Treating Dementia Symptoms

Question 1

What are some of the cognitive dementia medications

Answer 1

Aricept, Exelon, Razadyne: Indicated for mild dementia; used throughout the course of the disease. Side effects are mainly gastro-intestinal (GI) in nature, minimized by giving in the morning with food. There may also be vivid dreams or leg cramps.
Namenda: Indicated for moderate dementia, used either alone or together with one of three medications previously noted.

Question 2

Antidepressants used in cognitive dementia

Answer 2

Antidepressants of the class known as Selective Serotonin Reuptake Inhibitors (SSRIs) are generally used. They address depression and anxiety. Medications such as tricyclics (for example, Elavil) and benzodiazepines (such as Lorazepam or Valium) should not be used because of the potential for increased confusion and dizziness and the increased risk of falls with potential injury.

Question 3

Behavior medication

Answer 3

Atypical antipsychotics (such as Seroquel, Zyprexa, Risperdal) can be helpful, but they carry a concern for side effects. These can include: movement disorders, increased confusion, and the potential for increased cardiac complications. Seizure medications (e.g., Depakote) may be given. However, blood serum levels need to be closely monitored.

Question 4

Pain medication

Answer 4

It is important to recognize and treat pain. This may require careful attention to body language and behavior. Avoid medications such as Darvon, Percocet and Opioids. Tylenol, regularly dosed, is a very effective analgesic (pain medication). Consider non-pharma options such as: moist heat, massage, and re-positioning.