Doctor insights on:
Medicine For Frontotemporal Dementia
There are 3 types: Named for the brain areas that are affected, the frontal and temporal lobes, there are several variants of this type of dementia. Some of these types of dementia have prominent problems with words — either slowly losing the ability to speak or losing the ability to makes sense when one talks. There is an impulsive, disinhibited personality variant as well. ...Read more
It happens: At a much younger age and the course of the disease is rapidly progressive with symptoms such as memory loss, getting lost driving the same route you've been driving for a long time, decrease in personal hygiene, later there is complete memory loss of even the simplest way of functioning that the individual needs total care. The prognosis is poor, ...Read more
Yes: Pick disease and frontotemporal dementia is the same. ...Read more
Evolving: There is no effective treatment for these illnesses yet, though aggressive research is underway. UCSF has a website / center with good updates, and they also operate a clinical trials unit. ...Read more
Do you have to have behavioral problem if you have frontotemporal dementia? What are all the symptoms?
Please see the excellent review at:www.Mayoclinic. Com/health/frontotemporal-dementia/ds...
Frontotemporal dementia comprehensive overview covers symptoms, treatment for this group of rare brain disorders. ...Read more
In BV Frontotemporal dementia, how long does aggressive behavior last throughout the span of the disease?
I hope this site can lead you to good information:
Best wishes! ...Read more
Mom has BV Frontotemporal dementia, gets btw. 3-6 UTIs a yr. because of poor hygiene practice. How will this affect her kidneys and overall health?
It's not good: This can certainly be difficult and can get worse. Discuss her needs w/ her doctor(s) and slowly prepare for care decisions. Her need for more complete care might become urgent as time passes and planning can help. A problem w/ UTIs is that they plus the antibiotics can both cause problems for the brain and tat can worsen the dementia, etc. It's a vicious cycle and help will help. Best wishes! ...Read more
Is numbness in feet a symptom of progressing frontotemporal dementia? My mom is pretty inactive, overweight, and in abt. Mid-stage of ftd. Thank you.
No: No, foot numbness is not a symptom of fronto-temporal dementia. But being inactive and overweight can lead to diabetes, which can be associated with numb feet and a variety of other peripheral nerve problems. Hoping you can get your mother in to see her primary care physician for a checkup soon. ...Read more
Mom has mid-stage Frontotemporal dementia; having more freqent UTIs lately; started 3 yrs ago. Concerned the antibiotics will lose effectiveness soon.
UTI and abx: Why is she getting UTI, most patients there is a reason, and the reason can be personal or anatomic, is there an issue with her urogenital tract etc? Next issue is does she have true UTI or a urine is positive and she gets treated, are there cultures done, and often patients can be colonized may not therapy. A discussion with her MD may be needed and she may need to see an Inf disease doc. ...Read more
See below: It affects the frontal lobes (front) and temporal lobes (sides) of the brain. Onset is usually earlier than alzheimer's. Initial sx may involve changes in personality, judgement and social functioning. Pick's disease is one of the forms of the frontotemporal dementia. Here's a link to fuller description of the disease http://www.Alz. Org/alzheimers_disease_frontotemporal_dementia. Asp. ...Read more
Is frontaltemporal dementia hereditary? My mom has it, but no other relatives (dad, grandparents, aunts/uncles) have had it.
Can well be : Although precise hereditary data is lacking due to the variable nature of many ftd presentations, it is thought that 20% may be associated with a mutation affecting chromosome 17, and there may be at least 4 different allelic presentations. ...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
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.
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
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 an 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 its medicine lifetime 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 the 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