What causes cognitive impairment?
After this period of time do the veins and arteries have any flexibility left, or are they so placid that they can no longer help move the blood? Is there a reason to not try to find out how much is needed to keep the heart as healthy as possible, and how much is just more. He has recently been put on Aricept for memory. He does not have Alzheimer's. Could part of this is caused by other meds?My husband changed from Coumadin to Eliquis about 2months ago.
Medications do not seem to be the cause.
Thank you for posting your query.
I have noted your husband's symptoms and the fact that his medicines were recently changed.
Medications do not seem to be related to his current symptoms.
He has features of mild cognitive impairment, resulting in problems with memory.
MRI brain and neuropsychological testing would be helpful in further evaluation and to exclude brain ischemia (lack of blood flow to the brain).
Aricept (donepezil) may be continued.
Eliquis (apixaban) is also safer than coumadin and may be continued.
I agree that the dose of diltiazem may be reduced.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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