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Doctor insights on: Valium Alzheimer's Patients

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Can Valium help calm alzheimer's patients?

Can Valium help calm alzheimer's patients?

Rx for Alzheimer's: Normally, valium and ativan (lorazepam) are not very helpful for people with Alzheimers. These medicines, which are sometimes used to relieve anxiety, may have paradoxical effects in people with dementia. They may cause them to feel excessively sleepy or irritable. Most providers who handle people with these illnesses use antipsychotics in gentle doses. Quetiapine is an example. ...Read more

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Valium (Definition)

Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more


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Aricept (donepezil hcl) useful for dementia Lewy body?

Aricept (donepezil hcl) useful for dementia Lewy body?

Seems to be: As it increases acetylcholine in the brain and that can improve attention deficits and cognitive fluctuations. ...Read more

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Is klonopin (clonazepam) given for Alzheimer's disease?

Is klonopin (clonazepam) given for Alzheimer's disease?

sometimes: It is not indicated for any dementia; and some controvery and opinions exist about the limitations when using benzodiazepines in older patients; but still, it can be used to address certain symptoms (like severe anxiety) if the potential benefit outweigh risks, in the eyes of the prescribing dr. It is not routinely prescribed for this, ask the dr for the reasons in this particular case.Best wishes. ...Read more

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Is ramelteon recommended for elderly people with vascular dementia?

Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read more

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Are older antidepressants better for depression in Parkinson's disease?

Are older antidepressants better for depression in Parkinson's disease?

Nortriptyline: Nortriptyline which is a tricyclic antidepressant has been shown to be helpful for depression in those with parkinson's disease. Also paroxetine has some evidence for treating depression in parkinson's. In general antidepressants that work on norepinephrine and Dopamine seem to help more. Antidepressants that affect serotonin can worsen movement symptoms common in pd such as restless legs. ...Read more

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Why are antipsychotic medications prescribed to elderly people with dementia?

Why are antipsychotic medications prescribed to elderly people with dementia?

For symptom relief: Anyone of any age who has dementia can suffer from fearfulness, paranoia, hallucinations, delusions and other psychotic symptoms. Antipsychotic medications can be the most effective way to minimize or eliminate these symptoms and the suffering they cause. Use of any medication for any illness should be preceded by a discussion of risks and benefits. ...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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Is melatonin safe for dementia patients? No bad effects for dementia patients?

Is melatonin safe for dementia patients? No bad effects for dementia patients?

Yes: Latest published studies showed that alzheimer's patients lack melatomin related metabolism in the body resulting sundowning effect. With the introduction of taking melatonin at bedtime reduces the severity of sundowning and sleeping related behavioral issues but does not completely resolve... ...Read more

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Could anti-depressant medications help an alzheimer's dementia patient feel better?

Could anti-depressant medications help an alzheimer's dementia patient feel better?

Alzheimer's: University of Pennsylvania and Washington University Medical School found that the antidepressant citalopram lowered the production of beta amyloid proteins in both mice and in healthy humans. Results were published in the Science Translational Medicine journal.. While the results of the study are certainly promising there is more work to be done before the antidepressant will be prescribed for Alzheimer’s prevention. ...Read more

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Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

No: No treatment is yet available for lewy body dementia. However, these might help alleviate some symptoms temporarily. ...Read more

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Expert opinions? Which alzheimer's drug is more effective: Aricept or namenda (memantine)?

Expert opinions? Which alzheimer's drug is more effective: Aricept or namenda (memantine)?

Yes: They both have advantages and disadvantages. To learn about the risks and benefits to make a decision you should consult your doctor. ...Read more

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

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Is melatonin safe for dementia patients with afib?

Prob: The question is whether we can figure out what is the cause of insomnia in a person with dementia---at times it can be caused by sleep architecture breakdown from the illness itself; at times from poor sleep hygiene; at times from meds or alcohol; at times from a sleep disorder such as apnea; can be from depression;; so important to first try to get to the cause... ...Read more

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Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?

Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?

Sometimes, no choice: Antipsychotics are best avoided in managing agitation in dementia. However, if the agitation is the result of actual psychosis i.e., delusions and hallucinations, the risk/benefit ratio often shifts in favor of using antipsychotics, as untreated psychosis itself is a risk of factor for serious injury to self/others. Hope this helps. ...Read more

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How rare is sca (sudden cardiac arrest) in people with anxiety/depression taking setraline 50 mg?

How rare is sca (sudden cardiac arrest) in people with anxiety/depression taking setraline 50 mg?

Sertraline: About 2% of 21000 pts on sertraline had sudden death. Can reference this: http://www.Ehealthme.Com/ds/sertraline/sudden+death. ...Read more

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Donepezil effectiveness for vascular and Lewy body dementia?

Donepezil  effectiveness for vascular and Lewy body dementia?

Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read more

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Can phosphatidylserine improve memory and cognitive function in people with Alzheimer's disease?

Can phosphatidylserine improve memory and cognitive function in people with Alzheimer's disease?

Phosphatidylserine (fos-fuh-tie-dul-SER-een) is a dietary supplement that has received some interest as a potential treatment for Alzheimer's disease and other memory problems: Several studies with phosphatidylserine indicate improved cognitive abilities and behaviors. However, improvements lasted only a few months and were seen in people with the least severe symptoms. Initially, phosphatidylserine supplements were derived from the brain cells of cows. But because of concerns about mad cow disease, most manufacturers now produce the supplements from soy or cabbage derivatives. Preliminary studies have shown that plant-based phosphatidylserine supplements may also offer benefits, but more research is needed. However, no modern studies have continued to focus on phosphatidylserine, suggesting its limited effect. Keep in mind that the Food and Drug Administration doesn't require manufacturers to provide evidence of the potential risks and benefits of phosphatidylserine — or of any supplement. Consult your doctor before starting any dietary supplement. ...Read more

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Can naltrexone combat Parkinson's disease?

Can naltrexone combat Parkinson's disease?

???: Naltrexone is used for opioid dependence. I have not heard of it being used for parkinson disease. ...Read more

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