dementia medications pharmacist interview



hey there Kerr blazer welcome back I'm so excited to be here today I am interviewing a pharmacist he's been a pharmacist for over 25 years and he's taking the time out of his day to answer all of your questions a couple months ago inside of my Facebook group I asked what questions do you have about dementia and medications and many of you submitted your questions so today I sat down with him and asked him all of your questions and he answered them all I'm very excited to share this interview with you Chris not only as a pharmacist and spends most of his time behind the scenes he's also the owner of a company called right at home Scottsdale and his company provides in-home caregiving help assistance for people who need it okay care Blazer I hope you enjoy the interview what are someone that comment dementia medications out there that people may have heard about or may be interested in learning about okay so as for medications that are specifically for dementia there are two classes one of them is called an acetylcholinesterase inhibitor the that class and has the medications aricept another name is Denae fazil to a couple other ones are galantamine rivastigmine those names would be reza dine and exelon and those are the most common in that class and then the other one is an NMDA antagonist and the only medication in that class is memantine or another names namenda and what that and so with the the the acetylcholine what they do is they increase the the transmitters acetylcholine in the brain and that is the that is the transmitter that is involved in making memories and cognitive function and the memantine what it does is it decreases the over stimulation of the cells which can cause cell death how does somebody get on one of these medications like what determines what class of medication to get to okay person with dementia there usually starts showing some symptoms at home and usually it's gonna be either a loved one or somebody close to them is going to notice notice some changes and then they usually make an appointment with their doctor and then what the doctor can do is like they'll do a small it's called like a mini cog so it's just a very quick test takes maybe 5-10 minutes in the office they can get some real this real baseline information whether they possibly need some other some more intense testing and then based on that they'll typically what they will start off was depending on where they are if it's mild mild to moderate they will usually start them off on that first class the ones with the era set the a they see the cleanest race inhibitors those are indicated for mild to moderate stage dementia the memantine is typically saying for moderate to severe got it so kind of depending on the severity of the dimension that kind of predicts what class of medication they're going to get on now is it common for somebody who maybe started out mild and was on that first class of medications once they progress to being more moderate severe that they would get added on to like a namenda so that they would be on both classes at once yes that's true and in fact and they now have there's a medications called mam-mams Eric that is a combination of the Netta's ill and the memantine XR they put it into one tablet for for convenience of dosing okay got it so it's really the severity though that's guiding which medication that dr. Rutter scribing initially right and then part of the thinking of that is that as as dementia progresses when when you have those the death of those neurons when those when those cells die they release some of their the calm so they're intercellular fluid into that space between the neurons and some of those chemicals that were released affect what's called the gluten glutamate pathway and that is another excitatory pathway in the brain and the when that pathway is excited it causes what they call excitotoxin II so it's over stimulation of those nerve cells and that over stimulation can cause further damage to to other healthy cells and that's where the memo team comes in it helps block that that pathway for the excitatory toxicity okay now can you break down cuz I there's a lot of confusion a lot of questions about what exactly do any of these medications do do they slow down the disease do they start to reverse the disease are they just dealing with symptoms I've kind of heard it all and I'm wondering if you can kind of provide some insight for the care lasers out there sure okay so the acetylcholinesterase inhibitors the first one that they usually would that they try you on Oh with that one those are more improving the symptoms they're not slowing down whereas the memantine possibly has some neuroprotective properties because it is preventing further damage so that one is thought to maybe actually help slow the progression okay whereas the the acetylcholine esterase errs are just there helping the symptoms yeah I worked with a really great geriatrician back in the past and I worked in a clinic where we would be providing that initial diagnosis of dementia like families would bring their loved ones in and they're like something's off like what's going on is this normal is something happening so we would be offering that initial diagnosis of dementia a lot of times and for the most part it was kind of in those early mild stages and so aricept Urdaneta Zil was kind of the go-to medication that they were often prescribed the geriatrician would often describe it as it's kind of like let's say you're taking tylenol for arthritis that type do you still have arthritis arthritis is still there but the tylenol helps with the symptoms that's kind of what the aricept Urdaneta Zil is doing like the disease is still there it's still happening but it kind of helps with the symptoms does that make sense what would you agree with that kind of description yes okay yes yeah that that's a good way of putting it okay for I'm somebody who's loved one was just recently prescribed one of these medications how do they know if they're working or not like what they notice anything in their loved one is it different for everybody based on like who their loved one is like are there any signs or symptoms that they would be able to identify to say that this is actually working or not that that's that's a good question so I we've had I know just speaking from experience with clients some have had some very short-term memory loss there very early stage where they may not they may lose their train of thought you know they can still remember things that happened a long time ago but things within your