A 42-year-old member asked:
Disclaimer

lewy body dementia - does anyone know of any treatment for this disease?

2 doctor answers
Dr. Pamela Pappas
41 years experience Psychiatry
Few options: There are currently no fda-approved treatments specific for lewy body dementia (dlb). But given the severe cholinergic losses that occur in dlb, the frequent co-occurrence of alzheimer's disease pathology, and several small trials that suggest their effectiveness, cholinesterase inhibitors are the off-label treatment of choice. Exelon (rivastigmine) patch has shown some effectiveness for the cognitive decline.
Answered on Jun 25, 2014
Dr. Robert Hutchman
23 years experience Neurology
Meds & Support!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil.
Answered on Jun 25, 2014

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 76-year-old male asked:
Dr. Heidi Fowler
24 years experience Psychiatry
Treatment: There is treatment but not a cure. If this hasn't already been done, he would benefit from seeing a geriatric specialist, neurologist or geriatric ps ... Read More
1
1 thank
A 40-year-old member asked:
Dr. Rawan Tarawneh
A Verified Doctor answered
A US doctor answered Learn more
Symptomatic therapy: Just like many other causes of primary dementias, there is no definitive therapy or cure. However, some medications like donepezil and rivastigmine ca ... Read More
2
2 thanks
A 38-year-old member asked:
Dr. Paul Gilson
40 years experience Neurology
Dementia: Alleviate stress, balances diet, ti chi, yoga, stationary bike riding, calming teas, reading about the condition helps the care giver cope which in t ... Read More
2
2 thanks
A 38-year-old member asked:
Dr. Yash Khanna
56 years experience Family Medicine
Prevntion of alzeime: You can start eating right, exercising regularly, staying mentally and socially active and keeping stress in check.Learning new things all the time li ... Read More
1
1 thank

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month