Managing Concussion Medication Side Effects in Elderly Patients

Side effects of concussion medications?

A 74-year-old grandmother fell and hit her head on January 16, resulting in a large bump on her head.
Although the X-ray showed no signs of bleeding or other symptoms, the doctor prescribed medication for a concussion.
However, after taking the medication, she experienced generalized weakness and increased dizziness.
The doctor believes this is due to her posture rather than a side effect of the medication, but the grandmother no longer wishes to continue taking the medication.
Is it safe for her to discontinue the medication on her own?

Wang, 20~29 year old female. Ask Date: 2016/01/27

Dr. Li Zhonghuai reply Surgery

Hello! It is common to experience pain and dizziness within six months after a head injury, but severe pain, significant dizziness, and overall weakness may require closer monitoring, and a CT scan of the brain may be necessary.
There have been previous cases where a stroke due to cerebral infarction was mismanaged as an accident.
In the acute phase, a CT scan often cannot diagnose the infarction.
Please consult your physician before discontinuing any medication, and it is advisable to have regular follow-up appointments.
Changhua Hospital cares about you!

Reply Date: 2016/01/27

More Info

Managing medication side effects in elderly patients, especially after a concussion, is a delicate process that requires careful consideration of both the patient's health status and the potential risks associated with discontinuing medication. In the case of your grandmother, who is 74 years old and has experienced a concussion, it is crucial to approach her situation with caution.

Firstly, it’s important to understand that elderly patients often have different responses to medications compared to younger individuals. This can be due to a variety of factors, including changes in metabolism, the presence of comorbidities, and polypharmacy (the concurrent use of multiple medications). The medications prescribed for concussion management may include pain relievers, anti-nausea medications, or medications aimed at managing symptoms like dizziness or anxiety. Each of these can have side effects, and older adults are particularly sensitive to these effects.

In your grandmother's case, the symptoms of weakness and increased dizziness after taking the medication could indeed be side effects of the drugs prescribed. While the doctor may attribute these symptoms to her posture or other factors, it is essential to consider that the medications themselves could be contributing to her discomfort. If she feels significantly worse after taking the medication, it is reasonable to question its continued use.

However, before making any decisions about stopping the medication, it is crucial to consult with her healthcare provider. Abruptly discontinuing medication can sometimes lead to withdrawal symptoms or a rebound effect, where the original symptoms may return even more intensely. The healthcare provider can evaluate her current condition, review the medications she is taking, and determine whether it is safe to discontinue the medication or if a dosage adjustment is necessary.

In addition to consulting with her doctor, here are some strategies that may help manage her symptoms more effectively:
1. Medication Review: Have a thorough review of all medications she is currently taking. This includes not only the concussion medication but also any other prescriptions, over-the-counter drugs, and supplements. This can help identify any potential interactions or cumulative side effects.

2. Gradual Tapering: If the decision is made to discontinue the medication, it may be advisable to taper the dosage gradually rather than stopping abruptly. This can help minimize withdrawal symptoms and allow her body to adjust.

3. Non-Pharmacological Interventions: Explore alternative therapies that may help manage her symptoms without the use of medication. This could include physical therapy, occupational therapy, or cognitive behavioral therapy, especially if she is experiencing anxiety or mood changes.

4. Monitoring and Support: Keep a close eye on her symptoms and provide support as she navigates her recovery. Encourage her to communicate openly about how she feels, and ensure she has assistance with daily activities if she is feeling weak or unsteady.

5. Follow-Up Appointments: Schedule regular follow-up appointments with her healthcare provider to monitor her recovery and adjust her treatment plan as necessary. This will ensure that any changes in her condition are addressed promptly.

In conclusion, while it may be tempting for your grandmother to stop taking the medication due to her side effects, it is vital to involve her healthcare provider in this decision. They can provide guidance tailored to her specific health needs and help ensure her safety during her recovery from the concussion.

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