Doctor insights on:
Cognitive Deficit Including Memory Impairment
How much time it usually takes to Xanax (alprazolam) to cause 'permanent' cognitive deficits like memory deficits?
Not permanent: Any benzodiazepine can induce tolerance with ~2-3 weeks of consistent use. One might also have some temporary memory dysfunction with the first dose -- inability to learn new material when using. When the dose wears off, this effect should also wear off. If on xanax (alprazolam) and having this problem, a very gradual taper should allow cognition to return to previous abilities. It's not permanent. ...Read more
Deeply confused, severe memory loss, debilitating cognitive impairment. Pick fights I don't remember! My bf worries early onset Alzheimer's but I'm 37!
See a doctor: The symptoms you describe are concerning and need to be explained. Please see your primary care doctor or a neurologist for a complete examination and appropriate tests. ...Read more
Many: Could be many things. Eventually you may need consultation with a neurologist. ...Read more
Can SSRI, SNRIs cause cognitive impairment over time? I have used SSRIs for over 7 years and feel difficulty in concentrating, and memory problems
Great Question: This is a great question, and a really important one, because these medications are used to treat conditions that can come back over and over if medication is stopped (like major depression, or panic attacks). So far, so good--long term studies with SSRI's that have been on the market for many years seem to indicate they are safe long term. See your prescriber to discuss your memory concerns. ...Read more
I am currently taking topamax (topiramate) for migraine and experiencing cognitive deficits (memory). What are the best alternatives for migraine prophylaxis?
NOT SURPRISING: Topamax (topiramate) (sometimes known as "dopeamax") very often causes both speech and cognitive issues due to it's affect on an short-term memory pathway (perforant pathway, ampa). Would advise considering possibly depakote, or Naproxen (not beta blockers or calcium channel blockers). But how about otc preps such as riboflavin, coq-10, butterbur, feverfew, maybe magnesium, and lastly botox? ...Read more
What is the disorder in which perceived cognitive impairment is simultaneously present with actual intellectual deficits?
What cause a 17 yr. To be in "perpetual dream state", severe memory and cognitive impairment, exacerbated bipolar, react different to meds, all overnite?
Bipolar disorder can: Have sudden shifts and comorbidities, but what you are describing sounds more like possibly a medication side effect. I don't know what you are taking, but if you are on Depakote you need an ammonia level, if you are on lithium you need a lithium level, if you are on an antipsychotic you need a. Blood sugar level, and if you are doing street drugs or drinking you must immediatelystop. I recommend you go to the er now and get checked out. Best wishes. ...Read more
Can low testosterone cause cognitive impairment, especially memory and focus. If yes, does trt completely fix this. Or just improve it a bit.
See answer: Studies show an association between low testosterone (LT) levels and subsequent incidence of Alzheimers disease, and suggest testosterone is neuronal protective. Some studies show LT has a negative effect on cognition, but these studies haven't controlled for other confounding hormonal changes. There is suggestive but not conclusive evidence that giving T to people with LT increases cognition. ...Read more
Absolutely: Contact your pcp for referral for a sleep study, or polysomnogram. There are many possible causes of sleep fragmentation, and a disruption in the amount of any state of sleep can cause memory, concentration and mood disruption. In my practice, we deal primarily with obstructive sleep apnea. The patients report your symptoms and fatigue; the bed partners also suffer (from the noise!). Get checked! ...Read more
Can one time moderate use of cocaine lead to permanent brain damage, memory problems or cognitive impairment?
Death = permanent: In some, the first use of Cocaine causes death, which would be permanent brain damage or impairment. Not to mention heart attacks, respiratory failure, strokes, or seizures. In the brain alone, Cocaine is a very strong CNS stimulant that stops Dopamine from being recycled -- making it build up and disrupt normal neuronal communication. If you're dead, the long-term brain changes don't matter. ...Read more
Take free online tes: Go online & search for "free cognitive testing" or some variation. Take as many tests as you can and see how you score. If you well on all of them, then it's less likely but not impossible to have cognitive impairment. But if you don't do so well on most, then you really ought to chat, perhaps off-the-record, w/your doc and start some evaluation. At least improve your nutrition & exercise. ...Read more
I know mini strokes can lead to a massive stroke but do they cause cognitive or mental impairment?
Yes: Multiple small strokes can have cumulative effects. Control risk factors. Check out stroke. Org. ...Read more
I have schizoaffective do. I am having cognitive issues is Neuropsychological impairment normal? How bad can it get? Should I be tested!?
Not normal: You've had multiple psychiatric hospitalizations and poor concentration for which I'm guessing you take Concerta. Often neuropsych testing - briefer version- is done during a psych. hospitalization. If you've never had testing or it's been more than a few years, neuropsych testing might be clinically useful to your doctor or therapist. Please discuss advisability with them. Hope this helps. ...Read more
Age is the greatest risk factor for cognitive impairment, and as the Baby
Boomer generation passes age 65, the number of people living with cognitive impairment is expected to jump dramatically. An estimated 5.1 million. Americans aged 65 years or older may currently have Alzheimer’s disease, the most well-known formof cognitive impairment; this number may rise to13.2 mill in 2025. ...Read more
Cognitive impairment: An inability to think or reason clearly ...Read more
Yes: Not good for levitation though.Get a more detailed answer ›
Control: Control your blood sugar. Avoid the extremes (high and especially low blood sugar). Control other risk factors: blood pressure, cholesterol. Maintain healthy diet and exercise regularly. Do activities that stimulate your brain. See your physician for more individualized advice. Good luck. ...Read more
Typically neurodegen: (amnestic) mild cognitive impairment (mcia) is a clinical term used to describe a phase of life that falls between pre symptomatic (have illness but no symptoms at all) and mild dementia due to alzheimer's disease. The person is forgetful and their memory recall tests between normal and frankly abnormal and they remain independent in their activities of daily living. It can progress o 1-9 years. ...Read more
Lots of reasons: Cognitive impairment is due to many issues, chief of which is poor health. This can be manifest by poor nutrition & lack of exercise. Smoking, excess alcohol consumption & illicit substance use increase risk. Diabetes, high blood pressure, high cholesterol & heart disease are all associated w/cognitive impairment. Infections & some medications can push some over the line if their health is iffy. ...Read more
Dealing with memory: This is a difficult decision for many an all involved, whether it be you or a loved one. It is a personal decision but it is a decision you need to make while you can...A living will and good clear instructions to family are very important. There is no right or wrong...There just is. Do what is best for you. Decisions we make at the end are no different than the decisions and choices we made all along. ...Read more
How does one differentiate between MS and cidp? I have cognitive/emotional deficits, but my neuro says cidp is inconsistent with those symptoms. True?
MS or CIDP?:
Yes, that is true. CIDP would not cause cognitive or emotional deficits.
CIDP should cause diminished reflexes, numbness or weakness in a distribution affecting lower legs and hands, and can be found by nerve conduction testing.
MS may cause a variety of symptoms, and is often found by brain MRI testing and spinal tap. ...Read more
Estrogen2use or not: Estrogens are like any other med. They have side effects some good, some bad. If your family history is strong for cardiac or osteoporosis estrogen is a good option to keep you healthy. If you have a family history of breast cancer or a personal history of blood clots it would be better to pass on the estrogen use. Discuss all of this with your md and make an informed decision for you :). ...Read more
Sometimes: Anxiety can lower one's ability to focus and concentrate, and thus can also lead to some forgetfulness or distractibility. Still, (with the exception of temporary panic attacks, if any) most anxiety usually does not impair cognitive functions as much as some other mental health difficulties. This can be improved with psychotherapy and/or medication treatments. ...Read more
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