Would you prescribe piracetam to someone with multi-infarct dementia (88y female)?

Piracetam. No. Piracetam was one of the first drugs used for dementia and comes from the class of drugs called nootropics, whose actions are still poorly defined. Most of the trials of piracetam were undertaken many years ago and did not use methods which would be currently considered standard. Some of the studies suggested there may be some benefit from piracetam but overall the evidence is not consistent.

Related Questions

What is the definition or description of: multi infarct dementia?

Vascular dementia. Dementia refers to profound memory loss and cognitive impairment. Multi infarct means many episodes of low blood supply to the brain resulting in permanent brain damage (cva or stroke). Usually due to high blood pressure or other problems with heart and/or blood vessels. Read more...
Due to strokes. "dementia" is loss of cognitive faculties to less than a person's previous baseline leading to an inability to function independently. "multi-infarct" means multiple strokes, usually caused by blockage of circulation in discrete areas of the brain resulting in dead brain cells and/or their connections to other brain cells. Multi-infarct dementia may be patchy in what works and what doesn't. Read more...

What is treatment for multi-infarct dementia?

Two things: First and foremost, control the underlying contributing factors to the strokes, ie: the high blood pressure or cholesterol or smoking, etc. Secondly is to treat the dementia by increasing acetylcholine in the brain with aricept, etc and to decrease glutamate with namenda (memantine). Read more...

Cause and treatment of multi infarct dementia?

Caused by a stroke. Most people think of vascular dementia (vd) 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. Currently treatment of VD overlaps greaty with treating alaheimers. Read more...
Stroke is. The cause of multi-infarct dementia. Management is to prevent other strokes from occurring. See doctor regularly to keep blood pressure, cholesterol and diabetes (if you have it) under good control. If abnormal heart rhythm (atrial fibrillation) is present, then would need blood thinner to prevent blood clots in heart which can lead to stroke. Read more...

What is the treatment for multi-infarct dementia?

First, catch cause. After that there are multiple significant approaches, but time cannot be underestimated. Read more...
Underlying cause. The risks for vascular dementia are based on the underlying factors such as hypertension, sleep apnea, obesity, diabetes, etc----treat those, adopt a healthy lifestyle; dietary modifications..... Read more...

How can I tell if I have multi infarct dementia? I have symptoms of memory loss?

See Neurologist. Studies like MRI of the head, neuro-psychological tests. May help..The important thing is an evaluation by a neurologist or a psyvhiatrist. Read more...
MRI / neuropsych. Having excluded other causes (B12 deficiency for example) and having documented a step-wise decline in multiple cognitive domains over time on neuropsychological examination. The presence of one of the patterns of vascular disease associated with multi-infarct dementia would constitute a start. You then have a few more conditions to exclude like fronto-temporal dementia and Alzheimer's.. . Read more...

Who gets multi-infarct dementia?

People who have. Circulatory problems in the brain are the people who get multi-infarct dementia. Read more...
Vascular disease. Long standing hypertension increases risk of multi-infarct dementia as does other circulatory problems. Read more...

How's multi-infarct dementia diagnosed?

All illness are . Diagnosed on the basis of history and physical exam, including required testing. Read more...