Ativan - Alzheimer's

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danicamo
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   Posted 1/4/2005 1:16 PM (GMT -6)   
 
Has anyone heard of Ativan being prescribed to an Alzheimer's patient?  Is this necessary if he is already taking Seroquel as well?  Any advice would be so greatly appreciated.
 
Sincerly,
danicamo

SnowyLynne
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   Posted 1/4/2005 2:13 PM (GMT -6)   
Ativan is NOT a good medication for anyone with Alzheimer's.It can make them worse.
SnowyLynne


danicamo
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   Posted 1/4/2005 2:44 PM (GMT -6)   

Really, because my father in law is being prescribed Arricept (which I realize from much research is for Alzheimer's), Seroquel, and Ativan.  To me...and of course by no means am not a doctor...he seems to be over medicated.  Within a two week period (he is in a Protective Care facility) he has lost control of everything.  He can barely walk, can not talk, can not feed himself, and has fallen 3 times.  I am terribly perplexed and am not sure what to do next.

Do you have a family member who has this disease?

Thank you for your reply.

SnowyLynne
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   Posted 1/4/2005 7:15 PM (GMT -6)   
I took Aricept for 4 yrs.I have been on Reminyl the last 3.The only anitdepressant I take is Remeron,BUT I have Seroquel as a PRN (as needed)medication.My Primary experimented with different meds with me,I got sick,losing 15 lbs in a very short time.
I realised then I needed a Neurologist,the Primary didn't know what he was doing.He's a good Dr.BUT not for Alzheimer's.
I was a CNA for 30 yrs.I still know what's what,even after 8 yrs........
My Neurologist supports me with the way I take my meds..........
SnowyLynne


danicamo
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   Posted 1/5/2005 2:18 PM (GMT -6)   
Are you diagnosed with Alzhemiers?

SnowyLynne
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   Posted 1/5/2005 5:23 PM (GMT -6)   
Yes I am.I was diagnosed in 1996
SnowyLynne


Laly
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   Posted 1/9/2005 9:29 PM (GMT -6)   
Ativan doens't work for all patients. For some patients can have the opposite efect.
But on the other hand, for some patients is good.
Seroquel can make the patient sleepy too. You need to talk to the doctor, and maybe he needs to readjust the doses or stop one of them.

Good luck

SnowyLynne
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   Posted 1/11/2005 9:04 PM (GMT -6)   
AtivaORHaldolNOT THE BEST FOR THE ELDERLY WITH ad IT CAN MAKE symptoms worse
SnowyLynne


Howlyncat
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   Posted 4/11/2007 7:24 PM (GMT -6)   
I like Snowy have worked with the Elderly for many yrs until retirement .......
Ativan is not indicated for AD patients but some docs do RX it .......

I had my Mom taken off of it due to falling and aggitation ....amongst other problems I believe caused by the ativan ........
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Howlyncat
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   Posted 4/15/2007 9:59 AM (GMT -6)   
Ativan is usually RX for anxiety and stress..........
As We said ( snowy and I) NOT good for AD ppl


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 Way to many meds to put down ..........
 
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SnowyLynne
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   Posted 10/12/2007 6:35 PM (GMT -6)   
Any of the BENZO.medications are not indecated for anyone with dementia or AD.They can & will cause problems in the long haul.Even the next day or 2 after taking them they can get out of hand.
SnowyLynne


Howlyncat
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   Posted 10/13/2007 10:00 AM (GMT -6)   
Thanks Snowy

I TOTALLY AGREE
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TammyGrl0528
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   Posted 10/13/2007 3:42 PM (GMT -6)   
That's funny. I am certainly not disagreeing with anyone here, but I have worked in nursing homes specifically with Alzheimer's patients for around 7 years, and Ativan was the primary drug we would give them when they would become very confused, combative, and in any way irate. I guess it depends on the doctor, and in many cases, when working in the nursing homes, the residents seem to have the same doctors...at least in my case.

So, if I were first to answer this question, I definately would have said I think Ativan is a good drug for Alzheimer's patients, as to me, it's one of the only drugs I have seen used.

Just wanted to add my 2 cents!
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Howlyncat
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   Posted 10/15/2007 5:38 AM (GMT -6)   
Thanks for your post hun

I have worked and owned a home where at the beginning YES ativan was pushed to much by the doc ......it became noticeable that the residents in my Retirement home and Nursing Homes I worked in that ATIVAN would and could cause more combative and aggressive behaviour ........

After seeing this for more that 30 odd yrs it became more of a ongoing battle with docs and proving the theory BUT theory was proved and many ( not all ) ..but majority were taken off ATIVAN and put on another med ..........

Depends on the person .....IMHO.Just my half cents worth.
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TammyGrl0528
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   Posted 10/15/2007 3:50 PM (GMT -6)   
Funny how different things can actually be from home to home, ya know?
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SnowyLynne
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   Posted 10/15/2007 4:20 PM (GMT -6)   
I too worked over 30 yrs.im hosp.NH & private homes.Some Drs just don't get it.Some even order Haldol,OMG that's a nightmare...........
SnowyLynne


TammyGrl0528
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   Posted 10/15/2007 5:33 PM (GMT -6)   
Funny that you mention Haldol...that is another drug I am familiar with.
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Howlyncat
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   Posted 10/16/2007 5:33 AM (GMT -6)   
Haldol is a NIGHTMARE you are so right Snowy

I remember having being on it for not long and was a total zombie ....sure nuff got off that .....cannot imagine what it would do to our seniours with AD..........
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minmark
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   Posted 10/19/2007 11:09 AM (GMT -6)   
I'm working in residential care facility for the elderly and most of our residents are Alzheimers. Yes, Seroquel(sometime Zyprexa} and Ativan (Lorazepam) are usually prescribed with Alzheimers when they are agitated and combative. The reaction varies. Some become better and back,
some become even worse and there are those who become zombie, it's really bad. The staff of the facility who usually take them to their doctor's appointment usually complain that this resident is restless, agitated, combative and does not sleep at night, then the doctor will prescribed this medication to calm them down and to keep them quiet. This usually happen when your loved one is in the facility. This is for their advantage, It's better to have a resident who's quiet, seated in the wheelchair the whole day,than a resident who wanders, screaming and combative.

