We’ve seen this over and over again, patients being prescribed medications because the doctors are being encouraged by the pharmaceutical companies to prescribe. Right now it’s some of our most vulnerable who are being prescribed medications that may or may not be safe for them. PBA (pseudobulbar affect) is a real condition, but is rare and usually affects those with MS or ALS (Lou Gehrig’s disease) but a surprisingly large number of dementia patients in nursing care facilities are being prescribed this medication often without the knowledge of their medical power of attorney.
It is being used as a behavior modification medication. There hasn’t been sufficient studies to determine if this medication is; a) safe for use in dementia patients, b) actually works across the board as an effective treatment for behavioral outbursts or c) drug interactions with other medications typically prescribed for dementia.
This article goes into quite a bit of detail about the disturbing practices of the drug’s manufacturer, prescribing physicians receiving kickbacks for prescribing it and the fact that a medication designed to treat a rare condition specifically related to completely different diseases there are a large number of patients (especially in nursing facilities) being dosed with it. Read here.