Posted by zonked on April 20, 2014, at 10:25:31
In reply to Re: For my mom: Haldol for out of control delirium?, posted by ed_uk2010 on April 20, 2014, at 10:17:37
> I think either haloperidol or risperidone could be useful in that situation, probably 0.5mg of either. If haloperidol didn't work you could try risperidone (for a future episode, not the same one). If neither med worked I would look at something else rather than trying more antipsychotics.I found the bottle: Haloperidol LAC 2mg/ml for IM.
Over the phone, hospice recommended (if I had to which I didn't) "the full 2mg". A nurse also
did an assessment in person and must have decided
Ativan was enough and it was. They have used it on her before I moved back here, I can tell because the bottle is only 1/4 full. I'll be asking for chart dates and doses.There are other sedatives available, like Ativan IM, or sublingual Ativan, they are aware she already takes Xanax orally. I trust them, they know what they're doing... I think it's good to have an antipsychotic on hand ONLY in an emergency.
Will discuss risperdal also, a pill or a short-acting IM form (if available). Oh, god forbid. She has excellent insurance, so anything (brand or generic) should be covered.
> Has the temazepam been started recently? Temazepam is a low potency benzo compared with Xanax, so may not be very effective for sleep in someone who has taken Xanax long term. Trazodone can be effective for sleep but does sometimes cause dizziness. There is a risk of falls when adding additional sedative medication.
>
>She's been on Zoloft, gabapentin, xanax, and temazepam for 6 years for depression and anxiety. Doses haven't changed, except the Xanax dose which crept up a bit over the years. She never abuses it.
poster:zonked
thread:1064516
URL: http://www.dr-bob.org/babble/20140419/msgs/1064526.html