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Re: need quick answer on phenergan

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Phenergan is to be avoided in those with dementia and parkinsonism. Zofran is

the drug of choice for nausea. It's expensive, though.

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> Hi, all.  I've " lurked " on this board for several years.  My mother's

neurologist says her dementia is " more like Alzheimers " than LBD, but based on

many, many symptoms I've been inclined to think she has LBD (I'd never even

heard of it, but it was suggested after a neuropsych evaluation -- in particular

because of her history of falls) .  Up to now, the precise diagnosis hasn't

mattered.  Aricept gave her diarrhea, and she has been on Namenda for two

years.  But no other meds have been suggested that are on the LBD danger

list.  (She has only mild and non-frightening hallucinations.)  She has lived

alone, with increasing help from me (just a few miles away).

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> However, she had a stroke on January 23, and was transferred to Rehab/Nursing

Home on the 31st.  I told the nurse during admission that she may have LBD. 

Today I got a call saying she vomited today (MIGHT have caught a bug from my

sister before my sister knew she had a bug), and the doctor had ordered phergan

if it happened again.  I just told them she might have had a problem with

phergan once before, and asked them not to give it to her until I got back to

them.  Meanwhile I couldn't find anything quickly on this board or the lbda

site, but knew I'd get the best information from all of you.

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> Is phergan something I have to be worried about? 

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> Thanks much!  Regards,

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> Hosey

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Hi ,

If it were my mother I would avoid that and compazine too. Phenagren was

horrible to my mil and later, when we found about LBD, I learned it is not good

for patients thought to have LBD. By the way, people can have LBD and vascular

dementia as well, it’s common as a matter of fact.

I was told that Zofran for nausea is safe for people with suspected LBD and

effective but it’s expensive so no one likes to use it, especially nursing

homes.

Hope this helps and hope your mother will be ok

Dorothy

From: LBDcaregivers [mailto:LBDcaregivers ] On

Behalf Of hoseyr@...

Sent: Saturday, February 05, 2011 1:50 PM

To: LBDcaregivers

Subject: need quick answer on phenergan

Hi, all. I've " lurked " on this board for several years. My mother's

neurologist says her dementia is " more like Alzheimers " than LBD, but based on

many, many symptoms I've been inclined to think she has LBD (I'd never even

heard of it, but it was suggested after a neuropsych evaluation -- in particular

because of her history of falls) . Up to now, the precise diagnosis hasn't

mattered. Aricept gave her diarrhea, and she has been on Namenda for two years.

But no other meds have been suggested that are on the LBD danger list. (She has

only mild and non-frightening hallucinations.) She has lived alone, with

increasing help from me (just a few miles away).

However, she had a stroke on January 23, and was transferred to Rehab/Nursing

Home on the 31st. I told the nurse during admission that she may have LBD.

Today I got a call saying she vomited today (MIGHT have caught a bug from my

sister before my sister knew she had a bug), and the doctor had ordered phergan

if it happened again. I just told them she might have had a problem with

phergan once before, and asked them not to give it to her until I got back to

them. Meanwhile I couldn't find anything quickly on this board or the lbda

site, but knew I'd get the best information from all of you.

Is phergan something I have to be worried about?

Thanks much! Regards,

Hosey

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