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Seeking NON anti-cholinergic meds for psychosis


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Hi,

I'm writing on behalf of my 79 year old mother.  She can't tolerate anti-cholinergic meds according to her old psychiatrist( moved out of state?)and is having some symptoms of psychosis- mild visual hallucinations and delusions.  She's pretty lucid otherwise and able to take care of herself.

Her neurologist (she has epilepsy or a seizure disorder too) put her on Tegretol a few weeks ago because 15 years ago it pulled her out of a bad spot(no hallucinations).  So far it's not working and she's having an even harder time sleeping. 

I'm wondering if this really is the right med and wondered if anyone here knows of atypical anti-psychotics that are NON anti-cholonergic?  Or somewhere I could find a chart that lists all drugs for pyschosis and whether they are anti- cholinergic or not?

Thanks for any suggestions.

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Or somewhere I could find a chart that lists all drugs for pyschosis and whether they are anti- cholinergic or not?

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This page should have the information you're looking for:

http://meds.queensu.ca/~clpsych/orientatio...son%20Chart.pdf

Another thing to consider is that some other medication is the cause. I know that my grandmother had what looked like a psychosis until one of her meds was stopped and she went back to being "normal."

Fiona

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Thank you!  This chart is great!

I also think that her problem could be her old meds.  I'm not sure what to do about it now that she's on a new med though. I find this all very frustrating.  I had hoped her docs would have been more receptive to possible med issues, but they weren't.  The neurologist did say to my mom that he thought her sleep med might be part of the problem, but he didn't do anything about it.  She's also reluctant to give it up!  She says she has cut back though..

Or somewhere I could find a chart that lists all drugs for pyschosis and whether they are anti- cholinergic or not?

<{POST_SNAPBACK}>

This page should have the information you're looking for:

http://meds.queensu.ca/~clpsych/orientatio...son%20Chart.pdf

Another thing to consider is that some other medication is the cause. I know that my grandmother had what looked like a psychosis until one of her meds was stopped and she went back to being "normal."

Fiona

<{POST_SNAPBACK}>

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Unfortunately a lot of doctors treat older patients differently as far as willingness to switch meds due to side effects or possible CREATION rather than CESSATION of certain problems.  It's almost like they think, "they're old, shit happens, it's probably due to age not meds."  My dad and I have had to fight this battle over and over again for my grandmother.  Good luck.

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