Oh something oh we went saw movie last week or something like that you know they may not remember did we go see a movie those types of things what they might see is that going on the medication now these medications don't work immediately they can take up two to four weeks to start working okay okay so that's one thing to remember once they've been on in a month or so they may go to another movie and they will they may actually remember more specific you know details about what they did where they want you know they mean I remember another example maybe now they went out to dinner they were there where they went well they may actually making those nerve those connections and and forming new memories got it okay so it does take a while for these medications to kick in so if your loved one was recently prescribed one of these medications give it at least two to four weeks for it to actually kick into effect and for you to notice any different and some of the difference that you may notice would be just filling in more details like your loved one being able to fill in a bit more details yeah and sometimes maybe you may notice them a little more maybe a little more alert possibly because the I mean it's increasing the acetylcholine that neurotransmitter that is one of the main ones that word that makes your brain functions okay and so you just might notice some a little more alert this is you just you know just maybe a you know more just more described but more they're more they are more alert exactly wonderful okay now if for some reason somebody has been on one of these medications for several months and their family has not noticed any difference whatsoever is it generally recommended that they just stay on these medications because there might be something that that it's doing underneath that just isn't coming across outwardly or is it okay to just kind of stop these medications so when I've talked to neurologists that I prescribe the medications they what they're what they prefer to do is to get them on the medication as soon as that they know that there's some sort of deficit keep them on the medications for you know if they can as long as that means sometimes they have to be stopped because the side effects things like that when they when the family say we don't you know because they're you know some of these medications can be very expensive and that can be a barrier you know for people continuing them what they will did what the doctors will maybe recommend it's like instead of fluids stopping the medication why don't we decrease the dose for for a couple weeks okay because as those medications take a couple weeks to build up they still they take a this time for them to decrease in the system also so it's going to take maybe a few weeks and then let them say this new dose and then see where they are cognitively if they notice you you might miss hey you know what maybe those were doing something because maybe maybe there are memories you know there's a big they're seeing a little difference okay be a little more despondent you know those types of things you know they're an effect may change a little bit yeah and but it's instead of stopping them totally that way they're not totally not getting the benefit of totally having it stopped in their system they've still got some but it may decrease the level enough where it's the worse enough therapeutic anymore okay and so hey we are seeing a change we can bump it back up so they haven't lost it all so it's feedback right like you go on a taper and based on how your loved one may or may not change with that reduction that's feedback oh maybe that medication was doing something it didn't realize because they seem like they just took a hit and got worse well and so we can bump back up or you know maybe it really wasn't doing that much at all but it sounds like it wouldn't be so wise for care places to just stop the medication altogether right away without consulting whoever prescribe that medication in the first place yeah right yeah I would never I always recommend that you always have a discussion with your with your health care provider about whether this stuff the medications and another thing is at that point it may be that they're just on the aricept will say they bring it down they notice that that change and they bring it back up you know it may be time to maybe start to introduce that maybe namenda into the system yeah yeah that's a good point too so maybe there's a medication that they've been on forever like the aricept and all of a sudden maybe he doesn't seem to be doing much that might be time to add a new one okay another thing is that when when someone's see a change a really rapid change you know in their in the patient that they know that has a dementia nothing to look at is maybe other medications that they're on you know possibly I mean because um you know a lot of time there's anxiety that is associated with things like that when you introduce another medication in into that formula there's gonna be side effects and depending on the type of medication and there are some that are better than others to use with you know in those types of situations a real sudden change of behavior I would really start to look at it maybe it's not disease but more medication medication related yes absolutely any sudden quick change is always worth investigating I always get suspicious of delirium because anything can be setting that off so yeah that's always a good recommendation right and I think a lot of it depends on the type of dementia so when you have Lewy bodies you know because that you have the you have the piece right in fluctuates so speaking of that are these medications that you mentioned are those good for all types of dimensions or are they only good for certain types of dimensions so the main the main types of measure that I that I typically we talk about or you see a lot of literature on it's gonna be like Alzheimer's that's okay then you have what's called vascular dementia and that is usually going to be a blood flow issue and that could be due to head trauma it can be due to a stroke it can be due to diabetes high cholesterol blood pressure you know all those those tributing factors and then you have Lewy body dementia and so I mean just for example these medications like in a vascular dementia somebody's had a stroke they they may have some benefit but the under it's about treating the underlying cause which is blood pressure cholesterol diabetes those types of things you want to make sure you're treating the blood pressure you know with keeping the blood pressure a