Doctor insights on:
Medicine For Als Dementia
Dad had ALS @ 62, mom has dementia @ 67. I am worried about my genetics. I'm healthy and family history beyond parents is clear. Am I being paranoid?
Yes: Anyone with onset of dementia in their 60's may have a form for which you have a 1 in 2 chance of inheriting. Your mother should be evaluated for these by a clinical geneticist who may provide a definitive diagnosis. After appropriate counseling, you could elect to be tested whether you have inherited the causative mutation. ALS is much less likely to be a risk for you. Keep tests confidential ...Read more
Tremors in hands, weak legs, mem issues, cognitive decline, apathy, blurry vision, tach, headache, floaters...Could it be parkinsons? Dementia? Als?
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 more
Can a particular drug increase the manifestation of dementia in an old person, especially a pain reliever.
My grandma has ALS and can't move on her own and she also hardly swallows the food. What to do to stop this decease from progressing? Any medicines?
No: Sounds like your grandma is in a fairly advanced stage so she must have ALS for a while quite enough time to discuss her decease with her doctors. I find it a stretch to believe that you haven't been told not once but repeatedly that this decease has no cure and that the only approved drug riluzole only slows it a little. For more information about this decease check out http://www. Alsa. Org. ...Read more
Wen I was 18 I used drugs heavy for 6 months only (mdma, cocaine, whippits).Did I increase my risk of ALS? Or was this exposure too brief to cause damage?
NO: Your drug abuse does not put you at risk for ALS, but if you continued, you would be at risk for a stroke, heart attack or even Parkinson's disease. Glad you stopped, as recreational drugs are a recipe for catastrophe. ...Read more
Presently, there is no specific drug treatment available. However, physicians do use anti-platelet agents such as aspirin, dipyridamole, or clopidogrel in efforts to retard the disease process by helping to prevent some strokes.
Research is trying to find ways to assist this very troubling condition. ...Read more
Pets and Health: Interacting with pets can be healing for any of us, including if we get dementia. In dementia, we may lose a lot of verbal memory but can respond to affection and unconditional love. Who provides this better than a beloved pet? As long as the dementia patient and pet are safe together, this can be helpful. It may not cure the dementia, but can provide needed stimulation and comfort. ...Read more
Why do people with dementia have a greater risk of developing a negative reaction to anticholinergic drugs?
They cause confusion: Anticholinergic medications have been known to cause confusion and giving them to people with dementia further increases the confusion they already have. Plus, it causes severe dryness of the mouth, difficulty initiating urination and blurred vision, all these symptoms already present in the geriatric population ...Read more
Recently found an article from 2007 connecting Statin drugs to ALS. Has this been disproven? Do statins increase als risk?
Statin drugs: The main side effect of statin drugs is lowering the risk of heart attack/stroke in patients w/ high cholesterol. Recommendations about who should take statin drugs are based on a very large amount of clinical data and represent evidence-based scientific medicine. Whether to take a statin depends on lots of factors. For personalized advice, consult your doctor or a specialist on HealthTap. ...Read more
Can anyone of you Help a friend of mine from Norway to Try out New medicine against ALS please send me a email if you can Help [email protected] Com?
ALS: Please contact teaching hospitals and university hospitals. They will have up to date research at their fingertips and many health care professionals to review your friend's situation. The very best to him/her. Peace and good health. ...Read more
Unfortunately: There is NO cure for ALS and only Riluzole is approved by FDA. This does delay need for tracheostomy, but does not affect strength. The Chinese herbals if advertised for ALS should be reported to your State Attorney General Office, as it is a fraudulent claim. In fact, not clear whether these herbals truly offer any actual benefit in majority of cases of any condition. ...Read more
Two types of: Medications are available: cholinesterase inhibitors such as Aricept and nmda receptor antagonists like namenda (memantine). The first class increases acetylcholine, a neurotransmitter involved in memory. Namenda (memantine) decreases abnormal brain activity allowing clearer thinking. ...Read more
No: Several approved drugs for treatment of ad with variable response but no preventive therapy with drugs. ...Read more
Can nuvigil mitigate symptoms of early onset dementia? Is there a more effective drug to help combat the cognitive symptoms?
