How long do Exelon and Risperdal work?

A fellow caregiver asked...

My mom is on the Exelon patch and Risperdal; they have worked wonders for her. Just wanting to know if anyone knows how long this will last, or how long they keep working?

Expert Answer

Ladislav Volicer, M.D., Ph.D., is recognized as an international expert on advanced dementia care. He is a courtesy full professor at the School of Aging Studies, University of South Florida, Tampa, and visiting professor at the Third Medical Faculty, Charles University, Prague, Czech Republic. Twenty-five years ago, he established one of the first dementia special care units.

I am glad that the medications are helping your mother. However, in a future your mother may be getting worse despite Exelon and that would not mean that the medication is not working, because Exelon does not stop progression of Alzheimer's disease just delays it. Therefore, if your mother gets worse, it would be a mistake to think that Exelon is not working any more and stop it, because that may lead to faster progression.

UPDATE: Hubby, you need to find another doctor. Mirtazepine is a medication to treat depression, not dementia. However, the problem your wife has could be due to other condition than Alzheimer's disease. She needs to be properly examined and diagnosed. There are other medications that could help her if she has Alzheimer's disease.