10 doctors weighed in:
Are there alternative therapies for dementia with Lewy bodies?
10 doctors weighed in

Dr. Benjamin Lessig
Internal Medicine - Geriatrics
6 doctors agree
In brief: Not easily managable
It has to be treated pharmacologically.
Without it, this individual may be danger to self. The treatment has to be individualize to prevent further symptoms and progression of disease. There are no good data that alternative therapies like vitamins and herbal that have shown to be effective. The only thing i could think of would be enviromental modification and maintain socialization + stimulation.

In brief: Not easily managable
It has to be treated pharmacologically.
Without it, this individual may be danger to self. The treatment has to be individualize to prevent further symptoms and progression of disease. There are no good data that alternative therapies like vitamins and herbal that have shown to be effective. The only thing i could think of would be enviromental modification and maintain socialization + stimulation.
Dr. Benjamin Lessig
Dr. Benjamin Lessig
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Dr. K. Olson
Psychiatry
4 doctors agree
In brief: Little evidence
Some suggest namenda (memantine).
Antispsychotics can make it worse, due to the parkinsonism that accompanies the progressive memory decline.

In brief: Little evidence
Some suggest namenda (memantine).
Antispsychotics can make it worse, due to the parkinsonism that accompanies the progressive memory decline.
Dr. K. Olson
Dr. K. Olson
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1 comment
Dr. Bennett Machanic
Although no alternative remedies are known, the drug rivastigmine (Exelon) has been shown to be modestly effective for many patients. Contact a neurologist who has experience with memory disorders.
Dr. Ed Friedlander
Pathology
In brief: Nothing that works
This disease is cruel enough without giving money for worthless treatments to beautiful "natural healing" or dark "conspiracy buff" charlatans.
Complementary medicine may offer comfort measures but none of the nostrums offered by charlatans will touch the disease.

In brief: Nothing that works
This disease is cruel enough without giving money for worthless treatments to beautiful "natural healing" or dark "conspiracy buff" charlatans.
Complementary medicine may offer comfort measures but none of the nostrums offered by charlatans will touch the disease.
Dr. Ed Friedlander
Dr. Ed Friedlander
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In brief: Brief clinical Facts
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: Brief clinical Facts
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
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In brief: Unfortunately, No
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: Unfortunately, No
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. Bennett Machanic
Board Certified, Neurology
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