How is dementia managed in patients with Parkinson disease (PD)?

Updated: Jan 24, 2019
  • Author: Robert A Hauser, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Although no specific therapy exists for dementia, the American Academy of Neurology evaluated the evidence regarding the use of cholinesterase inhibitors in Parkinson disease dementia. [101] Based on their review, they suggested that rivastigmine (Exelon) and donepezil (Aricept) are probably effective in treating Parkinson disease dementia. Anticholinergic drugs used for the treatment of motor symptoms of Parkinson disease may exacerbate memory impairment. When possible, avoid these medications.


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