good level keeping cholesterol levels within within a healthy range and keeping the blood sugar you know in a healthy range also so it sounds like for the different medications a lot of them were really made with Alzheimer's in mind but they may also be helpful for some other dimensions but the key is you want to find out what if you know the type of dementia your loved one has like the the treatment the healthcare professionals should be trying to treat the underlying cause so for example something like that's good just gonna be much better approached by you know managing those vascular conditions that's gonna be the primary approach over maybe some of these medications okay and then of course you could have multiple types of dementia so there might be kind of a mixed kind of treatment approach or you could be on some of these medications plus trying to control the vascular risk factors and so on and then I think when you when you get into that it's about managing side-effects yes let's talk about side effects what are some of the common side effects of these medications so with with the acetylcholine esterase members most common the complaint is nausea excuse me loss of appetite headache insomnia sometimes abnormal dreams mm-hmm and it's just because these medications are they're stimulating nerve conduction in the brain so it's making it fire more what's the way was with its that's what you want with you know milk images so you only want that brain working you know who you wanted working more efficiently with namenda you get you can get diarrhea as well constipation sometimes headache sometimes difficulty sleeping and sometimes some depression what do we and that's because it is it's depressing an excitatory pathway so you're kind of slowing down the brain in that sense and so it's just to get to finding a good balance between those two and managing that way somebody wrote in and asked if someone doesn't seem to be benefiting from the medications does that mean they're too far along in the disease process like is it possible that somebody would be in the severe dementia range and then none of these medications would really be helpful could you go to some of that second class like a namenda type medication and still be worth a try I think they would be worth a try in those cases I think it's probably both of them yeah it's just because if you are if you start treatment at a certain level once you put these medications into their body you may help retain that level more and to help keep them from declining further okay so you may not notice any improvement but you may be prolonging that decline or descent you know okay okay now is it possible cuz a lot of times people with dementia have difficulty swallowing or they don't want to take medications or there's all those other kind of challenges are these medications crushable okay so there are different dosage forms that are available like aricept the original ones you could crush those they weren't extend a release now they've come out with an era step 23 the one I will need to do some Chiney to check on that one there's no namenda the other there's namenda now there's namenda XR which is a capsule with the capsule they don't recommend you chew them up or crush them but from what I've read you can open those and put them in applesauce but when you do that they have to eat the entire mouth that you put it in so you don't want to put it in a large amount they also do make an extended release I'm sorry not an extended release but they may it's a little bit make of liquid also okay so that could be an alternate – okay and I apologize if we already mentioned this in the class of medications but there's the exelon patch correct there is a so that might also be an option if somebody's having a problems with swallowing or is really hesitant to take medications is that something that yes yeah maybe is the exelon yeah that's gonna be the acetylcholine esterase class right yes it's a plant as its applied once a day so yeah but you have to change it so every day yeah that would be another alternative okay yes so some medications some of these medications may be crushable others not again check with the prescriber because it really depends on the dose and whether or not it's extended release and the form that it's in right and yeah when you when you pick them up from the pharmacy specialties or whatever whenever you get a new medication make sure that you talk to the pharmacist about them by lawyers you are they're required to cancel your new medications okay and I know there are some myths you go into some pharmacies and they are so busy I mean you should be at least to offer offered you know the counseling and you can decline it if you want I always recommend especially with these types of medications that you talk to the pharmacist about him or you know and your doctor before you know when they're prescribed yeah and that's a question that should you know can come up kennedys be crushed yeah that's a really great recommendation so easy so simple often overlooked when you're picking up your loved ones medications at the pharmacy and they should be asking you do you want to speak to a pharmacist or a pharmacist should be coming up to you absolutely ask them these questions it doesn't require another doctor's visit doesn't require hanging on the phone on hold forever to get a hold of your loved ones doctor take advantage of that resource so yeah I thank you for bringing that up that's really great yeah is there a better time of day to take these dimension medications like for some like I know there are medications that maybe it causes sleepiness so it's good to take at nighttime do any of these dimension medications work that way where it may be better to take at a specific time of day so the like the medications like aricept typically the most common side effect is the nausea massive appetite those are usually recommended to take a bedtime that way once you take it if you're gonna have any of those those side effects you're asleep so you don't notice it as much now sometimes people do have they do cause insomnia or have really made you make you have abnormal dreams that are that this some people aren't comfortable with it's okay to switch those medications from evening to morning the most important thing about them is that they're taken on a daily basis okay and that there and if you can try to take her at the same time namenda and the aricept those they can be taken without regards to meals so with or without food but it just depends on like side-effect management okay but yeah but if you can same