There are several medications and approaches to treating Alzheimer’s disease that may be discussed when you are a loved one is facing the prognosis of Alzheimer’s. The first thing you will be told is that there is no cure for the disease currently. Your doctor will probably assure you that advances are being made because of studies that are being conducted. Medications and other non-drug approaches are able to improve the symptoms experienced and doctors can develop individualized treatment plans that will address the behavioral and cognitive symptoms as the individual goes through the stages of Alzheimer’s disease.
The treatment will address the cognitive symptoms, which may include decline in memory, language and judgment. Cholinesterase inhibitors are used to increase the levels of acetylcholine in the individual’s brain. This can postpone the symptoms from getting worse by about 6 to 12 months. Drugs in this category include Aricept, Exelon and Razadyne. These drugs may have side effects or react to other drugs the individual may be taking so it is important to let the doctor know about any reactions the individual has while taking these drugs as well as to let the doctor know about any other medications prescribed to the individual by other doctors. Cholinesterase inhibitors are typically started as soon as Alzheimer’s is diagnosed (in the early to moderate stage of the disease) to slow the progress of the symptoms. After the disease progresses and the Cholinesterase are no longer being as effective the drug will be tapered off and memantine will then be introduced to the treatment plan.
A drug called, Namenda may also be prescribed to address cognitive symptoms. It is used to treat moderate to severe stages of Alzheimer’s disease.
If the individual is experiencing behavioral symptoms an anti-anxiety medication may be prescribed in order to control aggression or agitation, control paranoia or suspicion.
Those with Alzheimer’s are often bothered by excessive noise. A calm, quiet environment is best including being surrounded by caregivers who are calm and patient when dealing with those with Alzheimer’s. Distraction techniques also work well for a while, and music therapy.
Caregivers can learn about other non-medicated treatments when they participate in support groups. Doctors will also learn about alternative treatments when they engage in staying up-to-date on new developments in the research of Alzheimer’s. Information can be gathered and shared when caregivers, physicians, family members and friends take advantage of Alzheimer’s services and resources available throughout the community and online.
Your doctor, or loved one’s doctor will go over the options and side effects of medications prior to the start of treatment. It is important to keep the doctor updated regarding any side effects, or changes in behavior, personality or cognitive ability so that medications can be adjusted or changed. Don’t be afraid to bring up new treatment options, especially non-medicated approaches at follow-up doctor appointments.
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