Ask your neurologist: It is my understanding that Nuvigil is a drug promoting wakefulness and is used for such conditions as sleep disorders or fatigue disorders. There are other drugs, such as aricept, Exelon (rivastigmine), razadyne or Namenda which are used for early stages of dementia. This drugs help to slow down the trajectory of cognitive decline. Your neurologist will be the one to tell you which drug is best for you. ...Read more
Advice: We do not use research drugs here onsite, but would suggest there is little to lose if one has ALS, and a new drug protocol would be of potential value. A nearby medical school should be helpful to guide your friend to a local or national study group. ...Read more
I have a friend who has gotten ALS where there is testing of new drugs in the United States can you help me?
ALS Clinical Trials:
44 year old gentleman with a question about ALS clinical trials. Anyone can search for clinical trials that are recruiting, active, or completed at clinical trials. Gov.
Here is a link showing that there are some trials for ALS at some geographic locations:
https://clinicaltrials. Gov/ct2/results? Term=ALS&Search=Search
Good luck to you and your friend. ...Read more
Is recommended for a 93 years patient with vascular dementia take a hipnotic drug with clonazepan for insomnio?
Complex: Sleep problems are common in older adults and even more common in those with dementia. Causes of sleep problems are varied and as dementia progresses they change. Getting enough exercise early in the day is helpful. Many sleeping medications worsen confusion or cause side effects in those with dementia. Melatonin or warm decaf tea have minimal risk. Some antidepressants can help at least for awhil. ...Read more
What is the best drug (specific ssri) for pseudo dementia (due to depression) in a otherwise healthy 85 y f? Dose and course? Thanks...
Not possible: It really is not possible within this forum to provide a good answer to your question. The practice of medicine is a very complex matter. This site is not intended to provide specific medical diagnosis and treatment. You should not trust advice from any physician who does not first perform an appropriate and standard evaluation including a physical exam, especially for an 85 year old. Sorry. ...Read more
My friend's mother has dementia, is it compulsory for patient to take it's medicine life time and is it inheriting disease, from parent to child?
Good questions: You may not mean "compulsory", but it might be advised that an elder with dementia take effective medication until they die. The selection of drugs may change over time, but they are intended to delay disease progress and relieve some behavioral symptoms. As there is no cure, this is the best that can be done. Causation is complex, but heredity appears to play a role in the risk. ...Read more
What is the best prescription drug for a 93 year old patient with vascular dementia? Any natural?
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. ...Read more
Does the dementia drug donepezil really work? If so how well? I started giving it to my 85 year old mother with mild dementia.
Depends: On what you mean by "work." No drug is likely to reverse the damage that has already occurred. What they may do, but only in some patients and only to a limited degree, is slow down the progression of the dementia. Physical exercise, a balanced diet, lots of socialization and enrichment, as well as treating any underlying depression may do more to increase quality of life than meds. Get support! ...Read more
Can hypoxia and dementia in a middle-aged patient be the result of a heart condition? Could they be caused by a minor stroke or a drug overdose?
I found an article online that says acid reflux drugs (especially ppi's) can cause dementia and neuropathy because it reduces vit b12. Is this true?
My grandma has ALS. She can't clearly talk and walk. She has started taking Rilutek (riluzole).for how long will this medicine delay the progess of this desease?
It varies: As long as her system can tolerate it she will takes it until the end or until it stops helping. I'm not sure when that will happen. I am so sorry for you guys. Good luck ...Read more
My father (94 years old an with vascular dementia) is taking haloperidol (0.5 mg) to before bed because he has hallucinations. Is this drug safe?
Remember: There is no drug that is completely safe. Like many of these "neuroleptic" drugs they can affect the heart and movement system of the body. But by the same token, sometimes the benefits outweigh the risks. If this is the only medication that helps your father, then you have to work with its adverse effects too. Best of luck ...Read more