There are so many different medications out there promising the world today. There are also, still, those in the medical field who believe that all dementias are Alzheimer's related and can be treated the same. This is a dangerous belief! They are not all the same, nor can they be treated as such! One must be aware of the differences between the types of dementias and the drugs associated with each in order to keep their loved ones from any more harm.
Remember, Alzheimer's is caused by a misfolding of the BetaAmyloid Proteins in the brain. Lewy Body and Parkinson's are caused by Lewy Bodies, or Alpha-synucleic Acids wreaking havoc on and in the brain. Different causes mean different means of treatment. Treat an LBD patient for AD and you may have a wrongful death lawsuit on your hands. Be Aware!
The following are drugs that ARE NOT for use with LBD patients. This is a list of Anti-psychotics that are traditionally used, but are not to be used for the LBD patient:
chlorpromazine (Thorazine)
droperidol (Inapsine)
fluphenazine (generic only)
haloperidol (Haldol)
loxapine (Loxitane)
molindone (Moban)
perphenazine (generic only)
pimozide (Orap)
thioridazine (generic only)
thiothixene (Navane)
trifluoperazine (Stelazine)
- See more at: lbda.org
The following is a list of Atypical Antipsychotics that could be helpful if used conservatively:
aripiprazole (Abilify)
clozapine (Clozaril)
fluoxetine & olanzapine (Symbyax)
iloperidone (Fanapt)
olanzapine (Zyprexa)
paliperidone (Invega)
quetiapine (Seroquel)
risperidone (Risperdal)
ziprasidone (Geodon)
- See more at: lbda.org
The following is a list of medications used in treating LBD as of 04/2014.
Hallucinations, apathy, mumbled
speech Seroquel Quetiapine
Zyprexa Olanzapine
Increase Serotonin Celexa Citalopram
Depression and Anxiety Lexapro Escitalpopram
Prozac Fluoxetine
Zoloft Sertraline
Increase GABA# Ambien Zolpidem
REM Disorder, Insomnia Klonopin Conazepam
Restoril Temazepam
OTC Melatonin
#GABA: Gamma-Amino Butyric Acid is an amino acid which works as a neurotransmitter in the central nervous system. It inhibits nerve transmission in the brain, calming nervous activity. It is commonly sold as a natural tranquilizer.
While the list may seem a bit dated, it still holds. For those with a Side Affect, please either look them up or consult with your physician. Be sure your medical team knows and understands the differences between the types of dementias. Remember, they hold a life in their hands - this is not to be taken lightly! If you must find another doctor, be sure to ask when calling if they understand LBD and proscribed treatments. If they need to think, find another doctor. It took me a bit to figure out where to turn but the stars were in our favor.
Remember, Alzheimer's is caused by a misfolding of the BetaAmyloid Proteins in the brain. Lewy Body and Parkinson's are caused by Lewy Bodies, or Alpha-synucleic Acids wreaking havoc on and in the brain. Different causes mean different means of treatment. Treat an LBD patient for AD and you may have a wrongful death lawsuit on your hands. Be Aware!
The following are drugs that ARE NOT for use with LBD patients. This is a list of Anti-psychotics that are traditionally used, but are not to be used for the LBD patient:
The following is a list of Atypical Antipsychotics that could be helpful if used conservatively:
The following is a list of medications used in treating LBD as of 04/2014.
Purpose Brand Name Generic Name
Balance Restoration Goedon ZiprasidoneHallucinations, apathy, mumbled
speech Seroquel Quetiapine
Zyprexa Olanzapine
Increase Serotonin Celexa Citalopram
Depression and Anxiety Lexapro Escitalpopram
Prozac Fluoxetine
Zoloft Sertraline
Increase GABA# Ambien Zolpidem
REM Disorder, Insomnia Klonopin Conazepam
Restoril Temazepam
OTC Melatonin
Absolutely NO HALDOL!!!!!
Increase Acetylcholine Aricept Donepezil
Enhance thinking and memory- Exelon Rivastigmine
manage visual hallucinations Razadyne Glantamine
Increase Dopamine Sinemet Carbidopa/Levodopa
Anxiety, insomnia, and sometimes Mirapex* Pramipexole*
painful movement
Helps with slower processing and Neupro* Rotigone*
impaired attention Requip* Ropiniole*
Increase Dopamine/Epinephrine/ Provigil Modafinil
Histamine
Daytime Sleepiness Nuvigil Armodafinil
Ritalin Mythylphenidate
Adderall Dextroamphetmine/amphetamine
*= Prone to Side Affects
While the list may seem a bit dated, it still holds. For those with a Side Affect, please either look them up or consult with your physician. Be sure your medical team knows and understands the differences between the types of dementias. Remember, they hold a life in their hands - this is not to be taken lightly! If you must find another doctor, be sure to ask when calling if they understand LBD and proscribed treatments. If they need to think, find another doctor. It took me a bit to figure out where to turn but the stars were in our favor.
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