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Causes of dementia, medications for treatment - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
Doctor :   Hi
User :   Hello
Doctor :   How can I help you?
User :   I want to understand the underlying causes of dementia
User :   First of all may i know your name doctor
Doctor :   I am Dr.
Doctor :   There are different causes for dementia, based on age, medical history, personal habits
Doctor :   If you can say me about your patient's history and details I can determine what could be the possible cause
User :   My family has a history of Alzheimer's Disorder. My dad is suffering from Alzheimer's Disease
User :   So did my Grand father. Is it heriditary?
User :   Also, what are the probable causes of Alzheimer's disease?
Doctor :   Yes
Doctor :   Alzheimer's has a genetic predominance
User :   What are the probable causes of Alzheimer's
Doctor :   Mostly after 65 to 70 yrs of age
Doctor :   Age is the high risk factor
Doctor :   Genetic comes next
User :   Doctor my dad had been prescribed- Exelon, Hydergine, and Donepezil.
Doctor :   If you have to take measures to reduce the risk
Doctor :   What you can do is
Doctor :   Not have High blood pressure
Doctor :   No High cholesterol, No high blood sugars
Doctor :   No early heart disease
Doctor :   Ideal weight
User :   During the initial years doctor had prescribed my dad Hydergine. However we later discontinued since we found it particularly ineffective
User :   Now, that his condition is deteriorating we are planning to resume medicines.
User :   We look forward to consult our neurologist on the same.
User :   However, I want to understand what are the drugs usually you feel are effective in the treatment of Alzheimer's Disorder.
Doctor :   Donezepil
Doctor :   Donepezil is proven
Doctor :   Exelon is also good
User :   Is Hydergine effective in the treatment
Doctor :   See for medicines leave it to the Doctor's expertise, you have to know about the non medicine treatment.
Doctor :   You have to encourage him on activities
Doctor :   You have to create a good social environmen
Doctor :   The medicines shall act on themselves
Doctor :   Most of the members do not know their role
Doctor :   as a family
Doctor :   That is where is lacking in the therapeutic environment
User :   What are the terminal symptoms the handlers of AD patients have to be aware of.
Doctor :   Memory loss, difficulty in concentrating and doing tasks alone
Doctor :   misplacing things, not able to initiate a work
Doctor :   Mood changes, Disorientation to time and place
User :   ok
User :   Doctor what are the primary role drugs play in the treatment and to what extent they are effective in preventing the deterioration of mental condition. Or is it that most of them are placebos.
Doctor :   The disease is invariably progressive
Doctor :   Alzheimer's disease there is a relative lack of a brain chemical neurotransmitter called acetylcholine. (Neurotransmitters are chemical s produced by nerves that the nerves use to communicate with each other in order to carry out their functions.)
Doctor :   So the drugs make the acetylcholine available for more time
Doctor :   acetylcholine is important in the ability to form new memories. The cholinesterase inhibitors (ChEIs) block the breakdown of acetylcholine. As a result, more acetylcholine is available in the brain, and it may become easier to form new memories.
Doctor :   There are different opinions on the treatment
Doctor :   by various experts
Doctor :   experts in Alzheimer's disease do not believe there is an important difference in the effectiveness of these three drugs. Several studies suggest that the progression of symptoms of patients on these drugs seems to plateau for six to 12 months, but inevitably progression then begins again.
Doctor :   Hence whether the medicines work effectively or not , the adds or minus is taken care by the treatng doctor
Doctor :   Let him improve the cognitive skills, social interactive environment
Doctor :   Let him walk, assist in taking decisions
User :   hmm....
Doctor :   The person never dies of Alzheimer's Disease
Doctor :   he dies of simple things like not able to eat food, no walk
Doctor :   more infections because of lack of nutrition
Doctor :   Low immunity
User :   drugs merely prolong the neuronal degeneration process and thereby extend the patients life?
Doctor :   Yes, it is mainly to prevent further worsening of the process
User :   Doctor, is the Hydergine medicine presently available in the market. The reason I am asking this is because I have searched in over 5-7 medical shops. Is it just that the company has stopped mfg.
Doctor :   You have previously chatted with our doctors regarding the same
Doctor :   Did you consult the Neurologist?
Doctor :   For further query about it , you can consult our Neurologist as well
Doctor :   I shall give you the link for the same
Doctor :
Doctor :   You can consult him for further guidance
Doctor :   Is that fine with you?
User :   yeah
Doctor :   Thanks for consulting, bye for now
User :   bye
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