Re: Mother's visit to the doctor
Absolutely! If she had side effects before she is likely to have side effects again. The medication is not going to improve or even stop her decline. It only promises to slow the progress in some cases. If your Mom is on a rapid decline then it is not going to be very beneficial. In your Mom's care, with the known side effects, the risk probably outweigh the benefits. Beyond that the med doesn't cure sundowing.
It is not a miracle drug. Mom went on both three years ago after her diagnosis with moderate to sever dementia consistent with ALZ. I can't tell it slowed anything because her decline remained the same. I do believe it attributed to her agitation and paranoia. She was finally taken off last March. She didn't fail any more rapidly without them. It all seems a steady decline whether she was on the or off them. In May my sisters requested that I ask the geriatric psychiatrist about putting Mom back on them. With her mini mental score of 8 he said it would do no good and refused to prescribe them again.
Sometimes I think physicians prescribed Aricept or Namenda just because they don't know what else to do.