Doctor insights on:
Anti Alzheimers Drug Medication
NO new drugs: Multiple newer meds have not been approved by the fda, and some of the newest approaches seem also destined for failure such as ivig on its own, or bapineuzamab. A better approach is to combine Namenda (memantine) with a cholinesterase inhibitor, and perhaps add a medical food such as axona. ...Read more
Several available: But, at best, these possess modest benefits. The classics include aricept, Exelon pill and patch, galantamine, (galantamine hydrobromide) Namenda ir and er, and a couple medical foods, axona and cerefolin-nac. A neurologist can help design a program, but evidence strongly suggests better outcome from combinations of the above. ...Read more
Off label: Situations which are non-fda approved. Virtually any cognitive loss or condition which affects intellect. For stroke-caused dementia, perhaps donepezil or galantamine (galantamine hydrobromide). For ms cognitive changes, both donepezil and rivastigmine fail, but maybe galantamine (galantamine hydrobromide) helps here. Parkinson's dementia very different from alz, and Exelon patch likely best. Head trauma hard to decide. ...Read moreSee 1 more doctor answer
Yes: There are 2 classes of meds used for ad. Cholinesterase inhibitors(donepizil, galantamine, (galantamine hydrobromide) rivastigmine) help boost the level of acetylcholine in the neuronal cleft- this chemical is known to be important for memory and learning. Nmda antagonist memantine helps the neuron to fire more normally and may have a protective effect as well. They are often used together. ...Read more
Alcohol: We have no evidence alzheimer's is caused by a drug. However chronic excessive alcohol use is associated with dementia. There are negative cognitive effects of many other drugs including marijuana and opiates but few dementia syndromes described. To cause dementia there would need to be brain damage. ...Read moreSee 2 more doctor answers
My grandmother has Alzheimer’s. Currently, she is experiencing extreme behavioural and neuropsychiatric symptoms. Her DR. prescribed her clanazapam to take as needed, so just want to get a 2nd opinion to make sure it is safe for her to take the drug?
Yes and No.: It seems like your trust level with the Doctor needs addressing. Benzodiazepines can be useful for some, but can cause hallucinations and delusions in others. Elderly people can at times have difficulty excreting these types of drugs, which can lead to problems. It can cause balance concerns which can lead to falls, which can be deadly for elderly. Use with supervision is less dangerous. ...Read more
When do Alzheimer's disease for a person needs treatment medically?Does drugs affect significantly?
Early vs later stage: Both relieve symptoms of the disease & focus on neurotransmitters key to memory and learning. Aricept focuses on acetycholine in an attempt to slow its loss because of alzheimer's. Namenda (memantine) focuses on glutamate, blocking the excess produced as a part of the disease. Namenda (memantine) is better suited to moderate to advanced stages of alzheimer's, while Aricept is for early onset through advanced stages. ...Read moreSee 1 more doctor answer
Yes: They both have advantages and disadvantages. To learn about the risks and benefits to make a decision you should consult your doctor. ...Read more
They don't: Drug treatments for alzheimer's don't affect genes like apo e4. Their intent is to treat the aftermath (the cognitive symptoms of alzheimer's disease itself). Young people with this gene should read dr. David perlmitters new book, "grain brain, " which makes a strong research-based case for gluten and other sugars being linked to alzheimer's and many other problems. http://tinyurl.com/mof6qj8. ...Read moreSee 2 more doctor answers
Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.
No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read moreSee 1 more doctor answer
On different types of antidepressants n tranquillisers for 8 years. Will these drugs cause brain damage, dementia or alzheimer's when taken long term?
A few may help: While there is no cure for alzheimer's disease, there are a few prescription medications that slow its progression. (the amount they help may or may not be clinically significant, though — researchers disagree on this point.) examples include Aricept (donepezil), Namenda (memantine), and Exelon (rivastigmine). ...Read moreSee 1 more doctor answer
Several : No cure available, but these meds may help: early memory issues: donepezil, or medical foods, cerefolin-nac or the fuel, axona. Later, try Exelon patch, namenda, galantamine, (galantamine hydrobromide) and combinations work best. Since process advances, need a geriatrician to closely follow over time. ...Read more
Unlikely: Alzheimer's disease is the most common type of dementia. There are no medications-scientific or alternative-that have been shown to modify the course of the illness. Many symptoms of the disease can be helped with behavioral interventions, prescription medications and ossibly with alternative medications but it is important to know the pharmacology of alternative medications before using them. ...Read moreSee 1 more doctor answer
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