Howlyncat
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   Posted 10/19/2007 1:32 PM (GMT -6)   
I totally agree toi have them complacecent is one thing and not combative BUT research does show that ativan and haldol are not indicated for Alzheimers ppl.....there are many other meds you mentioned Zyprexna which I would choose over the ativan anytime

I think it is a personal choice as well as seeing how loved ones react.......being involved in their tx plan as well

Take care
LYN
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minmark
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   Posted 10/19/2007 7:10 PM (GMT -6)   
Zyprexa and Seroquel are psychotic medicine. Zyprexa has less side effect than Seroquel but it's an expensive medicine.Haloperidol is an old medicine for anxiety and has horrible side effect. Ativan is prescribed for anxiety,agitation, restlessness and difficulty in breathing. That's why it is also given to hospice to calm them and to relieve them in shortness of breathing. It is also prescribed for those who has sundown symdrome.

These are the medicine given with AD. Aricept for memory retention, and forthe earlystage of AD,they are given: Namenda, excelon or low dose of Zyprexa. Usually it is accompanied by anti-deppressant medicine like Xanax, Prosac, Zoloft,Risperdal, it depend to the needs of individual. And because Alzhiemers change their sleeping pattern, they wander at night and sleep at day time they are given sleeping pills like Trazodone, Ambien, Klonopin, Remeron or Ambien. There's a lot of medicines regarding this disease but these are the most common prescribed. Some help but most of them not.

Howlyncat
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   Posted 10/21/2007 7:12 AM (GMT -6)   
I have made my point with the ativan and I guess it is up to each to do the same


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Post Edited (Howlyncat) : 5/9/2008 4:57:52 AM (GMT-6)


Howlyncat
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   Posted 12/29/2007 10:13 AM (GMT -6)   
Ativan I have been taking for my Anxiety I have just come to the TOTAL conclusion is the cause for all my probs with my memory loss and I have STOPPED taking it with doc in my TX plan ..........
Just my opinion


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Post Edited (Howlyncat) : 1/9/2008 5:17:14 AM (GMT-7)


Gypsyworks
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   Posted 1/8/2008 9:03 PM (GMT -6)   
I am off of an Alzheimer's diagnosed case, because they refused to accept my observations while administering Ativan to my patient. I am trained in the Field of Alzherimer's, and am also Med. Certified. Upon entering the situation in the home, I went directly to the medications that were prescribed to my new patient. I found conflicting drugs. Ativan, and RemRon. Ambien and Lunesta. the latter have very serious side effects when used in conjunction with each other.
I accompanied my patient, and her family to her Physician. I explained my observations of the patient, after taking Ativan for agitation. She began to have tremors, or what appeared to be restless legs. She had skin tears on her shins, from her recent stay at a skilled nursing facility before coming home. She was on a regimen of anti-depressants, blood pressure medication to keep the blood lowered. I assume their diagnoses of Alzheimer's was a Vascular Dementia.

Her Doctor insisted on administering Ativan for what they call " Sun-downing" A catch all phrase. After approximately 30 hours of episodes of crying, and other behaviors, non stop. The night Caregiver left immediately, stating he couldn't bare to see her suffer.( He panicked and felt helpless). I helped her son take her to the Emergency ward of a nearby Hospital. Immediately after our arrival to ER, she became very calm and lucid.

I described to the attending Physician my observations of my patient,while taking Ativan. At approximately 4:00 in the morning, the Dr. ordered an injection of slow acting Ativan, the drug of choice for Alzheimer's. Within one half hour, my patient had severe tremors, and the Cardiac Monitor showed her heart rhythm all over the charts. The decision to give her the Ativan, was supported by her family Dr., as well as the ER Dr. She was climbing out of bed, off the walls and having a major Neuronal Glitch. I feel that once a Dr. has diagnosed a patient with Alzheimer's, he/she is given Carte Blanche to use this Patient as their own personal Guinea Pig. Finding an above board Dr. is the most important factor.

One of the reasons for Conflict of Medication is the process of ordering and receiving them. Each time a Dr. orders, and then cancels a new drug, it is up to the Caregiver/family, to place the discontinued medication in a safe place. If a mail-order company is late in getting a medication to a patient, and the Dr. sends a Prescription to a Pharmacy, then these two companies have no protocol for alerting the Caregiver of the conflict of medication. Not knowing the other is filling the conflicting Prescription.

It is up to the Dr. to control the medication, and to keep the family informed of all changes that conflict with each other.

Hope this info. helps you in your decisions on Medication. This has to be the toughest job you can encounter in your life. Peace be with you.

SnowyLynne
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   Posted 1/9/2008 5:48 AM (GMT -6)   
After being on many antidepressants some with no good results others with worse results I was put on Remeron.It was a life saver for me,but am now on the highest dose of it......45mg...........
SnowyLynne

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