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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Deteriorating Mental Ability. Have Alzheimer's Dementia And Hypertension. On Medication. What To Do?

Hi, I am Partha from Guwahati. My father has been suffering from Alzheimer's Dementia for the last 5 years and hypertension for about two decades. Present medication- Admenta 10mg (memantine hydrochloride) twice daily, Stamlo beta (Amlodipine+atenolol) in the morning and stamlo 2.5 mg in d evening. His BP is under conrol but mental ability is deterirating day by day. What should be our next line of treatment?
Fri, 26 Apr 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

Alzheimer's dementia is most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines but his mental abilities are deteriorating day by day. He is on Admanta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer's disease. Other medicine like Donepezil can be added to his prescription. It help in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic drug in low doses can be added to his prescription like Resperidone. It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia.
So I would advise you to please take him to a good Psychiatrist for proper evaluation.

Thanks
Dr. Seikhoo Bishnoi, MD
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Cardiologist,  Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

There is no specific cure for Alzheimer. A few on trial to retard the progression.
Symptomatic treatment and good care giver is all one can do..

Take care
Wishing speedy recovery
God bless
Good luck
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Have Deteriorating Mental Ability. Have Alzheimer's Dementia And Hypertension. On Medication. What To Do?

Hello Welcome to HCM Alzheimer s dementia is most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines but his mental abilities are deteriorating day by day. He is on Admanta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer s disease. Other medicine like Donepezil can be added to his prescription. It help in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic drug in low doses can be added to his prescription like Resperidone. It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia. So I would advise you to please take him to a good Psychiatrist for proper evaluation. Thanks Dr. Seikhoo Bishnoi, MD