Alzheimer’s medications

Discussion in 'I care for a person with dementia' started by Hope46, Jan 1, 2019.

  1. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    my dad saw a consultant who wanted to change his medication, however his own dr doesn’t want him on medication. Feeling heartbroken and confused. Anyone have any ideas on it.
     
  2. Amethyst59

    Amethyst59 Registered User

    Jul 3, 2017
    5,738
    Female
    Kent
    Hello, @Hope46, welcome to Talking Point. While none of us are experts, you will find that the members have a lot of experience between them, and we are a friendly bunch.
    As for your specific question, my understanding is that who prescribed medication varies between geographical areas. In my area (Kent) the Memory Clinic Doctor (connected to the mental health team) prescribe medication for dementia, while the GP prescribes other medication. I would imagine it’s pretty unusual for professionals to disagree as each have their area of expertise. Is it possible for you to discuss this with the GP? Do you have Power Of Attorney for Health and Welfare?
     
  3. Cat27

    Cat27 Volunteer Moderator

    Feb 27, 2015
    10,167
    Merseyside
    We had this with my Dad. I trusted the GP as she knew Dad & his other health issues. The consultant was only interested in the dementia aspect.
     
  4. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    The gp is the one who wants to stop the medication until they speak to the consultant who originally diagnosed the Alzheimer’s in 2014. That consultant hasn’t seen him since then. The new medication was prescribed by an elderly care dr who specialised in Alzheimer’s. This happened when dad had a fall and went to A&E. He also currently ha a uti which was only is gnoses when I asked for the sample to be sent to the hospital as his last 3 samples show a trace of blood but no infection. They sent it and finally came back to us saying he has an infection.
     
  5. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    The gp is the one who wants to stop the medication until they speak to the consultant who originally diagnosed the Alzheimer’s in 2014. That consultant hasn’t seen him since then. The new medication was prescribed by an elderly care dr who specialised in Alzheimer’s. This happened when dad had a fall and went to A&E. He also currently has a uti which was only is gnoses when I asked for the sample to be sent to the hospital as his last 3 samples show a trace of blood but no infection. They sent it and finally came back to us saying he has an infection. Why is it they don’t believe us when we say something is wrong.
     
  6. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    . It is his own go who saying they have to contact cmht before we can start the new medication as his dementia is now severe and not mild to moderate. The dr in hospital spent time explaining things to us and showing the scans so we have faith that he knew what he was talking about. Dad also has a uti and had a fit or episode Christmas Eve which they said was because he had barely eaten that day. They kept saying there was no uti just trace of blood. I had something similar and had a uti which I was give medication for before the sample was sent to the hospital. They finally listened to me and sent the sample off which came back with a uti.
     
  7. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    It is his own go who saying they have to contact cmht before we can start the new medication as his dementia is now severe and not mild to moderate. The dr in hospital spent time explaining things to us and showing the scans so we have faith that he knew what he was talking about. Dad also has a uti and had a fit or episode Christmas Eve which they said was because he had barely eaten that day. They kept saying there was no uti just trace of blood. I had something similar and had a uti which I was give medication for before the sample was sent to the hospital. They finally listened to me and sent the sample off which came back with a uti.
     
  8. karaokePete

    karaokePete Registered User

    Jul 23, 2017
    4,896
    N Ireland
    The 2 main Alzheimer's meds are Donepezil and Memantine.

    Donepezil is designed for mild to moderate Alzheimer's, whilst Memantine is for moderate to severe Alzheimer's. My wife has been prescribed both.

    Both meds have warnings about taking them if one has a variety of health conditions, such as heart issues. My wife is tested every few months for BP, liver function, heart function etc. to ensure that the prescriptions can continue. Is this why your GP is hesitant?
     
  9. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    My dad was on donepezil and the hospital consultant wants him moved to memantine. The go is saying that they think he should be on donepezil if anything ta all. Feeling totally confused. The gap is going to speak with a dr who diagnosed dad in 2014 to see what he says. The consultant at the hospital thinks that dad Alzheimer’s is severe now and not mild to moderate. Unsure what to do next.
     
  10. Hope46

    Hope46 Registered User

    Dec 4, 2017
    15
    Is your wife on both tablets or has she been changed from one to another.
     
  11. karaokePete

    karaokePete Registered User

    Jul 23, 2017
    4,896
    N Ireland
    She is on both.

    I have read that the combined benefit is greater that the sum of the two parts, if you know what I mean. However, I can't quote a reference for that.
     

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