Did medication help in Vascular Dementia
Hi, my mother in law who is 77 years old was recently diagnosed with vascular dementia. The doctor started her on Memantine (Namenda) about 3 weeks ago. He says Aricept would cause more side effects. Since she has been on Memantine, I feel that her symptoms have gotten worse. Before starting this medication, she was able to do her day-to-day things, but since she started this medication, we have noticed confusion, sedation, and a general feeling of being miserable. She does not seem like her normal self. We are reevaluating whether this medication is worth it to continue as we don’t want to compromise on her quality of life. She doesn’t want get out of the bed at all and wants to sleep all day. She feels helpless and even more depressed. Before starting this medication, she use to move around more and do her routine things.
I spoke to the doctor and he suggests that we finish the titration pack and then we will reassess. She is currently at 15mg per day and by next week will be on the 20mg max per day. I’m contemplating if I should contact the doctor again about discontinuing this medication as increasing it more might make her symptoms worse than they already are.
Please advise of anyone has gone through a similar experience. Do the symptoms get better? Should we continue? Or if this is how it will continue to be then shall we discontinue now?
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Prayer works.
I'm pretty angry with God right now and there are days I question if one even exists. How would God enable me to save her life last year (from massive pulmonary embolism) and then give her this? I'm sure this is not a popular sentiment, but it is what it is.
My sister did not take a statin until after her bradycardia event. Looking at past lipid tests, her numbers were good and had reduced over the last year since I started managing all meals (LDL from 117 to 85; HDL 42 to 46; triglycerides 54 to 47). Those improvements were all before she began taking a statin. There's still a long way to go to improving her HDL level (should be 60>). Your message reminded me that she is overdue for a lipid test to recheck those numbers.
I don't know what "bradycardia resolved" means. Hopefully, it indicates that his doctor understand the reason he experienced bradycardia and that there is little chance he will experience it again. We only learned that my sister has SVTs (supraventricular tachycardia) because I brought her to the ER again for a very low pulse. The ER put a ZIO heart monitor on her for 2 weeks and she experienced 31 instances of SVT. When that happens, she's freezing and her pulse is very low (high 30s-high 40s). The ZIO monitor sticks on the skin; you remove it and mail it in a pre-stamped mailing box after the recommended duration. If your healthcare provider offers a patient portal, you'll be able to read the results of the ZIO testing when it is made available to your doctor. A cardiologist electrophysiologist is needed to determine the underlying issue.
Well, I can understand that sentiment. What I meant about prayer works was I prayed for you to get an earlier appointment, and YOU DID!
Humans have been discussing how God works since the beginning. For me, it's simple. God created us for a relationship with him. The original fall/sin separated us from him and brought down the perfect world he had created for humans.
Then he gave us a way back to that relationship with him. He doesn't make us sick, evil/our fallen condition does, but He can heal us.
Why doesn't He heal all of us, I don't know. Why he hasn't healed my wife, I don't know, but I do know I have prayed fervently daily since day one and believe He has given me insight and wisdom to help her condition slow. In the relationship with him, our life is not about the condition of our life, but about the condition of our death.
I'll keep praying for you and your sister.
My wife has vascular dementia. she had a big stroke about 2 yrs ago and her mental abilities went down after that. We are on a steady plane now waiting for next stroke to happen. I have her on menmantine 20 mg and galantamine 24 mg daily. Also plavix and asa for blood thinning.The meds did not change my wife's personallity at all. There are some studies that show men and gal together work better than men or gal by itself. I do not know if it makes my wife better or not. If I take her off of meds and she gets worse, she will not get back to her plane of living even if I put her vback on them. thus the problem. You will have to read the studies and decide for yourself. Just skip to the decussion part of the results. Make sure the dates are the latest ones. Earlier studies show no effect.
I too am very angry with god or whateven created the universe. I have never been very relegious and am less now. This is hell watching your loved one get worse and worse.
I am confused. svt is a high heart rate usually >130. Sounds like she is in bradycardia as well. Sounds like they both need a pacemaker. Good luck with all that.
You are an amazing human being.
Unlike you, my dad chose to display his selfishness during my mother's illness. My mother, who had vascular dementia for years, would use her walker to approach my dad in his recliner to pat his arm and tell him she loved him. He would continue his crossword or reading or whatever he was doing, ignoring her while I seethed. After she died, my dad sobbed, "I just wish I had told her more often that I loved her." I had no words for him.
You provide the model I wish to follow. Bless you, and thank you for all the knowledge you have gained from your experience and so willingly shared with the rest of us.
Yes, this is hard.
Unbelievably hard.
No one can even start to imagine what this is like without going through it.
I don't know what unspoken horror my wife goes through. locked in her own mind, but I know it is hard on her too. Probably harder. She finally can't recall her children's names or much about them or gets them confused when she can recall a little. It's hard and gets harder, but God didn't cause it.
The time she can most remember her children's names is when she prays at night and asks God to forgive them for not calling or coming to see her for months. So I know God helps her remember then.
I feel blessed that God chose me to be the one to care for her and has helped me all along the way.
We each have our relationship or lack thereof, with God. For me, God is who gets me through.
Thank you. We are one flesh. If she is sick....I am sick. If she is happy....I try to bask in and enhance her happiness. If she is sad.....I hurt and try to soothe her pain. I actually don't relate to doing anything else.
I respect her as a person.
Plus, I love and adore her, who she was and who she is now.
Even if it was your mom, whom I never met, I don't know a reason not to pass God's love along with human hands, human feet.
Thank you for the compliment.