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A 53-year-old male asked:

What is the best prescription drug for a 93 year old patient with vascular dementia? any natural?

3 doctor answers4 doctors weighed in
Dr. Mahesh Allam
Internal Medicine 38 years experience
Depends: Depend on what we are treating for memory loss Aricept & Namenda can help for sundown syndrome & agitation Buspar (buspirone) has been helpful. For sleep, Restoril or valium may help. Consult a geriatric specialist & join a support group in your community. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bac Nguyen
Family Medicine 24 years experience
Not reversible: Vascular dementia is considered nonreversible and often medications currently available offer only small amount of benefit at best. There is no best drug--the one that helps without significant side effects, as well as affordable, is best medicine. Treatment is individualized and so consulting doc is advised. Otc gingko may help some people, but effectiveness is minimum at best. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Douglas Fronzaglia ii, do, ms
Internal Medicine - Geriatrics 22 years experience
Nothing: There is no effective medication for vascular dementia. The disease process is similar to that of heart disease in that the blood vessels become diseased. Aspirin and cholesterol medications called 'statins' are the only meds that can slow progression in early stages.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 6, 2015
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