Medication Issue - Rydapt (Midostaurin)
My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures.
Since she has a long-standing issue with hand tremors, we took her to the hospital for an examination.
The doctor said her symptoms did not resemble Parkinson's disease, so he ordered a blood test to check for thyroid issues and prescribed a medication called XinKangLe tablets, instructing her to take one after breakfast and one after dinner.
After a month, my grandmother returned for a follow-up appointment and found out that her thyroid levels were normal.
The doctor then advised her to continue taking the medication for another month before coming back for another check-up.
During this follow-up, the doctor prescribed a new medication called Ritan tablets, instructing her to take one after breakfast and one after dinner.
However, since she started taking this new medication, she has experienced insomnia at night and even hallucinations, claiming that there are people in the house.
This morning, she was looking for gloves, saying someone told her to go back to her old factory job.
Yet, when I asked her about recent memories, such as when she needs to see the dentist again or the content of conversations with our neighbors, she remembers everything clearly.
Could this be a side effect of the Ritan tablets? Additionally, my grandmother is also taking medications prescribed at her clinic in Changhua, where they have even prescribed treatments for Parkinson's disease!
Zoe, 20~29 year old female. Ask Date: 2023/09/07
Dr. Peng Shiwei reply Neurology
Hello, there are many medications available for treating tremors and Parkinson's disease.
Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management.
Thank you for your question.
Reply Date: 2023/09/07
More Info
Rydan tablets, known generically as Risperidone, are atypical antipsychotic medications primarily used to treat conditions such as schizophrenia, bipolar disorder, and irritability associated with autistic disorder. While they can be effective in managing these conditions, they also come with a range of potential side effects, particularly in elderly patients.
In your grandmother's case, the onset of insomnia and hallucinations after starting Rydan tablets raises concerns about the medication's side effects. Common side effects of Risperidone include sedation, dizziness, and cognitive impairment, which can be particularly pronounced in older adults. Elderly patients are often more sensitive to medications, and the risk of adverse effects increases with age due to factors such as altered pharmacokinetics and the presence of comorbidities.
The hallucinations your grandmother is experiencing—such as believing there are people in her home or that someone is calling her to work—could indeed be linked to the use of Rydan. This medication can cause psychotic symptoms, especially if the dosage is not appropriately managed. Furthermore, the sedative effects of Risperidone can lead to confusion and disorientation, particularly in those who are already experiencing cognitive decline or other neurological issues.
It's also important to consider the potential for drug interactions. If your grandmother is taking other medications, including those prescribed for her tremors or any other conditions, these could interact with Rydan and exacerbate side effects. For instance, medications that affect the central nervous system can increase the risk of sedation and cognitive impairment when taken with Risperidone.
Given your grandmother's history of tremors and the recent changes in her mental state, it would be prudent to consult with her healthcare provider as soon as possible. The doctor may need to reassess her medication regimen, considering both the benefits and risks of continuing Rydan. They might also explore alternative treatments that could manage her symptoms without causing such severe side effects.
In terms of dietary restrictions, there are no specific food interactions with Risperidone that are widely recognized. However, it is generally advisable for elderly patients to maintain a balanced diet and stay hydrated, as dehydration and poor nutrition can exacerbate medication side effects.
In conclusion, while Rydan tablets can be effective for certain psychiatric conditions, their use in elderly patients requires careful monitoring due to the increased risk of side effects such as insomnia and hallucinations. It is essential to communicate any concerning symptoms to her healthcare provider to ensure her safety and well-being. Regular follow-ups and open discussions about her medication and any side effects she experiences are crucial in managing her health effectively.
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