What is the best medication for vascular dementia?

medicines such as low-dose aspirin or clopidogrel to reduce the risk of blood clots and further strokes. anticoagulant medicines, such as warfarin, which can also reduce the risk of blood clots and further strokes. medicines to treat diabetes.
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What is the new drug for vascular dementia?

Now, researchers at the University of Manchester working with colleagues in the USA have discovered that the blood pressure drug amlodipine could help treat vascular dementia or stop it in the early stages. They looked at blood flow in the brains of mice with high blood pressure and vascular damage in the brain.
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Can vascular dementia be slowed down?

There's currently no cure for vascular dementia and there's no way to reverse any loss of brain cells that happened before the condition was diagnosed. But treatment can sometimes help slow down vascular dementia. Treatment aims to tackle the underlying cause, which may reduce the speed at which brain cells are lost.
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How can you slow the progression of vascular dementia?

Slowing down the progression of vascular dementia

Some activities you may try include: Treating high blood pressure. Taking medications for high cholesterol. Taking blood-thinning medication to stop clots forming in your blood.
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What's the difference between dementia and vascular dementia?

What is vascular dementia? The word dementia describes a set of symptoms that can include memory loss and difficulties with thinking, problem-solving or language. In vascular dementia, these symptoms occur when the brain is damaged because of problems with the supply of blood to the brain.
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Diagnosis and Management of Vascular Dementia | Stephen Chen, MD | UCLAMDChat



How do you know when vascular dementia is getting worse?

Over time a person with vascular dementia is likely to develop more severe confusion or disorientation, and further problems with reasoning and communication. Memory loss, for example for recent events or names, will also become worse.
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Can vascular dementia get worse suddenly?

Vascular dementia causes problems with mental abilities and several other difficulties. The symptoms can start suddenly or gradually. They tend to get worse over time, although treatment can help slow this down.
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Is memantine better than donepezil?

Donepezil showed an advantage over memantine in mild-to-moderate AD, whereas memantine was more effective than donepezil in severe AD. The combination therapy of memantine plus donepezil achieved better outcomes than placebo in the CGI.
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How long can an 85 year old live with vascular dementia?

On average, people with vascular dementia live for around five years after symptoms begin, less than the average for Alzheimer's disease. Because vascular dementia shares many of the same risk factors as heart attack and stroke, in many cases, the person's death will be caused by a stroke or heart attack.
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Do blood thinners help vascular dementia?

Research finds blood-thinning drugs may reduce dementia risk, Alzheimer's Society comments. New research published today suggests that blood-thinning drugs may be associated with reduction in dementia risk, as well as reducing the risk of stroke in patients with atrial fibrillation (AF).
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What are the 5 stages of vascular dementia?

The following are the seven stages of vascular dementia, from normal behavior to very severe decline.
  • Normal Behavior. ...
  • Mild Changes. ...
  • Mild Decline. ...
  • Moderate Decline. ...
  • Moderately Severe Decline. ...
  • Severe Decline. ...
  • Very Severe Decline.
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Do vascular dementia patients sleep a lot?

It is quite common for a person with dementia, especially in the later stages, to spend a lot of their time sleeping – both during the day and night. This can sometimes be distressing for the person's family and friends, as they may worry that something is wrong.
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What is the main cause of vascular dementia?

Vascular dementia is caused by reduced blood flow to the brain, which damages and eventually kills brain cells. This is usually due to: narrowing of the small blood vessels deep inside the brain, known as subcortical vascular dementia or small vessel disease.
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Does donepezil help vascular dementia?

Evidence-Based Answer

Donepezil in a dosage of 10 mg daily provides a small benefit in patients with mild to moderate vascular dementia and generally is well tolerated.
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Is donepezil effective for vascular dementia?

Conclusions— These data demonstrate that donepezil is an effective and well-tolerated treatment for VaD and show it may have an important place in the management of this condition.
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Is there a tablet to slow down dementia?

Acetylcholinesterase inhibitors

Donepezil (also known as Aricept), rivastigmine (Exelon) and galantamine (Reminyl) are used to treat the symptoms of mild to moderate Alzheimer's disease.
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When should dementia patients go into care?

"Someone with dementia symptoms may forget where they've walked, and end up somewhere they don't recognize," Healy says. "When your loved ones are continually putting their physical safety at risk, it's time to consider memory care." 3. A decline in physical health.
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Does a person with dementia know they are confused?

In the earlier stages, memory loss and confusion may be mild. The person with dementia may be aware of — and frustrated by — the changes taking place, such as difficulty recalling recent events, making decisions or processing what was said by others.
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Does vascular dementia affect walking?

In vascular dementia, problems walking or balancing can happen early. With Alzheimer's, these symptoms usually occur late in the disease.
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Can memantine make dementia worse?

However, the worsening of psychotic symptoms in patients with Lewy body dementia (LBD) treated with memantine has been recently reported. We describe three patients with probable Alzheimer's disease who developed worsening or de novo visual hallucinations and agitation after memantine treatment.
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Should you take donepezil and memantine together?

Memantine and donepezil combination is used to treat dementia (memory loss and mental changes) associated with moderate or severe Alzheimer's disease. Memantine and donepezil will not cure Alzheimer's disease, however, it may improve thinking ability, behavior, or functional ability.
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Is rivastigmine better than donepezil?

Results are conflicting; two studies suggest no differences in efficacy between compared drugs, while one study found donepezil to be more efficacious than galantamine, and one study found rivastigmine to be more efficacious than donepezil.
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How quickly does vascular dementia deteriorate?

Like other types of dementia, vascular dementia shortens life span. Some data suggest that those who develop dementia following a stroke survive an average of three years.
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How fast can vascular dementia progress?

Although the progression of vascular dementia affects everyone differently, the life expectancy or timeline for a person with the condition is around five years after the first appearance of symptoms. It's generally caused by a stroke or heart attack.
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In what stage of dementia is wandering most likely to occur?

During the middle stages, people may experience depression, anxiety, irritability and repetitive behaviors. As the disease progresses, other changes may occur, including sleep changes, physical and verbal outbursts, and wandering.
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