Identify and manage 2 common non-Alzheimer’s dementias
Rapid memory loss, visual hallucinations, recent stroke differentiate vascular, Lewy body subtypes
Glycemic control (fasting blood glucose <110 mg/dL) and smoking cessation can also reduce the risk of further vascular events. Most patients should be taking an antiplatelet medication, preferably aspirin, to reduce clotting risk.
Although Lewy body dementia has no known risk factors other than age, research will determine whether vascular or other factors contribute to its development.
CASE CONTINUED: TARGETING AGGRESSION
Ms. Z was given divalproex, 250 mg bid, to reduce her frequent aggression. Her visual hallucinations were considered mild and not problematic and therefore were not treated. She responded well to the medication, allowing her to remain in day care and avoid nursing home placement.
Related resources
- Alzheimer’s Association. https://www.alz.org
- American Geriatrics Society. https://www.americangeriatrics.org
Drug brand names
- Carbamazepine • Tegretol, others
- Carbidopa/Levodopa • Various
- Divalproex • Depakote
- Donepezil • Aricept
- Galantamine • Reminyl
- Hydrocodone/acetaminophen • Vicodin, others
- Lisinopril/hydrochlorothiazide • Prinzide, Zestoretic
- Memantine • Namenda
- Risperdone • Risperdal
- Rivastigmine • Exelon
Disclosure
Dr. Bartz is a speaker for Forest Pharmaceuticals and Novartis Pharmaceuticals Corp.
