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Mental Awareness
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sosunny2012 posted:
My husband is a YOPD patient. He was diagnosed 5 yrs ago and is 48 now. It started out slow and progressed rapidly.
He now has issues with remembering but it is only at certain times of the day. Especially after his meds kick in.
He takes; Stalevo, Amantadine, Mirapex, Caridopa and just started on some Pscyh meds.
He is at his worst from about 12 to 7 and then goes to sleep and wakes up really good aside from the physical side affects.
Does anyone have any advice on how to deal with the lack of mental awareness that he goes through for the most part of the day?
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DUKE MEDICINE
Mark A Stacy, MD responded:
Dear Sosunny2012
I know that you and your husband are dealing with a lot. Because his memory is worse when he is on medications, I think this can get better. However, you will need to be prepared the next time you go to his Neurologist - and remember that we neurologists have very short attention spans...

Of the medications he is on, amantadine can cause problems with memory. Ask if this can be stopped.

The other PD meds can cause confusion and sometimes anxiety. He is on the "psych meds" for one of these symptoms. Ask which one.

Finally ask if the doctor thinks he is overmedicated, and if so, is he a candidate for Deep Brain Stimulation surgery. This is a surgical procedure, that in the right patients will allow for more mobility and less dyskinesias, with less medications. That would be a good outcome.


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