Doctor insights on:
Vascular Dementia Medication
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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