Flashcards in Alzheimers Deck (11):
Which screening tools are used to identify dementia?
Which anticholinergics are used that can cause cognitive impairment
Centrally acting such as Benztropine, Diphenhydramine, Oxybutynin,
Natural products used for Alzheimers
Vit E 2000IU QD
Vit D if low
Ginko Biloba however it has high bleeding risk so if a patient is on Warfarin then avoid.
Key drugs that worsen Alzheimers
Skeletal muscle relaxants
What strength is required of donepezil in order to be switched to Namzaric
Donepezil warnings, SE, Notes, dosing
ODT less side effects and pts <50mg have more side effects
Rivastigamine (Exelon) formulation/dose and notes.
less side effects
Exelon capsule should be taken BID with breakfast and dinner
Namenda blocks NMDA which inhibits glutamate (Excitatory neuron) from binding and decreasing activation
Namenda dose and notes
IR- 5mg QD
CrCl<30 max 5mg BID or 14 mg XR QD
Acetylcholinesterase drug interactions
Use caution with drugs that can lower BP (BB, CCB, Digoxin)
Dizzy cause drugs (Anti-psychs, Alpha blockers, hypnotics Skeletal muscle relaxants, opioids)