If your mother, father, or someone very close to you is suffering from Alzheimer's disease, I know how challenging it can be. There are so many questions on your mind, aren't there? 'Will the medication I'm given for this cause side effects?', 'What will happen when I go on a trip?', 'What will I do if I don't eat?' You probably always think about things like this. Let's talk about all of this simply, as a friend.
Do Alzheimer's disease medications have side effects?
There is no cure for Alzheimer's disease. However, there are several medications that can help slow the progression of the disease and control symptoms. These medications are often most helpful for people in the early stages of the disease. However, it is important to remember that these medications do not work for everyone.
These medications can have some common side effects. Most of the time, these go away within a few weeks. However, very rarely, serious complications can occur. So it's important to be aware of these.
We will talk about three main types of medications.
1. Cholinesterase inhibitors
These work by controlling the levels of a chemical messenger in our brain that helps with memory, attention, and logical thinking.
| Types of medicines (examples) | Common side effects |
|---|---|
|
|
| Important: Taking the medication with food may help to minimize these side effects. If you experience any unusual symptoms, such as seizures, muscle weakness, or fainting, call your doctor immediately. Also, this medication is not suitable for people with certain types of heart rhythm disorders. | |
2. Memantine (Memantine - Namenda)
This drug manages the levels of a chemical messenger that supports learning and memory.
| Type of medicine | Possible side effects |
|---|---|
| Memantine |
|
3. Monoclonal antibodies
These are a new type of medication. They fight against plaque proteins that build up in the brain. They are given through a vein (IV).
| Monoclonal antibodies (e.g. Lecanemab, Donanemab) - side effects | |
|---|---|
| Infusion reactions | |
| Fever, dizziness, nausea, vomiting, irregular heartbeat, difficulty breathing. If you feel anything like this, inform the doctor or nurse immediately. | |
| Other serious side effects (rarely) | |
| Brain swelling or bleeding into the brain | Although symptoms are often absent, these may occur:
|
| Important: Your doctor may recommend regular MRI scans to monitor for these conditions. People who take blood thinners and those with the APOE e4 gene are at higher risk. | |
My father has Alzheimer's. When traveling with him, what can I do to make it easier for both of us?
This is a very good question. The most important thing is to plan ahead. First, go on a short trip and see how they react to the journey.
- Let them do simple things during the trip: look at a magazine, play a game of cards, or listen to music.
- Never leave a child alone in a car. Always fasten your seat belt and lock the doors.
- Stop the car frequently and rest: If he gets agitated, stop him as soon as possible. Don't try to comfort him while driving.
- Go somewhere familiar to him: A place like a resort he's been to before is best. Avoid crowded places and noisy trips.
- Inform airline and hotel staff: Tell them you are traveling with someone with memory impairment.
- Keep an ID card handy: It is very important to have a card with your name, address, and contact phone number on your clothing or in your pocket.
- Think about yourself too: While you're enjoying your time with your dad, take some time for yourself. If possible, enlist someone else to help.
My loved one is not eating. What do I do?
Symptoms of Alzheimer's disease can cause loss of appetite. This can be caused by things like not feeling hungry or thirsty, difficulty swallowing, inability to use cutlery, and stress. Try these things:
- Talk to your doctor first. It could be due to a treatable condition (e.g. depression).
- Don't force them to eat. Find out why they don't like to eat.
- Feed nutritious foods: Feed foods that contain protein, fruits, vegetables, and good fats. Reduce salt and sugar. It is also good to give nutritional drinks (shakes).
- Instead of 3 large meals, give several small meals.
- Develop an appetite: Focus on small exercises like walking and gardening.
- Offer finger foods. These are easier for them to control.
- Make mealtimes fun: Colorful plates and cups, and soft music in the background can help. If possible, eat together rather than alone.
Some of the biggest myths about Alzheimer's disease
Believing in misconceptions only adds unnecessary stress to the patient and to you. Let's find out the truth about these myths.
Myth #1: Alzheimer's only affects old people.
Fact: Although most people are over 65, about 5% of patients may develop symptoms in their 30s, 40s, or 50s. This is called ``Early-onset Alzheimer's.'' This may be due to genetic factors.
Myth #2: Memory loss is normal with age.
Fact: It's normal to forget where you put your keys. However, forgetting directions to a place you always go, the day of the week, or the season can be symptoms of Alzheimer's. This is not a normal part of aging, but a disease.
Myth #3: No one dies from Alzheimer's disease.
Fact: Sadly, Alzheimer's is a fatal disease. The disease can cause serious conditions such as forgetting to eat or drink, difficulty swallowing, nutritional deficiencies, and pneumonia. It can also be life-threatening, such as loss of consciousness and the risk of going to dangerous places.
Myth #4: There are treatments that stop the disease from getting worse.
Fact: While there are medications that can control symptoms and slow the progression of the disease somewhat, they cannot completely stop or reverse the disease. Don't be fooled by any supplements or diets that claim to "cure" you. Always trust your doctor.
Myth #5: Aluminum, flu shots, and mercury fillings cause Alzheimer's.
Fact: There is no scientific evidence for any of this. It is a complete myth that aluminum cans, artificial sweeteners (aspartame), or silver fillings in teeth cause Alzheimer's. In fact, getting vaccines, like the flu shot, is good for overall health.
Take-Home Message
- Although Alzheimer's disease cannot be cured, medications can control its symptoms and the rate of progression of the disease.
- Before starting any medication, and if you experience any side effects, talk openly with your doctor about it. Never stop or start medication based on others' advice.
- When caring for a patient, it is very important to have a consistent routine, patience, and love.
- Always follow medical advice and do not believe in myths or treatments that have not been scientifically proven.
- Caring for a loved one is a big commitment. At the same time, it's essential that you also take care of your own mental and physical health. Don't hesitate to ask for help if you need it.


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