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Doctor insights on: Medicine For Vascular Dementia

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Are there any drugs specifically for vascular dementia patients?

Are there any drugs specifically for vascular dementia patients?

Not specifically.: The best medicine would be to treat the vascular problem as aggressively as possible. So high blood pressure should be well controlled, etc. ...Read more

Dr. Maureen Nash
1,475 Doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease (AD), which initially involves the parts of the brain that control ...Read more


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Is recommended for a 93 years patient with vascular dementia take a hipnotic drug with clonazepan for insomnio?

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

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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?

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

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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.

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

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What is vascular dementia?  

Caused by a stroke: Most people think of vascular dementia as memory and other brain impairments leading to dementia caused by one or more large strokes. There is another condition related to chronic small damage to the brain ultimately leading to dementia, this used to be called multi-infarct dementia though this phrase isn't used much anymore. ...Read more

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What causes vascular dementia?

What causes vascular dementia?

Damage to blood flow: The vascular system supplies the brain with oxygen and nutrients through the blood system or vasculature. When the vasculature system is negatively impacted it can lead to cell death and if enough damage occurs then one deveops vascular dementia. ...Read more

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Is vascular dementia hereditary?

Is vascular dementia hereditary?

Vascular Dementia: Major risk factors are advancing age, with cardiovascular problems, cholesterol, sugar problems, smoking & alcohol. ...Read more

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Is vascular dementia reversible?

Is vascular dementia reversible?

Not much: It is possible to develop or create new circulation, such as unblocking carotid artery, and brains have ways of developing new pathways to compensate, but for the most part we only slow down dementia, not reverse it. Hopefully one day there will be better treatments. ...Read more

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Can vascular dementia be reversible?

Can vascular dementia be reversible?

Possibly: Depending on the level, location, severity of the vascular lesions or cerebral insults, there is a possibility that some sxs will be reversed somewhat or improved; the brain can compensate at times for vascular insults; however, the key element is treating the underlying diseases such as hypertension and weight and removing high risk behaviors such as smoking. ...Read more

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What are symptoms of vascular dementia?

What are symptoms of vascular dementia?

Step down process: Vascular dementia is caused by poor circulation to parts of the brain caused by ongoing "mini-strokes" that occur. Alzheimer's dementia is a chronic gradual decline, whereas vascular dementia can have sudden decreases in physical and cognitive functioning. Like walking down the stairs. They may be stable, sharp decline, stable, sharp decline etc. ...Read more

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Can you tell me about vascular dementia?

Variable picture: Vascular dementia is the result of pathological changes in the blood vessels of the brain that leads to decrease or total interruption blood supply to parts of the brain. The sufferer may never have a stroke or tia. The deficits are usually due to changes in small vessels. The symptoms and progression are variable. Prevention depends on managing vascular risk factors. Hope this helps. ...Read more

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Please describe what vascular dementia is?

Mini strokes: Vascular dementia refers to a kind of dementia that is caused by problems with the blood vessels in the brain (usually plaque formation, just as in cardiac disease) which results in loss of brain tissue due to lack of adequate oxygen and blood flow. In a sense it is like having very tiny strokes. ...Read more

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Has anyone else ever had vascular dementia?

Has anyone else ever had vascular dementia?

Common: At least in western society, vascular dementia is the second most common type of dementia. It is estimated that about 1.5% of the population at any one time has vascular dementia. ...Read more

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What can you tell me about vascular dementia?

Lots: Here's a source you can dig into: https://en. Wikipedia. Org/wiki/Vascular_dementia
Function loss often appears suddenly following a stroke or TIA. It can then stay stable or even improve a bit until another TIA brings more losses. The location in the brain is reflected in the loss seen. Read here and ask your Dr for more info. Best! ...Read more

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How are altzeimers and vascular dementia different?

Let me explain: Vascular dementia is a general term describing problems caused by brain damage from impaired blood flow to your brain.
Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. ...Read more

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Can a person with vascular dementia ever get better?

Can a person with vascular dementia ever get better?

Not really: Vascular dementia generally is a permanent decline although you might be able to stabilize the condition through aggressive risk factor reduction such as blood pressure and cholesterol control. ...Read more

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Vascular dementia -- can you explina how this happens?

Vascular dementia -- can you explina how this happens?

