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Advice on alzheimers disease medication - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Alzheimer's
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello Doctor,
There are 2 people in our family suffering from Alzheimer's Disorder. We had initially given them medication but since past 1 year or so we had discontinued the medicines since we did not come across any radical improvements. But now since one of their's condition is deteriorating very quickly we are thinking of beginning with medications again.
Doctor :   Hi
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   Were the medications stopped after consulting the treating doctor?
User :   We had consulted him about the medications being stopped
Doctor :   Ok
User :   The medications given to him were Exelon patches, Hydergine
Doctor :   Ok
Doctor :   Yes, he has been given the right medications
Doctor :   Hydergine is quite effective
Doctor :   Even Exelon is a transdermal patch
Doctor :   which is effective
Doctor :   Alzheimer's has no cure as such but can be managed with supportive treatments
User :   I am not aware which was more effective. But I used to check with medicine stores and they told me company no longer sells Hydergine
User :   Is it true that Hydergine has been stopped manufacturing
Doctor :   Ok
Doctor :   Hydergine is available and not banned as per my knowledge
Doctor :   Even if it is not available
User :   Can you tell me which pharmaceutical company manufactures Hydergine so that I can contact the manufacturer. Since it is not available at local medicines stores near me.
Doctor :   there are other drugs for the same
Doctor :   Novartis India
User :   Can you name the drugs?
Doctor :   the pharmacologic name of this drug is co-dergocrine
Doctor :   it has to be taken on prescription only
User :   Surely yes
Doctor :   so you shall get the additional info on consulting a Neurologist
User :   Just for my knowledge I wanted the to know that what are drugs presently prescribed which have proved effective in treatment of AD
Doctor :   for your information you can discuss about drugs like Nylidrin, Isoxsuprine, Nicerqoline
User :   Doctor is Hydergine less effective than these drugs?
Doctor :   It is not like that
Doctor :   certain drugs are more suitable for certain patients
Doctor :   so that shall be adjusted on the patient's response as well
Doctor :   all are effective when given in the right dosage
User :   what are dosage forms in which it is available
Doctor :   It is not right for me to tell the dosage over the chat
User :   my dad is not able to swallow tablets easily
Doctor :   it shall be decided after examining the patiet
User :   There are patches available for all medicines. I wanted to understand the form of dosage like tablets or injection.
Doctor :   Ok
Doctor :   there are tablets for cognitive improvement
Doctor :   Patches is the same that he had used previously
Doctor :   Injections are not required
Doctor :   as it is not an acute intensive treatment
Doctor :   but rather a prolonged treatment
User :   Ok
User :   Doctor are there drugs with same active ingredient as Hydergine - co-dergocrine. That are available, so that I can suggest my neurologist and can consult him on the same. Since Hydergine is not available in our local area
Doctor :   Yes, they are similar drugs
Doctor :   Your neurologist shall help you better
Doctor :   and shall be more aware of the drugs
Doctor :   no issues about it
Doctor :   You can discuss about the above mentioned medications
User :   Is the Hydergine medicine still being marketed by Novartis. Since I feel it might be effective for my dad I want to now more about it.
Doctor :   It is available
Doctor :   there are other substitute like cereloid
Doctor :   but discuss it with your Neurologist
User :   Just out of curiosity, what are primarily therapeutic indications apart from AD that you prescribe Hydergine
Doctor :   Dementia
Doctor :   is the only indication
User :   Is stroke is a form of dementia?
Doctor :   Stroke can cause dementia
Doctor :   due to hindrance in blood supply
User :   For the terminal Alzheimer's patient what are the primary symptoms that their handlers might have to worry about
Doctor :   Loss of memory, difficulty in language, attention problems
User :   Is Hydergine effective in mild to moderate AD and not effective in severe forms of the AD?
Doctor :   It is a good option
Doctor :   AD is not a reversible process
Doctor :   it is just supportive
Doctor :   Definitive treatment options are not available as of now
User :   Thank you doctor, It has been very informative talking to you. May I know your good name.
Doctor :   I am Dr.xxxx here
User :   Thank you.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   Surely yes
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