Treatment of dementia with Lewy body?

summary

Lewy body dementia (DLB) is a group of neurodegenerative diseases with clinical and pathological features overlapping between Parkinson's disease and Alzheimer's disease, characterized by fluctuating cognitive impairment, visual hallucination and Parkinson's syndrome, and Lewy body as pathological features. Treatment of dementia with Lewy body? Let's talk about it

Treatment of dementia with Lewy body?

Cholinesterase inhibitors such as donepezil (Aricept) and rivastigmine (esnen) can improve cortical cognitive function and behavioral disorders. They can also be used as nerve cell activators and drugs to improve cerebral circulation.

Dopamines, such as levodopa / Benserazide (Madopa), levodopa / carbidopa (pakinin), and dopamine receptor agonists, such as pergolide, can improve the symptoms of Parkinson's syndrome. In the symptomatic treatment of Parkinson's syndrome, delirium and hallucination are easy to aggravate, so we should start from a small dose and increase it carefully.

Selective 5-HT reuptake inhibitors such as citalopram and fluoxetine can be used for depression, and new antipsychotics such as risperidone and olanzapine can be used for visual hallucination; The patients with DLB are sensitive to nerve tranquilizers and antipsychotics and should be cautious.

matters needing attention

Daily life care. The diet should be light, nutritious and easy to digest. If you eat fish and shrimp, you should take out the fishbone and peel off the shell to avoid choking. Should also be based on temperature changes, appropriate clothing for the elderly increase or decrease.