time each day so same time each day take them consistently they're not as needed medications and then again like so much in dementia however their loved one responds like whatever side effects they're having you might need to make an adjustment but it doesn't necessarily mornings no better than night it just kind of whatever side effects they might be experiencing try to choose the time of day that makes better sense right yeah I think for some reasons and some people these do cause drowsiness so nighttime would be best if they you take in and they seem to be more alert you know switch it to the morning okay now do these medications do they pretty much help long term throughout the disease progression or at some point do they kind of lose their effectiveness like does the body build up a tolerance to them I don't it's not that they build up a tolerance I think it just gets to the point where the the brain gets to just a state where the medications there they're affecting different parts of the brain where it's the where it's gonna affect like the verbal centers you know those types you know different parts of the brain were they just you're not gonna see the benefit from them okay so they can you can see benefits from a month I mean they could like it lasts a month all the way up to maybe five years I mean I've we've I've had clients that have been on medications for two years have been doing well and then they kind of start you see that does that eventual you know that deterioration is it fair to say that because these medications don't actually prevent or necessarily like stop the disease from progressing that at some point when the disease progresses beyond a certain point the medication can only do so much oh yeah it's that kind of turbulent way – yeah okay now there is a lot of hype right now in the news and articles and everything and one of the and wanted to know do you have any information on CBD oil to help with dementia and anxiety good I spent a lot of time looking into this okay right and I it seems like the light of the information that's out there is not from you it's from the UK because they actually have some of these medications on the market there okay they have some so you've got you've got CBD and you've got THC right so the the THC is more of the psychoactive part of the marijuana plant the CBD is its it has emits more than anti-inflammatory side of it so what I've read is that there are some positive benefits to both now a lot of this is still in animal studies not a lot of human studies yet and if they have it's been very limited testing so I'll talk about both of them okay on the THC side it seems like we're it were there seems to be some benefit is maybe in the aggressiveness and some of the agitation it kind of has a might kind of like a bellowing effect okay and also in appetite stimulation because you always hear this about what mara want those to know things about it this kind of evens out and with with them appetite simulation so if there's some issues with putting in with with weight loss which could be an issue there's that side that it could help on the CBD side that is going to be more of an anti-inflammatory side so it actually may have some neuroprotective properties to it now you don't get the psychoactive this this you know the you don't get the euphoria which is associated with the THC side but you might get some anti-inflammatory effects now it's all I was rated effective one of this article side renewals in it's called molecule it's a chemistry magazine and yes those are usually over my head yeah very technical magazine so I was I mean I spent a lot of time on this one article because I was talking about different phytonutrients yeah not only with these two but I was talking about Q chairman talking about resveratrol those types of things so it's a lot more just a natural side this and there is some promise to it but this more studies are needed okay but from what I understand from the CBD there you don't get the psychoactive it's something you you know might talk to your doctor about I mean you can I know you can order a lot of this online some states it's legal some states it's not I know California's a lot more progressive I think in these types of things but I think it's something definitely worth looking into yeah something that maybe shouldn't be written off right away something to consider and I think that it's just taking a while for the medical community to figure out you know to do the necessary studies gather the necessary information like what are the side effects or risks and before they can really like put their final stamp on it but I do talk to a lot of caregivers who find the CBD oil really helpful for them and that's kind of what I've heard anecdotally also yeah now another thing about when you look at pharmaceuticals most pharmaceuticals have some sort of natural origin and so and what they do is they look at that or the natural the chemical that occurs naturally and then they they take it and they can manipulate the molecule and you know make it more make it more effective or whatever so I mean I think you're gonna you're gonna see probably some of these things are gonna show you know they're gonna become standard treatments I am with you I think that they're gonna be more and more common and we're gonna see it more and more yeah so anxieties often times an issue for people with dementia and this is often a source of stress for caregivers so but there's also a lot of hesitation from the medical community and from providers to prescribe anxiety medications for people with dementia right you know high fall risk and increased impaired cognition are there any safe anxiety medications for older adults specifically older adults with dementia I was safe medications I would maybe say safer medications so they're I don't know if you're familiar there's it's called the the beers list yeah okay that's a list of I think 70 some of you of drugs that are not recommended in in and are in the aging population just because based on side effects fall it's about the fall rest okay most of those anxiety medications that you that you're familiar with ativan diazepam valium klonopin or clemmy's a pan those medications which are generally used for anxiety which which work really well typically are not the best for you for your dementia patients because they decrease cognitive function that's how the medications work they decrease the brains activity especially like in the emotionals part of the brain and discs it shuts it down so that's how you decrease the anxiety there's another class of medications