we didn't make it to 75. Mom wanted to stop it and the hallucinations have been

less often. Now, did the drug do anything? We don't know, and who really does.

Mom has an health aide that she really enjoys being around, and seems that the

hallucinations slowed when we had her come on a regular basis. I am beginning

to wonder if drugs are the real answer for this disease. But, like I said

before, who really knows.

Many hugs,

Deb

" Kim K. " wrote: Do your

loved ones all experience hallucinations?

For my mom, it has been a hallmark of her illness. (She has not been

diagnosed with LBD, but I suspect she may have it.) I wondered if all

of you have been able to control the hallucinations and if so, how.

We have worked with psychiatrists for years adn tried many

antipsychotics. Geodon worked for about a year. We tried Risperdol and

Seroquel too. Her psychiatrist last night started her on Abilify.

What's interesting is the hallucinations are still there but the

dementia-related behaviors have really kicked up and almost overnight

seem to have eclipsed the hallucination problem. We have been really

experimenting with drug combinations in recent weeks and I am not sure

if what's happening to her is because of the disease progression or

improper medication. Does anyone have thoughts? THank you, Kim

---------------------------------

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The more awake they are, the fewer the hallucinations, at least in the

experience of Cal and the patients of Dr. Boeve.

Even with increasing doses of Zyprexa (an atypical), we still had

florid visual hallucinations until we got on the stimulants.

E

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Kim,

The very first symptom was hallucinations. The medications have helped my dad

tremendously, over the past 3 years (Seroquel, Namenda, Exelon) in keeping the

hallucinations down to a minimum, but now I notice that they are increasing

again. I think

the medication isn't as effective since he has been on them for 3 years. His

hallucinations

are never scary to him. He will say matter-of-factly " look at the little man

cleaning out the

gutters " , or he insists that the boulders around his pool are being moved from

one place

to another. It wasn't until after the hallucinations started, that I noticed

more confusion.

When he is hallucinating, I usually try to distract him by steering the

conversation away

from what ever it is that he is seeing. A lot of his hallucinations are about

kids and

animals.

Rhonda

>

> Do your loved ones all experience hallucinations?

>

> For my mom, it has been a hallmark of her illness. (She has not been

> diagnosed with LBD, but I suspect she may have it.) I wondered if all

> of you have been able to control the hallucinations and if so, how.

>

> We have worked with psychiatrists for years adn tried many

> antipsychotics. Geodon worked for about a year. We tried Risperdol and

> Seroquel too. Her psychiatrist last night started her on Abilify.

>

> What's interesting is the hallucinations are still there but the

> dementia-related behaviors have really kicked up and almost overnight

> seem to have eclipsed the hallucination problem. We have been really

> experimenting with drug combinations in recent weeks and I am not sure

> if what's happening to her is because of the disease progression or

> improper medication. Does anyone have thoughts? THank you, Kim

>

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Hi,

I am new to the group and a care giver for my wife with LBD.

She suffers from horrible, terrifying, hallucinations. She also has

tremors so her DR. is reluctant to prescribe anything to control the

hallucinations.

Can you tell me more about Zyprexa. Does Cal also suffer from tremors?

Many thanks,

Vince

Quoting epthompson :

> The more awake they are, the fewer the hallucinations, at least in the

> experience of Cal and the patients of Dr. Boeve.

>

> Even with increasing doses of Zyprexa (an atypical), we still had

> florid visual hallucinations until we got on the stimulants.

>

> E

>

>

>

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My Dad has suffered from familial tremor for 46+ years.

The combo of Aricept, Namenda & Zyprexa control his hallucinations for 8

months now.

But the zyprexa amplifies his tremor. (And I think it might be time for a

medicine re-mix soon.)

The food flys off his fork and spoon. He can’t work a knife anymore.

AND these are special “weighted” fork and spoon, specially for tremor

patients.

(We tried a “steady spoon” (it has a counter weight, so the bowl of the

spoon is level

no matter how you hold it), but the noise of the spoon as Dad shook bothered

him so he refused to use it.)

HTH,

Debbie in SoCal

_____

From: LBDcaregivers [mailto:LBDcaregivers ]

On Behalf Of Vince@...

Sent: Saturday, August 04, 2007 8:40 AM

To: LBDcaregivers

Subject: Re: Re: Hallucinations

Hi,

I am new to the group and a care giver for my wife with LBD.

She suffers from horrible, terrifying, hallucinations. She also has

tremors so her DR. is reluctant to prescribe anything to control the

hallucinations.

Can you tell me more about Zyprexa. Does Cal also suffer from tremors?

Many thanks,

Vince

Quoting epthompson <ericbls@spintellige

<mailto:ericbls%40spintelligentlabs.com> ntlabs.com>:

> The more awake they are, the fewer the hallucinations, at least in the

> experience of Cal and the patients of Dr. Boeve.

>

> Even with increasing doses of Zyprexa (an atypical), we still had

> florid visual hallucinations until we got on the stimulants.

>

> E

>

>

>

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DW:

There is definitely a risk that Zyprexa (and really, the whole class)

can cause a worsening of motor symptoms. The agents are different

enough, though, that it is probably worth trying something else.

The general international consensus seems to be gelling around

Seroquel, but there is a VERY vocal contingent that gets excellent

results with Clozaril, despite the risks and need for weekly blood

monitoring. So don't give up - there's probably a better answer out

there for him.

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