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 Anti-Anxiety Meds 
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Joined: Thu May 31, 2012 6:51 pm
Posts: 60
Post Anti-Anxiety Meds
My husband has a prescription for Xanax, as needed, which wipes him out when he takes it. What are the usual meds given to patients with LBD who suffer from anxiety? Are there any that are non-addictive?

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Beth


Thu Jun 21, 2012 11:49 pm
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Joined: Wed Dec 30, 2009 1:46 pm
Posts: 3213
Location: WA
Post Re: Anti-Anxiety Meds
Seroquel has helped my husband's anxiety, perhaps because it's caused by his delusions and hallucinations.

Before Lewy, he was the least anxious person I knew. I was the one who worried and became anxious about things but never him.

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Pat [68] married to Derek [84] for 38 years; husband dx PDD/LBD 2005, probably began 2002 or earlier; late stage and in a SNF as of January 2011. Hospitalized 11/2/2013 and discharged to home Hospice. Passed away at home on 11/9/2013.


Fri Jun 22, 2012 12:12 am
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Joined: Fri Aug 11, 2006 1:46 pm
Posts: 4811
Location: SF Bay Area (Northern CA)
Post Re: Anti-Anxiety Meds
You might check Dr. Brad Boeve's "Continuum" paper for what recommended treatments for anxiety are. Maybe neurologists start with anti-depressants as many of them are anti-anxiety meds as well?


Fri Jun 22, 2012 1:14 am
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Joined: Sun Aug 29, 2010 5:46 pm
Posts: 610
Post Re: Anti-Anxiety Meds
My mother was having huge problems with anxiety when taking (regularly scheduled) Effexor XR and citalopram for depression and (PRN--as needed) Ativan for anxiety. Her SNF resisted a scheduled anti-anxiety drug (citing state regs). So her doctor discussed it with the facility's consulting pharmacist and put her on Lexapro (discontinuing the citalopram). I was told that Lexapro is an anti-depressant with anti-anxiety properties. The change was amazing. Her anxiety (bordering on hysteria at times) as almost entirely disappeared, without side effects. It was a great relief for all. Perhaps Lexapro might be something to consider.

Julianne


Fri Jun 22, 2012 9:14 am
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Joined: Wed Apr 11, 2012 9:32 pm
Posts: 61
Post Re: Anti-Anxiety Meds
Pat..you mentioned your husband was on seroquel. My husband Norris is also on it, he began taking it last year, 2 25mg each night to help with the REM sleep, and it has worked. Then in the last six months or so the "sundowning" anxiety wanting to go home beginning in the early afternoon so the Dr. added one seroquel about 2 p.m. and it helped. Did you have to increase the seroquel like this? I wonder if there is a max amt or is it just really different like everything else Lewy? Carol

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Carol (67) caring for husband Norris (78) diagnosed PD in 1998, dx cognitive changes 2009, dx PDD/LewyBody variant 2011, still at home.


Fri Jun 22, 2012 9:36 am
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Joined: Wed Dec 30, 2009 1:46 pm
Posts: 3213
Location: WA
Post Re: Anti-Anxiety Meds
Yes, his Seroquel has been increased several times. It is very important that they start on a very small dose [and some physicians don't realize this]. He started out at 12.5mg [about two years ago] and has been on 50mg three times/day for about eight months. His combative behavior and agitation have been greatly reduced. I've heard of some taking more than 100mg two or three times a day.

_________________
Pat [68] married to Derek [84] for 38 years; husband dx PDD/LBD 2005, probably began 2002 or earlier; late stage and in a SNF as of January 2011. Hospitalized 11/2/2013 and discharged to home Hospice. Passed away at home on 11/9/2013.


Fri Jun 22, 2012 10:14 am
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Joined: Fri Aug 11, 2006 1:46 pm
Posts: 4811
Location: SF Bay Area (Northern CA)
Post Re: Anti-Anxiety Meds
We have a local support group member whose LBD husband takes 200mg or 250mg per day of Seroquel.


Fri Jun 22, 2012 12:11 pm
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