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mikeathome Asked July 2023

Husband had another paranoid episode today. Does anyone have medication suggestions?

He became aggressive thinking I was hurting him. I could not talk him down.


It lasted about half an hour. Held me down , would not let me up.


Afterwards had no memory of what had happened.


Doctor prescribed Divalproex ER 250 mg tab.


Suggestions for any other meds.


 

BarbBrooklyn Jul 2023
The place to trial meds is from the safety of a Senior Behavioral Facility or Psychiatric unit. Not a private home with knives, scissors and blunt objects.

I would not hesitate to call 911.

Geaton777 Jul 2023
I agree with those who say if it happens again (and this includes just verbal threats of violence, not just hands-on) that you call 911. They will get him into the psych ward without u having to deal with him. That's where you can discuss alternative meds. Make sure you forcefully tell the hospital that he's an unsafe discharge, this way they might keep him longer until a solution is found.

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Fawnby Jul 2023
Please look at this as what it is - a physical attack on you. He is demented. You wouldn’t continue to be around anyone else who had done this to you. The fact that he’s your husband no longer matters. He could kill you next time.

Put all knives and guns where he can’t reach them, out of the house if possible. Be aware that he doesn’t need a weapon to hurt you. He’s now the weapon.

Some things can’t be fixed by medicine. This may be one of them. I hope you will be okay.

ventingisback Jul 2023
“Suggestions for any other meds.”

Only a doctor should make meds suggestions, you know that.

If it’s all too much, danger to self/others, call 911. Today sounds very dangerous.

Daughterof1930 Jul 2023
This isn’t safe for you, and you matter too. If meds aren’t calming the behavior and you’ve checked with hubby’s doctor for alternatives, then please decide for him to live somewhere safe for you both. I wish you both peace

LoopyLoo Jul 2023
He’s beyond needing meds. He needs memory care. He’s gotten worse than you realize.

Keep any knives or sharp objects out of his reach. If you have pets, re-home them or guard them with your life. There is no telling what he is capable of now. He’s not the same person you knew anymore, sadly.

Call 911 if this happens again. You HAVE to, for both of your safety.

anonymous1732518 Jul 2023
You may recall the story of the husband with dementia in New Mexico who is accused of killing his wife before Thanksgiving.

MAYDAY Jul 2023
Yup... you just need to do what you need to do... and tell his doctor he needs to be placed. Nobody knows what you know or went through.

He held you down for 1-1/2 hours? 90 minutes? That's enough right there. He says he has no memory...

This is not a good situation. My friend's hubby got ALZ. He was THE MOST GENTLE PERSON.. until ALZ... He got violent. He was in a AL, he got violent, and the facility called 911 had him removed before they even called her.

Yes, your time to move him in a facility was that day he held you down for 90 minutes... Now is the time to move him...

Do you have other family members around? You may need emotional backup support... Noting wrong with that. validation...

janicemeyer18 Aug 2023
You should call 911 and have him transported to ER at any time that he is trending toward violence, abuse. When you get up from
" being held down" call 911 immediately and without hesitation to come transport him to ER. You are unsafe and he is unsafe to himself and others.

Now for your medication question, call his PCP immediately and, make the PCP aware of the change, the aggression and, have PCP give you directions.

Get help !

marygold Aug 2023
Hello, this is a very tough road, I am going through the same thing. My husband's doctor has prescribed Quetiapine tablets, 50 mg. 1 in the morning and 1 in the evening and now he is taking 2 in the morning and 2 in the late afternoon around 4 or 4:30. He may have started with a lower dose and (25mg?) and then increased the dose as needed. Also, he has a patch placed on his shoulder every morning it is Rivastigmine Transdermal System 9.5 mg. With this patch we had to work up to the 9.5mg. He started with half that amount. He sleeps more with this medication, but is so much better now that we don't have the agitation and the threating behavior. Good thoughts for you.

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