88 yr old mom confused. taking aricept, lexapro, (escitalopram) loritab, and inderal. shouldn't meds be evaluated? if so, by whom?

Yes, I think so.: Is there one physician responsible for all of these? Or, several? Yes, each office should have accurate, full info on all meds taken including otc ; herbals. Even a pharmacy can advise of interaction risks - and there are some here. None extreme, but still serious. Dizzy, confused, weak, etc is likely possible with these in combo. If she's in a facility, their staff should coord it - request it!

Yes: Confusion can be caused by medications and should be evaluated to see if the medications are all necessary or causing the confusion. If you have a specialist in geritric medicine to consult with this would be ideal.

Geriatrician: There are a few meds that can be contributing to your mom's confusion and are used less in the elderly due to higher incidence of side effects( inderal, (propranolol) lortab). A full geriaric assessment will include a med review and a cogntive evaluation, often with blood tests and brain imaging to assist with diagnosis and then treatment , if needed.