Vascular dementia: This problem often happens in people with longstanding hypertension with damage to blood vessels all over their body, not just in their brains. Atherosclerotic plaque builds up and becomes inflamed. There can be blockages in small vessels that nourish the brain, causing small strokes that injure or kill brain tissue. Repeated episodes leads to more and more cognitive and memory loss. ...Read more

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Vascular dementia's regressive behavior, is it reversible?

Vascular dementia's regressive behavior, is it reversible?

No: Unfortunately it cannot be cured. It can be controlled however, to some extent. Treatment is very individualized. Drugs such as nemenda and Aricept (donepezil) can sow the progress. Drugs such as Alprazolam or antipsychotics can alter the behavior. ...Read more

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How do I know if it is vascular dementia or something else?

Can be hard to know: If dementia occurs in the context of cerebrovascular disease (strokes, tias), especially if the deficits correlate with known anatomical lesions, it is presumed vascular. Neuropsych testing may add evidence (or not). Vascular dementia also tends to progress in discrete steps, rather than continuously. There are many causes of dementia; some can be hard to diagnose in the living patient. ...Read more

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For what reasons might vascular dementia continue to get worse?

Vascular dementia: There are two common reasons - the first is related to not stopping or being able to reverse the vascular damage that has occurred. Often people have uncontrolled hypertension or inflammatory changes that go unchecked. The second reason is that aging does alter other functions in the brain, including health of blood vessels and neurons and supporting cells. Adds to deficits. ...Read more

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How is vascular dementia different than other types of dementia?

How is vascular dementia different than other types of dementia?

Vascular dementia: Vascular dementia may overlap with other types of dementia such as alzheimer's, but results from damage to, or blockages in, blood vessels that nourish the brain. This leads to tiny "infarcts" or deaths of nerve cells in the brain. People with hypertension and/or arteriosclerotic narrowing of these blood vessels are vulnerable to such changes, which happen in a stair-step process over time. ...Read more

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How could I get a motor scooter for a loved one with vascular dementia?

How could I get a motor scooter for a loved one with vascular dementia?

Buy one: Cms regulations for motorized scooter are quite specific and available at their website or one of the popular "scooter" stores. If you do not qualify under cms rules for payment please do not ask your doctor to bend the rules or lie to get a scooter. If you cannot qualify under cms rules go buy one at a yard sale, craig's list, etc. ...Read more

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Can one regain short time memory after losing it to vascular dementia?

Fish Oil: The dementia that is reversible is vitamin B12 or Folic Acid defiency dementia, . Vascular dementia is irreversible. I know for sure that there are a lot of good tangible results about fish oil being very helpful to improve cognition, sleep, anxiety, depression. These are all associated common symptoms of dementia too. It also reduces clotting, which is common with vasuclar dementia. ...Read more

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What can be done to reduce the risks of vascular dementia getting worse?

Couple approaches: For the memory loss, would try donepezil or galantamine, (galantamine hydrobromide) and to prevent stroke would use Aggrenox or Clopidigrel, and a statin drug. ...Read more

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What is the long term expectation for someone with vascular dementia?

What is the long term expectation for someone with vascular dementia?

Gradual decline: Vascular dementia often overlaps with alzheimer's, and these can be hard to differentiate. Over time, memory, ability to plan and process information deteriorate; the person will need more and more help managing daily affairs. Sometimes continued mini-strokes compromise function further; larger events may leave the person with difficulty communicating or controlling movements. Ultimately, death. ...Read more

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Any advice for dealing with an adult family member with vascular dementia?

Complex: Although behavioral issues may be similar to alzheimer's, here meds are a bit more involved. Need antiplatelet drug to prevent more strokes, and clopidogrel or Aggrenox may be useful. The best tested drugs for this kind of dementia are donepezil and galantamine (galantamine hydrobromide). ...Read more

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What is the typical age at which the first signs of vascular dementia appear?

What is the typical age at which the first signs of vascular dementia appear?

That depends on: How severe the underlying cardiovascular disease is. But the "typical" age would be 50 or over. ...Read more

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Can somebody with vascular dementia have drastic improvement in function for an extended time?

Depends: Patients with brain damage from any cause can have drops in their mental status. .. delirium, which can be from any number of reversible causes. If the cause of delirium is treated there can be a sudden improvement as well, relatively speaking. As an example, urinary tract infections can cause a sudden drop. With treatment of the underlying infection the mental status should improve over time. ...Read more

Dr. Maureen Nash
124 Doctors shared insights

Vascular Dementia (Definition)

Brain damage ...Read more


Dr. Sheila Smith
5 Doctors shared insights

Vascular (Definition)

"vasculum" ...Read more