Presentation
[…] degeneration (parkinsonian presentation) olivopontocerebellar atrophy (ataxic presentation) Shy-Drager syndrome (autonomic presentation) While at initial presentation a patient may have a rather pure phenotype, as the condition progresses other symptoms [pdcenter.neurology.ucsf.edu]
Here’s the scenario: An 81 year old male presents with worsening confusion over the period of about 3-6 months. The primary provider is considering an Rx for Aricept as she feels that this is Alzheimer’s dementia. [meded101.com]
Furthermore, the criteria for diagnosis of dementia were inspired by the clinical presentation of Alzheimer's disease and are poorly adapted to the diagnosis of other dementias. [en.wikipedia.org]
The following features may be present: Usually acute or subacute presentation. Fluctuating course. Consciousness is clouded/impaired cognition/disorientation. Poor concentration. Memory deficits - predominantly poor short-term memory. [patient.info]
Expanding upon this same theme, Drug-Induced Dementia: A Perfect Crime presents a methodical analysis of the scientific and epidemiological evidence which confirms psychopharmaceuticals as a cause of brain damage and premature death. [amazon.com]
Entire Body System
- Chronic Fatigue Syndrome
fatigue syndrome, fibromyalgia, retinitis pigmentosa, diabetes, hepatitis C, and primary biliary cirrhosis. [elderadvocates.ca]
Neurologic
- Cognitive Impairment
Drugs that can cause cognitive impairment Drug-induced cognitive impairment is most commonly linked to benzodiazepines, opiates, tricyclic antidepressants and anticonvulsants (drugs used to treat and prevent seizures). [worstpills.org]
"After beginning new drugs, doctors, patients and their families should watch for subtle changes in cognition and assume changes may be caused by drug therapy. People already suffering from some cognitive impairment are most susceptible." [commondreams.org]
Abstract Many drugs have been reported to induce not only delirium but also cognitive impairment. [ncbi.nlm.nih.gov]
This subjective cognitive decline is associated with an increased risk of progression to mild cognitive impairment (MCI) and dementia (Jessen et al., 2014). [asha.org]
There are medications, and combinations of medications, that can cause cognitive impairment, leading to symptoms that may seem like dementia, but these symptoms typically go away when the medication, or combination, is removed. [everydayhealth.com]
- Confusion
Subtypes of delirium [ 4 ] Hypoactive subtype - apathy and quiet confusion are present and easily missed. This type can be confused with depression. [patient.info]
Here’s the scenario: An 81 year old male presents with worsening confusion over the period of about 3-6 months. The primary provider is considering an Rx for Aricept as she feels that this is Alzheimer’s dementia. [meded101.com]
However, medications can definitely cause delirium, which is often confused with dementia. Delirium is a confused state that is reversible once the cause is treated. [caring.com]
Confusion also takes several months to clear up. As confusion clears, the severe memory problems associated with Korsakoff syndrome may become more noticeable. [alz.org]
Experts say the wrong mix of drugs can cause unexpected cognitive side-effects in seniors, including confusion, memory loss and aggression: symptoms that may be misdiagnosed as Alzheimer's disease. [cbc.ca]
- Agitated Delirium
Antianxiety drugs (Benzodiazepines) Why they are prescribed: Benzodiazepines are used to treat a variety of anxiety disorders, agitation, delirium and muscle spasms, and to prevent seizures. [aarp.org]
Workup
Experts recommend that a medical workup for memory loss or other cognitive changes always include questions about an individual's alcohol use. [alz.org]
Urine
- Microalbuminuria
الصفحة 237 - Screening and management of microalbuminuria in patients with diabetes mellitus: recommendations to the Scientific Advisory Board of the National Kidney Foundation from an ad hoc committee of the Council on Diabetes Mellitus of the National [books.google.com]
Treatment
Confusion and lack of understanding Trouble generating abstract thought Disturbances or difficulty with memory Disorientation Lethargy Depression Fatigue Hallucinations Treatments One of the most important forms of early treatment is preventing the severity [dementia.org]
Dementia, myoclonus, peripheral neuropathy, and lipid-like material in skin biopsy during psychotropic drug treatment. [link.springer.com]
This approach to treatment can really make a difference. [gomentor.com]
Treatment for this condition is the same as for PD. [pdcenter.neurology.ucsf.edu]
