by Chris Gorman M.D., F.R.C.P.C.
(About Dr. Gorman)(This question answered on or before: 2007-02-15)

Diagnosis schizoeffective disorder with bi-polar tendencies
Hi I have been taking some psych meds for about 9 years now (serequel for 6 years 600 mg),(resperdal for 2 years 2mg), (lamictal for 1 year 2mg). I'm 45 years old.
I've noticed that my semi long term memory is not so great. For example I cannot remember much about a book I read several weeks ago. Movies I've seen 2 years back I don't remember at all, seems like most movies seem new to me. Confusion seems to play a part in it also, Sometimes I'm called on to speak in a public forum and I can't seem to remember what I wanted to say more than a few minutes at a time.
I have talked to my prescriber and she does not think it is the meds. I have an appt. to see her on the 31st of this month but wanted to get a second oppinion. What would be the normal course of actions between a medical doctor and psychiatrist in this scenario?
Thanks
Jim

Any medication that has any anti-cholinergic effect will potentially, adversely affect memory. Seroquel and Risperdal have anti-cholinergic effect, which most commonly cause dry mouth, dry eyes, constipation urinary hesitancy. The other possibility is that of depression, anxiety or mania adversely affecting memory.
I am always concerned about this issue but often wonder if we are all so afraid of having Alzheimer's disease, that we are too diligent in thes regard. Many of us are trying to remember as much as we can all the time and might end up expecting too much. That is not to diminish your concern in any way.
I hope your doctor is open to exploring the possibilities of memory problem causes with you. I hope this helps.
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