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Thanks, Jeanne and good luck to you and your mom. Tinnitus is hard to handle.
Carol
Are any of the voices directed at her, or is it more like overhearing a conversation that has no connection to her? Does she hear a voice telling her what to do? ("Don't get out of bed." "Stay away from the window") or threatening her? Or is it more like a radio is on somewhere?
I think that the doctor who is treating her dementia should at least hear about this new symptom, in as much detail and you can supply.
Good luck to you.
It is certainly possible that CajeanL50's mother is having trouble with drug interactions, and I hope her doctor is monitoring that closely. The three drugs she is on for dementia are often taken together, if the caregivers in my online support group are any indicator. That many people very successfully take that combination is no assurance that everyone can. One size does very, very definitely not fit all in treating dementia.
It does make a difference what kind of dementia is being treated. Only post mortem examination of the brain can confirm the kind of dementia, but experienced doctors must go by the presenting symptoms. For example, the haloperidol mentioned by Soverytired is apparently acceptable for Alzheimer's Disease, but can be permanently damaging or fatal for persons with Lewy bodies in their brain. That is a message the Lewy Body Dementia Association is steadfastly trying to disseminate to all emergency room doctors, often the site of use.
Googling drugs gives us amazing information, but it doesn't give us medical or pharecutical degrees. The information we can pick up online helps us to ask intelligent questions of our medical providers. It does not substitute, of course, for expert opinion of qualified medical providers who have examined and have the health history of the patient.
These auditory symptoms need to be described in detail to the doctor treating the dementia.
We literally lucked out on having my mom get into a medical school based gerontology program. Because of her advanced age, her otho surgeon required a cognitive evaluation before surgery & anesthesia. So she got in via that backdoor.
Before that I had never heard of LBD, vascular dementia, fronto-temporal...etc.
Her gerontolgist had her weaned off the the neuroleptics her family doc had her on (Clozapine & Klonopin). It made a huge difference in her behavior & function as she was starting to show tardive dyskensia from the meds - with her it was a thing she did with her mouth. In her NH chart, in reads NO NEUROLEPTICS.
All dementias are terminal, it is a fatal brain failure, but there is much we can do to make their day better and more cognitive if we know which type of dementia it is.
But even though his primary care doctor is a gerontologist who keeps a very watchful eye on his medicines, my husband takes far more drugs than CajeanL50 lists. Sheer number of drugs is not as important as whether each is appropriate and their potential interactions are monitored.
Does she see a gerontologist? If not, perhaps you can schedule her a visit with one.I just have found their approach to care is so totally different than internal medicine or family medicine guys or the specialists. My mom was on a shopping list of med's between the internist, opthalmologist, endocrine guy, etc.
My mom had rotor cuff surgery and the ortho got her into the geronotology practice at the medical school. First thing was an evaluation for cognitive abilities - that's how we found out she probably Lewy Body dementia, which I didn't even know existed as the US is all about Alz for dementia - then the gerontologist got her weaned off all of her old med's and switched to 2 meds for a few years with Exelon patch added in this year. It could well be that the medications she has are making things worse and if she has been taking some for several years she has built up a resistance or a saturation to them and this is part of the problem.
My mom has had tinnitus for years, it is a chirping sound. If she took aspirin it would increase. She got Campral for it, made no difference and stopped. But she now has added hearing music. It doesn't make her anxious and she seems to take it in stride. Her doc said it is a part of her dementia.
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