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Dementia

Dementia (taken from Latin, originally meaning "madness", from de- "without" + ment, the root of mens "mind") is a serious loss of global cognitive ability in a previously unimpaired person, beyond what might be expected from normal ageing. It may be static, the result of a unique global brain injury, or progressive, resulting in long-term decline due to damage or disease in the body. Although dementia is far more common in the geriatric population, it can occur before the age of 65, in which case it is termed "early onset dementia".

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with dementia, 53% report having disturbance of memory, 45% report having problems with movement, and 32% report having depressive or psychotic symptoms. The symptoms that are highly suggestive of dementia are disturbance of memory, problems with movement, hostile behavior, and disturbance of smell or taste, although you may still have dementia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with dementia often receive electrocardiogram, x-ray computed tomography, mental health counseling, lipid panel, physical therapy exercises, occupational therapy assessment, cat scan of head and magnetic resonance imaging .

Common Medications

The most commonly prescribed drugs for patients with dementia include donepezil (aricept), memantine (namenda), carbidopa / levodopa, rivastigmine (exelon), galantamine, mirtazapine, thiamine, pramipexole (mirapex), felodipine, bisacodyl (the magic bullet), modafinil (provigil), raloxifene (evista) and deferasirox (exjade) .

Donepezil (Aricept)
$210
(28 days)
Memantine (Namenda)
$157
(28 days)
Rivastigmine (Exelon)
$204
(28 days)
Galantamine
$129
(28 days)
Mirtazapine
$16
(28 days)
Thiamine
$3
(28 days)
Pramipexole (Mirapex)
$121
(28 days)
Felodipine
$41
(28 days)
Bisacodyl (The Magic Bullet)
$5
(21 days)
Modafinil (Provigil)
$596
(28 days)
Raloxifene (Evista)
$105
(28 days)
Deferasirox (Exjade)
$4742
(28 days)

Who is at risk?

Groups of people at highest risk for dementia include age 75+ years age 60-74 years. On the other hand, age 1-4 years and age < 1 years almost never get dementia.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.2x
15-29 years
0.1x
30-44 years
0.1x
45-59 years
0.6x
60-74 years
2.0x
75+ years
5.8x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
0.9x
Hispanic
0.6x
White
1.2x
Other
0.7x
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