Warfarin, Donepezil, Citalopram, Colecalceferol, Pravastatin, Perindopril combo
Hi, my Dad has a pacemaker. He was diagnosed with early onset Altzheimers a couple of years ago. It took them a long time to give any diagnosis, even though 4 years ago we were trying to get answers as we could see his memory going, and some confusion.
He has some symptoms that worry us and him. The doctor doesn't seem to help. I'm not sure where to turn for expert advice
He is feeling very low in the morning. He doesn't 'get going' as my Mum puts it until late morning. He tells me he just wants to lie back down and go to sleep. His memory has worsened the last 6 months. He is often very anxious. His main outward symptom is that he really struggles to find the words for things, even every day objects like a fork or a pen. Some days he can hardly string a sentence together (if he is tired or anxious) other days he might just forget one or two words in a sentence. When he is meeting friends he will try especially hard to cover up his problems and they often say they can't find anything wrong with him. He is almost 80. His short term memory generally is poor. His longer term memory is not too bad (for anything of real interest to him).
He is on Aricept which he takes at night, along with Warfarin, Pravastatin and citalopram (we got him on anti depressants as he was so low). In the morning he takes Perindopril and Colecalciferol for blood pressure and Vit D.
He keeps telling me he wants to find an expert who can tell him or reassure him whether any of these drugs have an affect on each other or whether taking certain ones in the morning or night can affect how he feels. (low, tired and cold all the time). Our Doctor isn't much help. He says it doesn't matter if he takes them in the morning or night, and Warfarin is only preferred at night because blood tests are done in the morning and they want the night for the drugs to do their job before the tests.
Does anyone know if the combination or the timings I've mentioned could cause him to feel so unhappy in the mornings? It breaks my heart. The fact he's focusing on it makes me think he feels the drug combination is doing this to him and in the past he's been on the right track with inklings.
Does anyone know how you can find a specialist on medications that might know more than our doctor on combining drugs and if they could be making him so very tired? Or anyone had the same experiences?
He's on 20 mg of Citalopram.
4.5 mg Warfarin
40mg Pravastatin
20 mg Colecalciferol
5mg of Aricept
4mg Perindopril
Many thanks