6 doctors weighed in:

Is Lewy bodies dementia terminal?

6 doctors weighed in
2 doctors agree

In brief: BUT, Rx available

Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together).
Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil.

In brief: BUT, Rx available

Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together).
Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil.
Dr. Robert Hutchman
Dr. Robert Hutchman
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Dr. Maureen Nash
Psychiatry - Geriatric
1 doctor agrees

In brief: Yes

LBD is a progressive fatal illness similar to most other types of dementia.
However, a person often has the illness for a number of years. Signs that one is nearing the end of life include: weight loss, suffering in the opinion of the doctor or family, pressure ulcers, loss of ability to speak, loss of ability to walk, poor eating.

In brief: Yes

LBD is a progressive fatal illness similar to most other types of dementia.
However, a person often has the illness for a number of years. Signs that one is nearing the end of life include: weight loss, suffering in the opinion of the doctor or family, pressure ulcers, loss of ability to speak, loss of ability to walk, poor eating.
Dr. Maureen Nash
Dr. Maureen Nash
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1 doctor agrees

In brief: Yes, eventually

Neurodegenerative d/o featuring milder physical parkinsonism than parkinson's disease typically.
(slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations, delusional thoughts), excessive sleepiness, depression/anxiety/apathy, & rbd. Rbd = rem behavior d/o, causing acting-out of dreams in rem sleep.

In brief: Yes, eventually

Neurodegenerative d/o featuring milder physical parkinsonism than parkinson's disease typically.
(slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations, delusional thoughts), excessive sleepiness, depression/anxiety/apathy, & rbd. Rbd = rem behavior d/o, causing acting-out of dreams in rem sleep.
Dr. Robert Hutchman
Dr. Robert Hutchman
Thank
Dr. Brad Bobrin
Psychiatry

In brief: Yes

Unfortuntely, lewey body dementia is uncurable and terminal.

In brief: Yes

Unfortuntely, lewey body dementia is uncurable and terminal.
Dr. Brad Bobrin
Dr. Brad Bobrin
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