Question 1

My mother suffers from Alzheimer's and migraines. She forgets recent events and is confused with daily tasks. Can you compare Donepezil plus Memantine with Citicoline plus Piracetam?

Dr Veda Maddala · Accepted Answer

Donepezil plus Memantine is the standard treatment for Alzheimer's and helps improve memory, daily functioning, and slow decline. Citicoline plus Piracetam mainly improves blood flow and cognition but is not a primary Alzheimer's treatment. For your mother's symptoms, the first combination is usually more effective. Follow your neurologist's guidance.

Question 2

The patient has cerebral atrophy and hypertension, takes several medications, and has had a stroke. He remains confused and has an imbalance. What is the best possible treatment for him?

Dr Veda Maddala · Accepted Answer

With cerebral atrophy and a past stroke, the best approach is strict control of BP, sugar, and cholesterol, along with medications for stroke prevention (antiplatelets, statins) and cognitive support as advised by a neurologist. Physiotherapy, balance training, and regular follow-ups are essential to improve stability and reduce confusion.

Question 3

My father has vascular dementia and takes Donep-M half a tablet at bedtime. Is it safe to give him a full tablet instead?

Dr Veda Maddala · Accepted Answer

It's not advisable to increase Donep-M (Donepezil plus Memantine) to a full tablet without a doctor?s approval. Dose changes can cause side effects like nausea, dizziness, or worsening confusion. Please consult his neurologist before adjusting the dose.

Question 4

My father has Alzheimer's disease. Which type of doctor should I consult for his treatment: a neurologist or a psychiatrist?

Dr Veda Maddala · Accepted Answer

You should primarily consult a neurologist, as they specialize in brain and memory disorders like Alzheimer's. A psychiatrist can also help if your father has behavioral issues, mood changes, or sleep problems. Many patients benefit from a combined approach.

Question 5

Can you suggest a treatment for cortical atrophy? My father has dizziness and vomiting for the last two days, along with a history of hypertension.

Dr Veda Maddala · Accepted Answer

Cortical atrophy has no cure, but symptoms can be managed with strict blood pressure control, good hydration, physiotherapy, and cognitive support. Sudden dizziness and vomiting need urgent medical evaluation to rule out stroke or electrolyte imbalance. Please take him to a doctor or emergency room immediately.

Question 6

My father had an accident ten years ago, recovered physically, but lost his memory. He remembers the present but not the past. How can we help him?

Dr Veda Maddala · Accepted Answer

Memory loss after a past head injury can be long-term, but you can help by consistent routines, memory exercises, showing old photos/videos, and encouraging social interaction. A neurologist or neuropsychologist can guide cognitive rehabilitation. Regular follow-ups help track any improvement.

Question 7

I have a head injury and some memory loss.

Dr Veda Maddala · Accepted Answer

A head injury can cause temporary or long-term memory loss. Get a neurologist evaluation to rule out complications and start cognitive rehab if needed. Adequate rest, sleep, hydration, and avoiding stress can support recovery.

Health queries for Donep-M Tablet 15's