A member asked:

How would a doctor treat himself if he had dementia with lewy bodies?

4 doctors weighed in across 3 answers

Dont know: If i had lewy body disease i dont think i would know it .It would be my care givers who will be offerred the challenge -very difficult.

Answered 5/7/2016

6k views

Thank

Brief Details.......: 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 6/25/2014

5.7k views

Thank

Brief Clinical Facts: Neurodegenerative d/o featuring milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations, delusional thoughts), excessive sleepiness, depression/anxiety/apathy, & rbd. Rbd = rem behavior d/o, causing acting-out of dreams in rem sleep.

Answered 12/9/2013

5.7k views

Thank

Related Questions

A member asked:

Doctors, what is the difference between anomia/agnosia/dementia?

A doctor has provided 1 answer

A member asked:

How does a doc diagnose dementia?

10 doctors weighed in across 2 answers

A member asked:

Do doctors see a lot of patients with dementia?

A doctor has provided 1 answer