Mom is on Detrol LA for her bladder, atorvastatin to control cholesterol, lisinopril for blood pressure and sertraline for mood improvement. Dad is taking twice as many pills. They both are showing signs of cognitive impairment. The checkbook is a mess, they forget appointments, and the house is topsy-turvy.
A: Your in-laws should have a neurological assessment that includes the cognitive effects of all their medications. Tolterodine (Detrol) and similar medicines for overactive bladder can contribute to confusion and memory problems.
The prescribing information for atorvastatin (Lipitor) notes that the drug may be linked to cognitive impairment (memory loss, forgetfulness, amnesia, memory impairment, confusion). Other statins may have similar side effects.
You may find it helpful to review our Guide to Drugs and Older People, with its list of medicines that may be inappropriate for those over 65. Anyone who would like a copy, please send $3 in check or money order with a long (No. 10), stamped (70 cents), self-addressed envelope to: Graedons’ People’s Pharmacy, No. O-85, P.O. Box 52027, Durham, NC 27717-2027. It also can be downloaded for $2 from our website: www.peoplespharmacy.com.
Q: I’ve been using Selsun Blue for a month for my rosacea. To my amazement, it really works.
I was so self-conscious about my complexion. There still are some faint red pimples, but my skin looks better. I’m not red as a tomato any more.
I had tried other treatments, and Selsun Blue has made a difference. I use it every other day for about two minutes and wash it off with warm water.
A: Rosacea is a skin condition characterized by red cheeks, chin, nose or forehead, often with small bumps that resemble pimples. Sometimes the eyes or eyelids are involved.
The cause of rosacea is unknown, although some hypotheses point to small intestine bacterial overgrowth and others to large numbers of skin mites (Demodex).
Treatment often involves antibiotics or topical prescriptions such as Finacea. You are not the first to describe benefit from using a selenium-sulfide shampoo to wash the face gently.
Joe and Teresa Graedon answer letters from readers through their website: www.PeoplesPharmacy.com. Their newest book is “Top Screwups Doctors Make and How to Avoid Them.”
(c) 2014 King Features Syndicate, Inc.