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Ves, I am afraid your brother's doctor doesn't know some of the basics about PD and/or the pharmacology of Haldol. Haldol should not be given to PWP. It blocks the action of DOPAMINE enough so that it often causes Parkinson's symptoms in people without PD. I presume his symptoms of PD got worse with the Haldol. Respiridol is supposed to cause less Parkinsonian side effects but it still can make the PD worse in some cases. I am also concerned that your brother may be oversedated with the Ativan. His falls may be related either to worsening of his PD or oversedation and if he is on a medical unit of a general hospital rather than a psychiatric unit they probably have little tolerance for confused behavior and may be too liberal with the sedation. As a retired psychiatrist with PD who has not seen the patient and therefore must make judgements based on what you tell me, in my opinion, he should be seen by a physician competent in both geriatric psychiatry and knowledgeable about PD to evaluate whether he is experiencing dementia or something reversible like medication toxicity. He should not be put into a chronic care facility without a good psychiatric + neurologic evaluation. Good luck and keep us informed of how he is doing. Charlie ----- Original Message ----- From: ves <[log in to unmask]> To: Charles T. Meyer, M.D. <[log in to unmask]> Cc: <[log in to unmask]>; marla ross <[log in to unmask]>; wayne shirley <[log in to unmask]>; diana valenzuela <[log in to unmask]>; Joyce Bechard <[log in to unmask]>; vestel b. shirley <[log in to unmask]> Sent: Sunday, January 23, 2000 10:00 PM Subject: Re: improper meds? > Wayne Shirley, age 65, weitht 145 lbs (lost 40 pounds in one year) > REcent dosage: > sinemet - one CR 50.200 three times daily ( 9 am, 1 pm and 5 pm) > Haldol: Prescribed as needed for agitation: 2 mg by injection every four > hours. Given three injections in two weeks (jan 8th, 15th, and 17th) > Risperdal: 1 mg/dose at 8 am and 5 pm. This medication was stopped on Jan > 15th since he was becoming extremely sleepy. Then resumed on the 21st at 0.5 > mg/dose at 9 am and 5 pm > Ativan: 1 mg injection every 6 hours as needed or 1 mg by mouth as needed. > Three injections were issued. On the 21st there was one injection. And two > injections were administered on the 22nd. > He fell twice on the 21st and twice more on the 22nd. He is now in the > hospital and the doctor is trying to get him committed to an asylum or another > geriatric facility. > He is supsected of also having alzheimers. I am in the process of getting his > affairs straight so he can qualify for medicaid and then get him with me in > North Carolina. It appears as if I am running out of time. > Thanks, CHarles. > > "Charles T. Meyer, M.D." wrote: > > > Ves, > > > > Since your brother has been diagnosed with PD has he been prescribed any > > Haldol? Please be more specific about what , when and how much he took of > > the different medications. I think that if you can provide us that > > information there are a number of us on the list that would venture an > > opinion on whether his medication regimen has been or is being less than > > optimally managed (or frankly mismanaged). > > > > Charlie > > > > ---- Original Message ----- > > From: ves <[log in to unmask]> > > To: <[log in to unmask]> > > Sent: Sunday, January 23, 2000 9:13 PM > > Subject: improper meds? > > > > > My brother has parkinsons and I think has been > > > mis-medicated(?). > > > Reasons for this suspicion: > > > 1. Has been on sinement for about 7 years. > > > 2. Has been being previously medicated with Haldol. > > > 3. More recently medicated with Risperdal and Ativan. > > > I understand sinemet can have delayed symptoms as well as a > > > reduced affect with prolonged use. > > > I also understand from the parkinsons drug database that the > > > meds in items 2 and 3 can have some negative effects with > > > parkinsons patients. > > > He is in the hospital in Electra Texas and the doctor really > > > does not want to take into account these pieces of > > > information I have told her of. Any PK patients around > > > wichita falls or vernon texas who might refer me to some > > > kind of second opinion that is an informed second opinion on > > > meds for PK patients? > > > > > > ves shirley > > > 336-342-3641 > > > I will accept collect calls. > > > I really need some quick feedback. >