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Memory loss, cannot remember names. Prescribed Citystar. Remedy?

Mt father having age 90+ has lost his 70% memory . He has forgotten the names of the family members. Only he recognises the faces. He does not call them by names. He thinks that he is still doing business and always talks as if his business is running. The doctors has prescribed him Citystar tablets twice a day. Is there any remedy to get his memory atleast upto some percentage so that he may understand the present.
Asked On : Sun, 20 Jan 2013
Answers:  2 Views:  41
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Most likely, your father is suffering from Alzheimer's disease. The diagnosis can be confirmed by a neurologist's examination along with brain scan.

Citistar (citicholine) is not helpful in improving memory.

Helpful drugs are donepezil, memantine, and piracetam. If he has deficiency, vitamin B12 supplements would also be useful.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
Answered: Sun, 20 Jan 2013
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Neurologist Dr. Gopal Krishna Dash's  Response
I am a neurologist and i thank you for posting this question in HCM
First of all let me tell you that a given medical symptom/set of symptoms can be due to various causes and the outcome of the patient largely depends upon the cause.
Back yo your question, i understand that your father has significant memory problem, apart from other problems you have listed. The constellation of symptoms that you have posted is known as dementia, where the cognitive function gradually declines. My approach to your father will be as follows
The most important things which you have not listed, required for the diagnosis are whether the first symptom was memory problem or something else, does he have any other problem like sleep related problem, excessive dreaming, hallucination, behavioral and personality problem or not. All these symptoms are important to note as the diagnosis of dementia is largely clinical. Further your father needs a detailed neuropsycological testing to note what are the brain functions altered in him. A scan MRI brain also will rule out any secondary cause, apart from thyroid function and serum vitamin B12 level. From the history, i have a suspicion of Alzheimer's disease and i strongly advise you to meet a neurologist or cognitive expert who will approach as i listed above. I don't think that he will benefit from citystar. If it is Alzheimer's disease, he will benefit from Donepezil and memantine. Further, care givers' support should be discussed in this case
I hope this clarifies
Answered: Sun, 20 Jan 2013
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