system
Have deteriorating mental ability. Have alzheimer's dementia and hypertension. On medication. What to do?
human
Hi, I am Partha from Guwahati. My father has been  suffering from Alzheimer's Dementia for the last 5 years and hypertension for about two decades. Present medication- Admenta 10mg (memantine hydrochloride) twice daily, Stamlo beta (Amlodipine+atenolol) in the morning and stamlo 2.5 mg in d evening. His BP is under conrol but mental ability is deterirating day by day. What should be our next line of treatment?
gpt
Hello  Alzheimer's dementia is most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines but his mental abilities are deteriorating day by day. He is on Admanta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer's disease. Other medicine like Donepezil can be added to his prescription. It help in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic drug in low doses can be added to his prescription like Resperidone. It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia. So I would advise you to please take him to a good Psychiatrist for proper evaluation. Thanks Dr. Seikhoo Bishnoi, MD