the the serotonin the selective serotonin reuptake the SSRIs those are medications like zoloft that sertraline lexapro escitalopram paxil products a team those types of things those don't have be some like will Zoloft and and lexapro those are probably because they have less of that this the sedative effects like the benzodiazepines so those are probably a better choice okay they don't maybe work as quickly or as rapidly that other ones which i think is a lot of times but you know the families are hoping for but they are much safer so and I I don't think it would be fair to say that these the benzo the benzodiazepines they are okay to use as a you know as a bridge to win the other medications start to work so you're still looking at three to four weeks with the with the SSRIs if you were I mean if if your loved one needs it obviously there is a I mean that's it's not to say you can't use them but you want to use them at the minimum effective dose and as as little as possible if you can because when you they are habit-forming the body does become Kenda been dependent on them and I've seen over the course of 25 years I've see people who have been on these medications a long time and it's difficult to get off of them yes I mean I've come across patients who have been on them for decades and then all of a sudden they have a new provider and the new providers like you can't really be on this medication and that really puts them in a tight spot you know absolutely and you want to thank you what you're seeing now you're seeing a lot of crackdown on by the FDA on the use of especial that opioids well the benzos and those they're all falling in those same classes there's another class of sleeping medication called the the Z Z drugs they're not exactly benzodiazepines but they are they work similarly like it's toll Panem Sonata lunesta those ones they work very well but they can be just as habit-forming so especially to get all these things in combination together that's when you can start having a lot of issues yeah I'll give a really quick story I actually work with a patient who was on a benzo and when I first met him I mean he looked like he was pretty cognitively impaired and with some time with health care provider he was weaned off that benzo we have amazing discussions now he remembers our sessions from session to session it's like he has just come alive like it really does impair cognition but what I'm hearing is that these medications exist for a reason they can be helpful they can be used as a bridge when you do use them low dose possible you got to be careful because they're habit for me can lead to Falls and para cognition and in the end I always preach when it comes to dementia and any behaviors that like symptoms anxiety agitation whatever it is like a non behavior approach should always be attempted first I mean a non Pharma logical approach should always be attempted first before you jump to like let's get a medicine to help with this like let's try to figure out if our approach can be changed to reduce their anxiety if we can comfort and reassure them and then if it's needed by all means yeah go talk to your provider but it's generally not it's not your first line option and it does come with some significant side-effects absolutely and another thing I definitely should we should talk about is when you talk about non pharmacological intervention your over-the-counter medications are considered medications yes and a spin out to one of the big go twos for people is benadryl diphenhydramine – – absolutely one of the medications that I mean those are antihistamines and they have what's called anticholinergic activity well anticholinergic is working against your medicines like arrow set because they're working on the cholinergic part of the brain and so you're working against and these all cross the blood-brain barrier and they get in there and they work against the medications that you're trying so but yeah when you see p.m. that is generally it's benadryl that's that's included if you seize equal thats benadryl there's another one out there is called unisom it's called doxylamine it's a very strong and it has to mean too and that's usually what they put in michael mm-hmm yeah so yeah we got a really good look if when you go pick up I mean you're usually if you guys a drug store picking it up I mean even at a grocery store there's usually a pharmacy there you know if you if you're concerned stop by there they'll be glad to tie I do say 80% of the counseling I do mm-hmm BC if its non-prescription set for people it's about over-the-counter stuff all the time yeah take advantage of the resources that are available to you very easily like through the pharmacy mm-hmm there doesn't cost you anything so you know it's exit absolutely yeah and you're already there trying to pick something up anyway might as well make it it'll actually save you time by picking up something that's more likely to be good and having to take a run back and realizing that maybe you just gave your local and something that is not so helpful no no well Chris I really appreciate your time and answering all these questions I was really helpful really informative I appreciate it well thank you for having me know I have a big fan of the care Blazers website and I recommend it to our clients we have they have any questions I think you're really great resource oh thank you so much now if there's anybody maybe in the Arizona area who is thinking about hiring care for their loved one with dementia like where could they go to find out more about you than about the services so we have a website it's right at home dotnet okay the beats f5 Scottsdale they can also go to just the right at home and put in their zip code and then that will bring up it'll bring because there's different we have different offices in the area to bring up their office according to where their zip code is we cover all the Scottsdale Fountain Hills of Paradise Valley if you're concerned about a loved one that maybe they might need some help we can come out we can do a that's a real quick assessment there's no charge on it just come out didn't just you know sit down and see know if there's a possibly inda needs you know that your loved one might need we can be glad to come and sit down no charge and you know see if it's up we can help you with that's really nice really great deal all right well care Blazers I hope you enjoyed this interview I think Chris gave a lot of helpful information to the questions that you submitted I hope you find them helpful I'll be back next week with another video bye

