We put my 92 year old father on a low dose of Zoloft (25 mg.) about a week ago, to see if it would help his incredibly mean verbal abuse that seemingly comes out the blue and is always directed at my husband. So far, it seems to be working! He has had anxiety issues for YEARS that never were addressed; OCD issues that were never addressed either so we also have to deal with that.
But I cannot recommend enough that you speak with your elder's internist and ask about prescribing a low dose of antidepressant. The elderly seem to tolerate and metabolize these well and if it makes them a bit more happy and less crabby, combative and verbally abusive....what could be wrong? DO IT!
Everyone has a different opinion on these meds and every person reacts differently to them. I vote in favor of any kind of medication that can calm a person down; especially when they are elderly and the brain chemistry is changing. Blessings to all.
the nursing home recently called me and stated they were going to give her a mild antidepressant and I agreed. There are many other patients in that hospital as well as staff changes every 8 hours - I THINK IT'S FINE that Mom will be more satisfied and staff won't "steer away from her "oh my god help me" Everybody hates me - nobody wants me - where am I - I want my Mommy and the crying. I've observed staff doing their best to not interact anymore than necessary with people who are combative or obsessive about wanting their Mommy while crying.
It will be such a blessing to me and Mommy when she has forgotten her siblings and parents AND HER CHILDREN - she is miserable with all the memories going back and forth in her mind and when she worries about one of her loved ones or happens to "remember" one has passed, she's as hurt as if it is happening 'NOW" - WHY would I want her that miserable?
So everybody handles things differently. I've talked to people who cared for loved ones with this disease who were humble and loving and nice - what a miracle they have to deal with them in such a nice way and won't have to revert to a nursing home. I stayed with Mom 15 months with only my son to give me reprieves - SO IT is my decision and mine alone that matters especially when My daddy told her 35 years ago to make sure I was in charge "in case??? - And she agreed - though she hates a nursing home when she knows she is there - s he was HAPPY when she knew I was going to take care of her the best I could in her old age. Oh yes, she also broke her hip while at home - had an anuerysm almost bust and we got surgery just in time - I stood by her through all that and was happy to. It's the way she is now - so miserable and ALSO will not allow me to wash her or her hair as she's obsessive about any water touching her - nothing else I could do and I am HAPPY very HAPPY that she may fill better when I see her soon.
Anti-anxiety meds can be a BLESSING in the elderly with dementia.
Antidepressants can be a CURSE in the elderly with dementia.
Anti-anxiety meds can be a CURSE in the elderly with dementia.
When it comes to mind drugs, one size does not fit all. Having a doctor who knows the literature and who knows the patient and who is committed to monitoring results carefully is absolutely essential.
Anitdepressants can only be had with a prescription. You hair stylist or your hired caregiver or a buddy on this site or even your pharmacist cannot prescribe this drug for your loved one. Any of these people can share their personal experiences and opinions. It is at least as useful to hear these people as it is to listen to drug commercials. But only a doctor can prescribe. (Unfortunately there are not enough doctors to are well versed in dementia to go around, but that is another issue.)
To refuse to consider antidepressants for a particular person because they are over-prescribed is as irrational as insisting on antidepressants for a particular person because "everybody is doing it." The need for/value of any drug for a given individual has to be evaluated for that particular individual, by a health care professional qualified to do the evaluation.
I find it interesting and sometimes helpful to hear other people's experiences with various drugs. I rely on our doctors for specific advice for our situation..
My husband was not eating. I asked for a medicine, he was on something after his cancer surgery. The prescription was for a depression medicine. What? Well, a side effect was an increase in appetite. It has helped my husband so much. Appetite is up, gained a few pounds, he does a few more things around the house. It has really helped him. He is a little more "here" than he was before. As I said, people are different. Caregivers are different. We must do what WE feel is best for someone who cannot speak for themselves.
People spend a fortune on the drug Aricept and the prescribing doctor will tell you it may at best slow alzheimers by a year or two. Alzheimers is shrinking of the brain-not dementia-dementia is a bi-word for a symptom of senility-Senility is often a symptom of old age. Old age is a fact of life and usually is non-responsive to anti-depressants. Want to make grandpa feel better? Give him a Hot toddy. Oh No-he doesn't drink! No-he doesn't-he pops pills though. Thats okay though because a doctor prescribed it. If someone is throwing knives or people around they need a sedative-maybe they are mad-at you! Maybe they are depressed because they are bored. Maybe they are obese because they are being served the wrong foods. Exercise and sunlight, and a hobby are great stress relievers and sleep inducers. I'll say it again. Aged people do not produce enough Melatonin in their bodies to let them sleep well-30 minutes of sunlight is better than 1 pill of ambien in most patients. I read to my dad every night and I read to my children now and they read to me. I do not agree with you meatieanne-we should not do what we feel best for someone who cannot speak for themselves. We take someone who cannot speak for themselves to a Geriatric doctor and be honest with our report. He can't speak? So you tell the doctor what? That he cannot speak? I'm sorry. Did he lose his voice because of cancer? Depression is a common side effect of chemo therapy that passes within a few weeks or months. Some anti-depressants cannot be stopped once they are started. Some anti-depressants will need to be increased over time and often when the medications are increased the libido goes. Then overweight sets in and more medication is required to control that problem. Then brain fog sets in and medication is required to treat treat symptom. Is it any wonder why there is a pharmacy on every corner and you usually have to stand in line? What did people use to do when they were anxious or nervous? Take a drink or smoke a cigarette or both. Right? Well now that is bad so take a pill instead. The other day I caught myself putting a box oc cereal in the refrigerator-the first thing I thought was: Oh my, I may be getting Alzheimers -I misspell that word everytime-I used to know how to spell it-could I be getting senile? I bet if I go to my doctor he will prescribe me something for it-probably an anti anxiety pill. I feel downright cheated if i go to a doctor and he says I'm perfectly fine! After all what does he think? That it's all in my head?
Twenty years ago my husband fell from a ladder onto a concrete floor, suffering severe head injury. After several weeks of hospitalization be began to recover and he eventually was "well" in all respects, except he was lethargic and didn't seem to have any enthusiasm or emotional energy. About a year after the fall the psychiatrist who'd seem him for several years for a sleep disorder explained how the injury could be causing an imbalance and he prescribed an antidepressant. Wow! That little pill once a day gave me back my husband!
An antidepressant in the right dose does NOT turn you into a zombie. Quite the contrary, it can give you back the enthusiasm that had gone out of your life. It doesn't make you unnaturally happy or docile -- it returns you to your own personality, with whatever degree of happiness or grumpiness that entails.
I would prefer not to need any drugs for any reason. But when I have a problem that can be addressed with drugs and nothing else seems to work I am very grateful they are available.