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Rivastigmine to treat Alzheimer's disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Alzheimer's
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help you
Doctor :   ru there
User :   My Father is suffering from Adeno carcinoma Operated on 28/4/07 and there after all thyerapy was given , But suddenly 4 months back he grabbed Alzhmiers and nou with Parkinson
User :   Please suggest what should be the right path to take him forward
Doctor :   there are few detail that i would need
Doctor :   Age: Occupation: Location: Doctor :   of the patient..
User :   Age is 80, Place Kolkata, Retired
Doctor :   ok
Doctor :   Alzheimers & Parkinsons at that age are
Doctor :   difficult to treat since the much essential patient compliance is not obtained at this age
User :   Then Do you suggest that it should be symptomatic treatment?
Doctor :   A topical patch that delivers rivastigmine through the skin has been approved for the treatment of mild to moderate Alzheimer's disease and for treatment of mild to moderate dementia associated with Parkinson's disease. Rivastigmine, a reversible cholinesterase inhibitor, slows the breakdown of the neurotransmitter acetylcholine in the brain to prolong the cholinergic function.
Doctor :   yes mostly symptomatic treatment is the key along with supportive care...
User :   Or what drugs can help him to be a feel better at this situation.
Doctor :   I have mentioned them in the earlier transcript
Doctor :   they are for his disease
Doctor :   but the key will be supportive care...
Doctor :   topical patch rivastigmine
User :   but does this patch have any effects on cardiac drugs as he takes atenolol 25mf 2 times a day
Doctor :   no not much and the dosage can be restricted
Doctor :   by way of removing the patch so the adverse effects are minimal
User :   after he has gone in parkinson some times he also give erratic sugar levels
Doctor :   they will be there...
Doctor :   just avoid the low sugars ..
User :   though the physician says that nothing to worry but as a son i always have it at the back of my mind
Doctor :   make sure he is well fed and regular monitor for that
Doctor :   you will need to monitor that being beside him
User :   Can you please suggest what should be the rivastigmine dose per patch and for how long this will act I mean each patch
Doctor :   two strengths, 4.6 mg and 9.5 mg, for once-daily dosing. but they need to be assessed by the attending physician regarding the dosage since he will have examined him and
Doctor :   will have a clear picture..
User :   yes thats for sure,
Doctor :   pls fill this form and tell me when done...
User :   Ok thanks for your suggesstion
User :   bye for now , ill surely catch you up later
Doctor :   Bye for now......There is a friend referral contest going on. You can win prizes daily and weekly if the number of your referrals is the highest. There will be a form coming up on your screen now. There is a button to import contacts from your Gmail, Yahoo, AOL ID's. Please refer your friends to this service with a click of the button instead of entering the email ids manually.
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