When someone dies from a common disease process such as heart disease, it is unlikely that the treating physician considers prescription drugs (from past or present treatment) as a possible cause. [questia.com]
Prognosis
The further dementia progresses, the less likely it is to be treatable with a favorable prognosis. Do something about it: call the number at the top of your screen now for an immediate consultation. [recoveryfirst.org]
Patients with malignancy or HIV also have a worse prognosis. [ 4 ] Prevention [ 1 ] Awareness of high-risk patients and subsequent close observation for delirium with prompt assessment and management can potentially reduce morbidity and mortality. [patient.info]
Researchers are studying proteins in the spinal fluid to see if certain patterns can detect specific causes of dementia, or can predict the outlook (prognosis). Expected Duration In most cases, dementia gets worse and cannot be cured. [drugs.com]
Prognosis and Patient Counseling. Prognosis for drug-induced lupus is good. Symptoms usually will resolve with days or weeks of discontinuation of the medication. Antibodies may persist for longer periods. VI. Patient Safety and Quality Measures A. [clinicaladvisor.com]
Treatment of Alcohol Induced Persistent Dementia The prognosis for alcohol induced dementia depends a great deal on how early the condition is caught. [alcoholrehab.com]
Etiology
It is so tempting to use the popularized, but rather squishy label of AD (of unknown etiology) rather than to educate ourselves about the possibility of drug- or vaccine-induced dementia. [thepeoplesvoice.org]
There is evidence from the history, physical examination, or laboratory findings that the deficits are etiologically related to the persisting effects of substance use (e.g., a drug of abuse, a medication). [behavenet.com]
Recently Alzheimer’s support groups all around the nation have been marketing a documentary about country singer Glen Campbell who has recently been diagnosed with Alzheimer’s disease (of unknown etiology) despite the obvious fact that Campbell was [ppjg.me]
Big Pharma has found that the promotion and de-stigmatization of so-called “mental illnesses of unknown etiology” is a great tool for marketing their drugs. [duluthreader.com]
Epidemiology
Expanding upon this same theme, Drug-Induced Dementia: A Perfect Crime presents a methodical analysis of the scientific and epidemiological evidence which confirms psychopharmaceuticals as a cause of brain damage and premature death. [authorhouse.com]
Expanding upon this same theme, Drug-Induced Dementia: a perfect crime presents a methodical analysis of the scientific and epidemiological evidence which confirms psychopharmaceuticals as a cause of brain damage and premature death. [beyondmeds.com]
[…] far more common that the dementia will reveal itself anywhere from age 50 to 70. [7] The onset and the severity of this type of dementia is directly correlated to the amount of alcohol that a person consumes over their lifetime. [ citation needed ] Epidemiological [en.wikipedia.org]
School of Medicine, adjunct associate professor of health services at the UW School of Public Health, and affiliate investigator at GHRI; Sascha Dublin, MD, PhD, a Group Health physician, GHRI associate investigator, and affiliate associate professor of epidemiology [sop.washington.edu]
Pathophysiology
The pathophysiology of memory loss associated with anticholinergic drugs was strengthened by the emergence of the cholinergic hypothesis of memory and by the demonstration that memory is adversely affected by the injection of scopolamine, but that these [medlink.com]
Pathophysiology [ edit ] Alcohol has a direct effect on brain cells in the front part of the brain, resulting in poor judgment, difficulty making decisions, and lack of insight. [en.wikipedia.org]
Considering that several studies link energy impairment to neuronal death, neurodegeneration and disease, this review article discusses energy impairment as a mechanism underlying the pathophysiology of some psychiatric disorders, like (psychotropic drug-treated [thepeoplesvoice.org]
Prevention
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. [books.google.com]
Unfortunately, medication-induced dementia is hard to detect and even harder to prevent. [dementia.org]
[…] not recognized preventive care will not be offered. [ppjg.me]
Drug-induced dementia can be prevented by avoiding polypharmacy and adhering to the saying 'start low and go slow'. Early diagnosis of drug-induced dementia and withdrawal of the offending drug is essential to improve cognitive function. [ncbi.nlm.nih.gov]