Confusion and Depression

Discussion in 'ARCHIVE FORUM: Support discussions' started by Grannie G, Aug 7, 2007.

  1. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,903
    Kent
    Just over two weeks ago, Dhiren started taking a higher dose of Trazodone, his anti-depressant.

    During the past couple of days it seems to be taking effect and he hasn`t appeared as depressed.

    In addition, his confusion has reduced quite considerably and his gait has improved.

    I know it`s early days, but has anyone else noticed whether or not depression affects confusion.
     
  2. connie

    connie Registered User

    Mar 7, 2004
    9,519
    Frinton-on-Sea
    Cannot help, re your question. No personal experience.

    Glad that something positive is happening though, and hope that it continues.

    Sending love n'hugs to you both,
     
  3. Taffy

    Taffy Registered User

    Apr 15, 2007
    1,314
    Hi, I think that this could possibly be so, as my girlfriend suffers depression. She describes it as been, extremely hard to think straight, concentrate, and make decisions. She hasn't got dementia, but at times wouldn't doubt it. Take Care. Taffy.
     
  4. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,903
    Kent
    Thanks Taffy.

    Coming from someone who doesn`t have dementia makes it all the more probable.

    Love xx
     
  5. ROSEANN

    ROSEANN Registered User

    Oct 1, 2006
    909
    staffordshire
    hi Sylvia
    Before my husband was told he had AD he was treated for what they thought was depression, he was only told it was AD after we mentioned the memory loss.
    During this time he would get very confused and down which led them to think it was drepression but combined with the memory loss all added up to AD.
    He still takes anti-drepression tablets along with his Aricept but still has days when he gets confused,so I think the time has come for the dose to be increased.
    Hope the improvement carries on for you.
    All the best Roseann
     
  6. cris

    cris Registered User

    Aug 23, 2006
    326
    Chelmsford
    Sylvia. Why shouldn't the two be linked. If I can't remember someting I get depressed. If I'm depressed why should it not affect my memory and create confussion ? In Susan's case happy help pills help, but I can't say scientifically it works.
    cris
     
  7. elaineo2

    elaineo2 Registered User

    Jul 6, 2007
    945
    leigh lancashire
    In my experience looking after the elderley We do sometimes confuse ourselves with the depression or confusion scenario.As i am told depression starts and confusion follows.Depressed about whats happening in their lives now and confused as to why?Spending time with someone,going back into their history,encouraging them to talk of the past apparentley lifts the depression mood.not saying they won't slip back into it but its a pointer to take them back to a happy time.hope it helps.love elainex
     
  8. Margarita

    Margarita Registered User

    Feb 17, 2006
    10,824
    london
    #8 Margarita, Aug 7, 2007
    Last edited: Aug 7, 2007
    Same as my mother , So was given ant depression tables , till we was finally told she had AZ .

    yes I fell like that, but I have insight into it so recognize it , seeing that depression may be related to an imbalance of natural chemicals between nerve cells in the brain and a tablet can give you back those chemicals , it does lift your mood make you see thing more clearer , as Serotonin is a type of neurotransmitter

    with someone with AZ it must work in that way also, like lift the mood up giving back that higher level Serotonin of that chemical in the tablet , if that part of the brain has not yet been affective with the disease.

    that just my thoughts on it

    sound like good news :)
     
  9. sue38

    sue38 Registered User

    Mar 6, 2007
    10,854
    Wigan, Lancs
    Hi Sylvia,

    I am glad Dhiren is on the better side and I agree there must be some connection between confusion and depression.

    My Dad too was originally prescibed anti-depressants before being diagnosed with dementia. I don't know which anti-depressants but we felt that they made him more confused and he seemed to 'tune out'.

    When diagnosed he was put on Ebixa and the anti-depressants withdrawn. The problem with that was that we didn't know if the improvement was due to the AD drugs or stopping the anti-depressants.

    My Dad does still get depressed from time to time, usually when he has some insight into what he can no longer do... drive a car, go to work etc. but generally he is happier since starting the AD drugs. We are reluctant to look at anti-depressants again as we would rather cope with the odd 'down' period and my real Dad than have him withdrawn and confused.

    If the depression gets worse we will look at other alternatives. I am glad that the anti-depressants are having a positive effect on Dhiren and maybe we will consider them in a more favourable light. Thankyou.
     
  10. Margarita

    Margarita Registered User

    Feb 17, 2006
    10,824
    london
    same as my mother sue
     
  11. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,903
    Kent
    I was discussing this with our son, who is a Pharmacologist. He said Trazodone is one of the oldest anti-depressants around and has been dismissed by many as too `general`, as there are so many new more specific [better?] anti-depressants on the market.

