CNS - Dementia Flashcards
How to alleviate dementia?
Increase Acetylcholine
Dementia mild mod treatment?
Acetylcholineesterase inhibitors:
Donepezil
Rivastigmine
Galantamine
Donepezil side effects?
Neuroleptic malignant syndrome
Rivastigmine side effect?
GI SIDE EFFECTS (Transdermal formulation reduces these)
Galantamine side effects?
Steven - johnson syndrome
Treatment for mod - severe dementia?
Memantine
How can you treat aggravation in pt with dementia?
Antipsychotics only
DO NOT USE IN PARKINSONS
Side effects of increasing acetylcholine?
Acetylcholine works on Parasympathetic pathways
REST, DIGEST, SECRETE symptoms
Bronchospasm
Bradycardia
Muscle weakness
Diarrhoea
Urinary incontinence
Salivation
Lacrimation (tears flow)
Emesis
Why does inhibiting acetylcholine breakdown enzymes help dementia?
By stopping breakdown acetylcholine in brain
It increases, therefore more communication can occur between nerve cells!