Doctor insights on:
Valium 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 moreSee 2 more doctor answers
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
Yes it can: The official description is "dream disturbances.Get a more detailed answer ›
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
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
How rare is sca (sudden cardiac arrest) in people with anxiety/depression taking setraline 50 mg?
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 moreSee 4 more doctor answers
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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