    It really is the luck of the draw with some of these drugs.
     
  12. Brucie

    Brucie Registered User

    Jan 31, 2004
    12,413
    near London
    Perhaps the doctors prefer Trazodone because it is more general since they don't have the knowledge of how to be more specific in their diagnosis, and therefore in their prescribing?:confused:

    Jan is on Trazodone too.
     
  13. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,903
    Kent
    Interesting point, Bruce.
     
  14. Skye

    Skye Registered User

    Aug 29, 2006
    17,000
    SW Scotland
    Amitriptylene is also one of the early anti-depressants, now not normally prescribed for depression. However, I take one at night for my neck pain, and John has just been put on it to calm his bladder! Talk about multi-purpose!

    If it works, it can't be bad! :)
     
  15. BeckyJan

    BeckyJan Registered User

    Nov 28, 2005
    18,972
    Derbyshire
    Hello. Yes David has been on Amitriptylene for over three years - for depression and to calm the bladder!!! No-one has ever mentioned anything else for depression but I do feel that we are soon going to need something 'stronger' (but I fear the side effects).

    David has become more confused in the past few weeks but I cannot blame his Amitriptylene as he has been taking it well before the extreme confusion set in. In his case I believe the confusion is just part of the slow deterioration of Alz.

    I do value these posts where different medications are discussed as otherwise I would be unaware of other options. Thankfully so far I have no problems with our GP and his ability to prescribe the 'right' medication.
    Good night all Beckyjan
     
  16. Margarita

    Margarita Registered User

    Feb 17, 2006
    10,824
    london
    #16 Margarita, Aug 7, 2007
    Last edited: Aug 7, 2007
    I read that trazodone is primarily used for the treatment of depression. It is sometimes prescribed as a sedative,

    Just wondering about the sedative , may that why they give it to people with AZ / dementia that have depression, because it has a sedative in it also .
     
  17. alfjess

    alfjess Registered User

    Jul 10, 2006
    1,213
    south lanarkshire
    Hi Slyvia

    I don't know if depression affects confusion or not, but Mum takes Trazadaone.

    Before taking Trazadone she was very confused and hard to manage.
    After a few weeks of Trazadone, she was much better. Don't know if it was that because, she was less depressed, she was less confused.

    I would guess that because she felt less depressed and agitated, it left more space in her head, brain?? for other things, so therefore less confused.

    I only know, that Mum was better (at that time) when taking Trazadone, but unfortunately, there came a time when it wasn't working, so the dosage was upped.
    Again it made a difference and she was better for a while, then the professionals prescribed quietiapine as well as Trazadone, which worked for a while. Then the quietapine was upped, which worked for a while.

    Now nothing seems to be working, although she is being tried on risperadol? soon
    Hope it's for another while.:(

    Sorry to be so downbeat, I don't suppose this is what TP is about.
    My experience of Trazadone is that it works for a while, but everyone is different. Hope it keeps on working for a long while for Dhiren

    Alfjess
     
  18. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,903
    Kent
    Don`t apologize Alfjess, TP is about what anyone has to say.

    I`m well aware drugs only have a short term benefit, but it certainly makes life easier for the duration.

    Love xx
     
  19. Brucie

    Brucie Registered User

    Jan 31, 2004
    12,413
    near London
    Jan was put on amitriptylene as her first medication about 12 years ago to help with her 'depression', way before she was officially diagnosed with dementia.

    As is common, all the experts believed that, because of her age, it was depression at that time.

    The neurologist who prescribed it said he used it for migraine, and Nina's Mum uses it for the same reason.
     
  20. DeborahBlythe

    DeborahBlythe Registered User

    Dec 1, 2006
    9,222
    #20 DeborahBlythe, Aug 8, 2007
    Last edited: Aug 8, 2007
    I was given Amytryptolin 40 years ago! But it's horses for courses. If it works don't fix it!

    I think it highly likely there is a connection between depression and confusion and have been told as much at some time.

    There certainly are more modern antidepressants, however even the 'latest' name may have some side effects. I'm thinking of Prozac which just made me very sleepy, something I found infuriating! Now Prozac has been superceded in moderness ( is that a word?). Citalopram, or as it is often sourced from Spain, Escitalopram, has been beneficial for me but it made me feel dizzy for the first two weeks. Does make me feel more focussed and less depressed now though. Love Deborah xx
     

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