Lewy Body Dementia Association, Inc.
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Switching Medications
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Author:  Marilyn [ Thu Nov 22, 2007 3:36 pm ]
Post subject:  Switching Medications

I think I posted under the Namenda-Mematine survey by mistake, so please excuse me for repeating myself here. Before I start, please let me wish a HAPPY THANKSGIVING TO ALL......

The following is a portion of my post from May 28, 2007:

Quote:
"Thanks for suggesting that Namenda be started sooner rather than later. I certainly will bring up the matter with my husband's neurologist at our next appointment on June 21st. He'll probably wonder how I know about Namenda since he never mentioned the name, but he'll find out that I've been learning a lot and not just sitting on my laurels since our last appointment. "


At the appt. on June 21st, the neuro switched my husband from Aricept to 8mg Razadyne twice daily for one month and then upped it to the current dosage of 12mg twice daily. When I asked the neuro why the change, he said he felt it was time even though it had only been about a year on the Aricept. One month ago, the doctor gave him a brief MMSE and then also added Namenda. After a very brief burst of alertness, I'm not seeing any improvement and his confusion is actually getting worse. Frankly, I think he was doing better on the Aricept, but who knows.

My husband was recently accepted into the V.A. system (I applied for him mainly for the meds) and tomorrow is his very first appt. with a V.A. neurologist. Two weeks ago he was initially evaluated by a V.A. internist and I was told that Aricept is the medication of choice with the V.A. and Namenda is only prescribed if the MMSE score is 15 or less. My husband was tested and scored 21. I'm not sure if it was "showtime" or the Razadyne/Namenda combo at work, but the doctor was concerned why he even needed Namenda with that high of a score and so he scheduled the appt. with the V.A. neuro.

Question: How do I proceed if the V.A. neuro thinks he should go back on Aricept (with or without Namenda)? Can these medications be switched back and forth without consequence? The only reason I would even consider switching back to Aricept from Razadyne/Namenda (other than the horrific expense) is that I'm not seeing any improvement with the current regimen and, if anything, things are a bit worse. And if we did make the switch, how in the world would I explain that to our private neuro whom we adore and have no intention of giving up?

This is indeed a lousy disease. Thanks so much.....

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