Restlessness and incoherent speech

Question

Asked for Male, 46 Years

My mother, aged 73, got admitted in hospital 3 months back with Urinary Tract Infection (UTI) and hyponatremia (low sodium). While being treated in hospital after 4-5 days she showed some symptoms of incoherent speech and doctor put her on DVeniz50 once at night and ARIP MT 5 twice a day. ). In 2002 she had TIA. As a hypertension patient she was on Metacard XL ,Cilacar 10 and Cardace 5 (all once a day). Post discharge from hospital she continued her all medicines prescribed. After 3 months, she is experiencing disturbed sleep and incoherent speech. Reducing ARIP MT 5 dose to 1 tab at night alongwith Dveniz makes her extremely dizzy. Both these medicines were stopped and she felt uneasy and depressed after a day of withdrawal. Can we stop Arip and DVeniz? What are the risks? What to do?

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Dr. Priyadarshani Jain Psychiatrist 19 yrs exp Mumbai · Accepted Answer

Dr. Priyadarshani Jain

Psychiatrist 19 yrs exp Mumbai

Hi, this looks like delirium. Kindly get your mother assessed by a psychiatrist first to assess the need for D veniz and Arip. If they help her... they are worth continuing and they give her intolerable side effects they can be replaced by other medications. This can be done only after evaluating her. Also if she is again experiencing confused behavior... check her electrolytes again esp. Sr. Sodium. More tests may be required. Kindly get her checked. Dont let her worsen.

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