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I pretty much agree with Judith. Mellaril is a poor choice for a PWP. If your husband is overmedicated on Tasmar it might show itself as dyskinesia - which can be mistaken for or be aggravated by agitation
As a psychiatrist unless the patient was so agitated that there is no choice I would much rather see a patient like this treated on a neuro unit rather than a psych unit (although it depends on the hospital to some degree). Psych nursing staff - as well as a lot of medical nurses generally have little experience with PD and won't for instance know how critical timing is on meds. It sounds as though at least the MD that started the Melleril- does not know a whole lot about PD either since Mellaril is a dopamine blocker and it may stop dyskinesia but also likely will cause him to freeze. A neuro consult is critical preferably with someone who subspecializes in PD.
What city is he in and what hospital is he at (probably you should send that to me privately)???
If his liver enzymes are only slightly off it is unlikely that he is experiencing the toxic effects of Tasmar since the liver enzymes would likely be extremely high.
BTW I didn't go away as planned + will be on list for the next week or so without interruption.
"Carole K. Menser" wrote:
Can anyone tell me Joan Snyder's phone number? I think she also goes by Jess??? My husband went back there for a support get-together and unfortunately had to be hospitalized. The neurologist thinks its either a reaction to the combo of Tasmar/Mirapex or an overmedication with Tasmar. It is frightening being 2,000 miles away. I fly back there on Tuesday. I've spoken with several people back there at the meeting who are staying in the motel but none of them could find Joan's phone number. I'm a bit overwhelmed at the moment and could use some moral support if nothing else. They had to admit him to the psych ward because of the extreme agitation, flailing, etc. That's scary too. The neuro took him completely off Tasmar cold turkey and they are checking his liver function which was somewhat out of the normal range. He is lucid and oriented although a little disoriented (Ted not the neuro!!!) and still a bit agitated. And emotionally very fragile right now. They have him on a mild dosage of Mellaril. I notice that this is on the contraindicated list for PWP's at high dosages and this concerns me too. Anyway, Carol gave Joan my number and hopefully she will call me soon, but I would feel so much better if I had hers and was in contact with someone back there. I understand she is a super person to help with things. Can anyone help me out? Overwhelmed in California,Carole M.
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Charles T. Meyer, M.D.
Middleton (Madison), Wisconsin
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