Doctor insights on:
Medicine For Dementia
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
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
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
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.
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
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 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
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 more
My father (93 year old patient with dementia) has suffered various TIA (stroke?) and treated in the emergency room (hospital). Any drug for treat it?
What is the cause?: Any therapy to help prevent a stroke should be directed at the cause. I need to know more information about the cause of the strokes before making a recommendation. ...Read more
On different types of antidepressants n tranquillisers for 8 years. Will these drugs cause brain damage, dementia or alzheimer's when taken long term?
No: Even when taken for many years, these medications do not usually cause brain damate or alzheimer's disease. If you continue to be concerned, speak with you prescribing doctor. ...Read more
Mom in mid-stage ft dementia. Gets bloodshot eyes every 3-4 wks. On namenda, (memantine) aricept, 0.25mg risperdal. Most likely drugs or disease the cause?
Partly,: Persons with dementis blink a lot less than needed. You see them staring off into space. The eyes are usually red form dryness irritation. Use lubricating eye drops as needed-; refresh, systane or blink eyes drops all are available as over the counter treatment. ...Read more
Many factors: Such as inherited predisposition as in Alzheimer's Dementia, Vascular Dementia is caused by hardening of the arteries with decreased blood flow to the brain causing microvascular changes as in strokes, repeated blows to the brain as in those incurred in sports, boxing, football. Accidents causing concussions or traumatic brain injuries like explosions in war. Diseases like Parkinson's Disease ...Read more
Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more