My husband (age 55) has had declining cognition for quite awhile. He has been on disability since he was 38. He suffers from high blood pressure, asthma, urological problems, sleeps excessively, depression, and problematic lack of mobility (due to 4 back surgeries and 3 neck surgeries). He also has kyphosis and falls about once a month or more. His primary doctor feels his cognitive problems result from 2 suicide attempts years ago when his brain was deprived of oxygen for a time. Another doctor (a neurologist) says that his problems result from the long-term use of too much medicine. On Sunday, I drove us by the house we lived in until 2006. About an hour after we got home, it was obvious my husband was not in reality. He started crying and talked about wanting to go home, that (our home) was not his home, he didn't recognize anything, and he mentioned several times he wanted to see his mother (who we haven't seen in several years). This continued the rest of the day. He kept calling me by my first name like I wasn't here. This morning he seemed better, so I went to work. While at work, he left me a voicemail on my phone and called the office phone, asking me to come to the "new place" and that someone was coming to take him to the "new place." I can't believe that a medicine that is supposed to slow the decline of cognition and help some with memory and cognition, could cause a reaction like this. I have never seen him like this. Could driving by our old house have triggered all this? I wish we never would have driven by that house. Or could it be a reaction to one of the other meds he takes (he takes a total of 20 different ones).
desert192, I am truly sorry for what you and your husband have gone through. The basic problem was a misdiagnosis. I've had some experience with that myself, and it is hellacious. I was being treated with anti-anxiety meds for what turned out to be diabetes that became life-threatening before the mistake was discovered. (Funny how none of those anti-anxiety drugs fixed y blood sugar levels.)
My husband has been taking Aricept for 8 years. When he first started taking it a neighbor, a well-respected pharmacist, came over and explained to me a lot of what you said about the drug. He said not to expect a large improvement and that the best we could hope for was to help slow down the rate of decline for a while. He was basing that advice on studies in Alzheimer's patients, and his observations of that population. But my husband does not have ALZ. He has Lewy Body Dementia, and as it turns out, Aricept is far more effective in this population! For almost all of the loved ones in my local support group and online group for this disease, it has made a remarkable difference in cognition and in reducing hallucinations. So, sorta of slightly good for ALZ, remarkably good for Lewy Body, and disasterous for your husband, who had neither of these conditions but who was misdiagnosed with one of them. I am truly sorry for the reaction your husband had, but Aricept is not poison and is not LSD.
Another example of a drug that has very different outcomes for different populations is Haldol, frequently used in emergency rooms or nursing homes to calm psychotic behavior. It is often effective for ALZ patients, but can be fatal or cause permanent damage in up to 50% of patients with LBD. My husband and I carry wallet cards with this information. The national Lewy Body Dementia Association has education of emergency room doctors as one of its goals. A good drug or a sort-of-good drug for one population can be dreadful for another population. That is one of the reasons misdiagnosis can be so destructive.
Doctors do not get payments for every Rx they write. Who would keep track, how would they prove it, and who would do the paying? Not all doctors are equally smart about handing out prescriptions, but I doubt that greed motivates their mistakes. Smart doctors try ONE drug at a time, start on very small doses, watch reactions closely (for example, tell caregivers exactly what to look for and call them about) and increase to a therauputic dose gradually when they are sure the patient tolerates it well. Not all doctors are smart about that.
Of course we keep the drug companies alive. We keep the automobile companies alive by buying cars and the farmer's markets alive by buying locally grown produce, and the incontinence products companies alive by buying pads. So what? That is hardly a reason to stop using drugs, driving cars, or eating cucumbers.
I would very much not want to be on this journey with my husband without the help of the drugs he takes.
My advice to KariSue remains the same. Seek medical advice on this change in behavior. Play detective and write down clues to discuss with the professionals.
Good luck to all of us!
I do agree you should always consult with your doctor for any medication changes. I did consult with the doctor and did research in the PDR and other many medical sites. By the way this supplement is included in the PDR (Physicians Desk Reference) and many physicians utilize these products. This is NOT a supplement that you will find in natural food or vitamin stores. This is actually not a vitamin or herb. Its a combination of a molecule that has been in research of over 50 years. Go to the site and you can print a PDF fact sheet which you may take to your physician, so he/she can determine if this would be helpful for your husband. Good luck...I hope it works well for you.
I am sorry for what you are going thru, take care.
Internist said if symptoms started in a few days after starting drug (this applies to any new drug) that it most likely is the drug that is at fault for any reactions.
By Aricepts own literature - it takes 3 or 4 months to work. It May not work, it may work for about 6 months, or it may make the person worse. After 6 months the person will be where he would have been if he had not taken the drug.
THIS DRUG IS POISON!. (My husband had Normal pressure hydrocephalus and PTSD( from the war he served in had come back)
Many things cause cognition problems. Please check out all drugs, vitamin shortages, heart problems, anything that might be currently causing a lack of oxygen.
Aricept is on a level with LSD as far as I am concerned. I highly suspect DR.s' receive a "good payment" for prescribing this drug.
She had a stroke so has aphasia, but now is aware of her difficulties and smiles and jokes about it instead of not even noticing she has it. She is in a Rehab where the staff is almost 6:1--much better. I hope you are receiving positive help and encouragement from your family and friends. Praise God you are still keeping your covenant of marriage, and looking for ways to bless your husband. I prayed for you today. May the Lord bless you and give you continued grace. Is your husband open to reading the Bible (particularly Psalms) and John 1? As a Christian I receive much needed grace, comfort and strength from God's word. God bless you! I hope your doctor will be able to come up with some answers.Please keep us updated.
If he is seeing more than one doctor (which seems likely), I hope they each know all the medication (including any OTC) he takes. But you've been at this a number of years and I suppose you know that.
Drug reactions are highly individualized. Certainly Aricept doesn't cause that kind of reaction in the overwhelming majority of patients who take it. But that doesn't mean it is impossible for that reaction to occur, especially considering the number of other drugs your husband takes.
Certainly you need to discuss this with the doctor who prescribed Aricept and perhaps with the other doctors familiar with his case. A sudden and severe change in behavior needs to be investigated.
It sounds like you and your husband really have a lot of health issues to deal with, and at such a young age. I wish you a speedy resolution to this particular crisis.