13 comments

  1. My loved one started on Aricept. She was advanced to namzeric ( I think that was it? It was a titrated dose… slowly increased to full dose over about 3-4 weeks?) But after a couple of weeks she started complaining of shortness of breath. Those get she was smothering. It was at the same time we had her admitted to an Alzheimer’s unit. We told staff of her complaints.
    The doctor took her off of it an put her back on Aricept. He also changed her to Seroquel and Ativan. She actually improved for several months. But the last couple of months she has started telling us she feels like she is having a panic attack. Says, ‘I feel like I can’t breathe.’ She actually had an episode last week and her blood pressure was elevated.
    Not sure if her meds need to be changed? Or maybe the dementia is effecting the part of the brain that controls breathing? 💔Suggestions?
    Thank you for the videos!❤️

  2. I think, my mum has mild to moderate dementia, the dr gave her donepezil, but she was extremely dopey and had a general ill feeling with it so came off it….few weeks later, my mum still, in my opinion, has mild to moderate dementia, and is now on memantine, which is for moderate to severe dementia…….she has had the dose increased to 10 mg from last weeks 5 mg, and is, again, extremely dopey, with a general ill feeling……my question is, do you think she has been put on these medications too soon for the stage of her dementia and that’s why the tablets aren’t agreeing with her? Tablets are too strong for the stage she’s at? Or does it not work in that way? Thanks xxx

  3. My 88 year old mom has dementia. Neurologist we were referred to said there was no medication that would help dementia, only Alzheimer’s.
    It’s sad to think there is something out there that could help her & she’s not getting it. She is often aware of her memory loss & it upsets her. So sad.

  4. My mother was on the exelon patch.
    I have taken it off her.
    After about 10 weeks, she began suffering from tremors.
    She became very depressed, and agitated, crying for hours daily.
    Her appetite decreased to almost nothing.
    She became so weak she couldn't stand anymore.
    She became nauseous a few times a day.
    I was hoping that it would work for her, but the side effects were awful. She was far better off before using the patch.
    I would like to hear from anyone who has had similar experiences.
    Hopefully it'll help some, but it isn't for my mom.

  5. Thank you very much for this subject video. My wife (68) is taking both classes of Dementia medication (dozepezil and namenda) subscribed my her Neurologist. However from the age of 20 she has been under the care of several Psychiatrist for manic depression now called bi-polar disorder and paranoid schizophrenia. Her list of medicines is and has been extensive. A chemical cocktail as her psychiatrist describes it. That is tweaked and fluctuates over time. She has had ECT’s both in her early 20’s (1971-72) and again throughout the last half of 1990’s into the early 2000’s stopping only after Latuda was added to her list. There has been a ‘ turf’ War between her current Psychiatrist (who has been treating her continuously since 1993 and her Neurologist (2017). The Mind vs The Brain. They even differ on her diagnosis Neurologist Alzheimer’s/ Psychiatrist Lewy’s Bodies.. I am in a perpetual state of confusion with every symptom she displays ‘is it from her mental illnesses or is it Dementia or is it side effects from one of her medications? The Neurologist wants her off all the Psychiatrist’s medications. The Psychiatrist “that ain’t gonna happen” (paraphrase) This video has helped this uneducated laymen tremendously.

  6. It's hard to put a loved one on a med when I'm told I won't see any improvements or even any difference. How did the studies prove that they help? I would be more interested in a holistic approach. Maybe a holistic guest for a interview? Thanks for your help and interesting videos.

  7. Thank you so much! Wonderful information. My husband is on both types and I believe they have helped greatly.

  8. Thank you! I have been waiting for this video. Mom has been on EXELON for 2 months now. Good information.

Leave a Reply

(*) Required, Your email will not be published