Lately my Mom has slurred speech off and on and drools. We notice that it seems to happen after all the meds are given. We haven't figured out yet which medicine is causing this, (if it is indeed a med) Constantly complains of headache, have retina specialist appointment coming up, we are thinking another change in glasses due to changes with vision. Any ideas on the speech and drooling?
Yes, the slurred speech and drooling could be caused by medications. So could the headaches, though it's very wise to get her eyes taken care of, as well. A pharmacist may be able to help you and the doctor decide which drug she takes may be most likely to be causing the symptoms. The only reliable way to tell would be to try eliminating one drug at a time, and you should only do that with the doctor's help.
Real time makes a point in that if a medication change happened shortly before the symptoms, the new drug could be the likely culprit.
You sound as though you're taking good care of your mom. Work with the professionals and you'll know that you're doing the best for her that you can.
Take care,
Carol
You will want to talk to your mother's doctor to further evaluate her symptoms, and if they are indeed thought to be related to medication, deduce which medication(s) may be the culprit.
If you have further questions about this topic or others, feel free to contact me directly (click on my profile for details).
Hope this helps. Best wishes.
Vik Rajan, M.D.
DISCLAIMER
The health information provided above is FOR EDUCATIONAL PURPOSES ONLY, and DOES NOT CONSTITUTE MEDICAL ADVICE/OPINION, is not meant to diagnose or treat any illness or disease, and is not a substitute for the medical evaluation and advice of your (or your loved one’s) primary care physician or other medical professional. No doctor-patient relationship is established with this interaction. While striving to be factual and exact, no warranties are made with regards to the accuracy of the information provided above. You are always advised to talk with your (or your loved one’s) doctor about any health concerns that you have and about any of the information provided here. Sole reliance on the information provided above is not advised and would be solely at your own risk and liability.
Do a search for 'Polypharmacy', you will learn a lot, it is important for most people to understand how this reacts with people at differing age groups.
and also interaction with things like pepto bismo before or after taking.
This is my mother's story.
My mother was on about 15 different medications. Doctors at Kaiser LOVE to prescribe, and my mother is a hypochondriac. For several years she was having constant falls, her speech was always slurred, she shook as if she had palsy, and she was NOT in her right mind, but it was not until after two falls within a month left her with a break in a right ankle and a break in her left tibia and the fact that they were not healing, that she finally allowed me to take some charge of her medical.
I used a Drug website that allowed me to type in all of her meds and then they were processed for all possible interactions. The biggest problem was that they had her on 4 central nervous system depressants, and 1 SSRI. 1 interaction was potentially fatal, and more than several interactions were highly cautioned. Some interactions caused the falling, dizziness, slurred speech, improper thinking, and the rest of the interactions seemed to cause the same symptoms my mother was trying to have treated! I printed up the 18 pages and brought them to my mother's next doctor's appointment. Based on that she was titrated down on one or two, and some others were eliminated. Within a couple months four were stopped and one was exchanged for something much less dangerous.
I added in some supplements with her doctors approval, ester C and zinc because she was in a board and care facility and exposed often to sick people. A supplement which contained Fish, Flax, and Borage Oils for ALL her Omegas for heart health. Calcium, magnesium, and D3 for her bones to knit faster and her mood to improve, (she had been casted for over three months and had shown no healing, casts did not come off until almost five months after the initial break).
Four months after my mother let me have a little control she was able to walk with a walker, her speech was no longer slurred and her shaking was completely gone! She used to shake so badly that she could not hold a drink and was barely able to feed herself. Within six months she could walk without a walker.
Talk to your doctor before using Tramadol together with metoclopramide.
Fenofibrate can increase the effects of warfarin and cause you to bleed more easily.
Using warfarin together with traMADol may cause you to bleed more easily.
Using warfarin together with celecoxib may cause you to bleed more easily. You may need a dose adjustment based on your prothrombin time or International Normalized Ratio (INR).
Using ALPRAZolam, (Xanax), together with Tramadol may increase side effects such as dizziness, drowsiness, and difficulty concentrating.
Using diphenhydramine-(Benedryl), together with traMADol may increase side effects such as dizziness, drowsiness, and difficulty concentrating.
Celecoxib may increase the blood levels and effects of Tramadol. If your doctor does prescribe these medications together, you may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.
Using metoprolol together with celecoxib can increase your blood levels of metoprolol. This can lower your blood pressure and slow your heart rate, causing side effects such as slow heartbeat, headaches, dizziness, or feeling like you might pass out. Talk with your doctor before using these medications together, and report any side effects promptly.
Using omeprazole together with furosemide may cause a condition called hypomagnesemia, or low blood magnesium. Drugs known as proton pump inhibitors including omeprazole can cause hypomagnesemia when used for a prolonged period, and the risk may be further increased when combined with other medications that also have this effect such as furosemide. In severe cases, hypomagnesemia can lead to irregular heart rhythm, palpitations, muscle spasm, tremor, or seizures.
Ask your doctor before using diphenhydramine-(Benedryl) and metoclopramide. Using these medications together may cause metoclopramide to be less effective. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Furosemide and diphenhydramine-(Benedryl) may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
I go to a great little dotcom called Drugs. I plug in every single medication and it gives me a list like the above I made for you. By the way, you really need to go to this website and do it for yourself. I abbreviated each result up there because the page of results from your drug list is very very long. I could not even show you all of the results. I suggest that you speak with your doctor and pharmacist with the results from that website all printed up. I understand that you would like your mother sedated, not sure why but. . . . anyways you probably should not do so, the diphenhydramine-(Benedryl), is just not a good idea. If your doctors will not sedate her, it's because her heart/lungs/kidneys/central nervous system cannot handle sedation. The drooling would be enough proof I would think.