A member asked:

88 old sister has vascular dementia. she keeps telling me," i don't want to cry but i can't stop". her doctor prescribed xanax. no difference using it. can you suggest something that would calm her, less anxiety. something other than xanax?

2 doctors weighed in across 2 answers

Xanax would not be my first choice for this condition. I'd suggest lo dose anti-depressants such as Prozac or Effexor. Start with a small dose and gradually increase until the anxiety is improved/resolved. You could also consider consulting a gerontologist.

Answered 1/22/2022

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Would advise caution regarding symptomatic medication as anti-cholinergic side effects will make dementia far worse, and Xanax is not a good choice. Have a neurologist get involved, and consider rivastigmine patch or donepezil, as basic medication plus a mood stabilizer. A gerontologist is also a good option.

Answered 1/22/2022

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