I am 82m and has been suffering from senile dementia and insomnia. I was given (donepezil 5 mg + memantine 5 mg) for dementia. After taking the medicine last one month my serum sodium level fell below 125 meq/l. To control hyponatremia, doctor prescribed me to take tolvaptan 15 mg along with 05 g salt capsule daily with a water restriction of max 1200 ml per day. Even after 30 days of taking the above medicine, my serum sodium level is still 133 meq/l which is below the normal ref value 138 - 148. Should I continue tolvaptan 15 mg + 5 g salt cap + water restriction for more days or increase the dose of tolvaptan to 30 mg? Earlier also I had to stop donepezil due to induced hyponatremia. Please advice if I need to stop dementia medicines completely or not.
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Your senile dementia and insomnia. Treatment is available in homoeopathy for this chronic problem. Homeopathic treatment is painless and safe. No side effects. No hyponatremia issue. You need comprehensive treatment and it takes some time. Please start taking homeopathic medicine, preliminary dose arsenicum album 200-once daily in the morning for 5 days. Book online appointment/consultation with me (commencing from text consult rs 149, audio/phone-rs 300 and video rs 400) for further more comprehensive prescription and treatment.
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better to avoid them as it is causing decrease in sodium level.. and don't worry 133 is not such a low .. it's considered about normal as actual level of sodium should be 135 to 145...avoid increase water intake
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Senility, which is now more commonly referred to as dementia, is characterized by a decrease in cognitive abilities or mental decline. This may include the person?s inability to concentrate, to recall information, and to properly judge a situation. Senility is a deterioration of body and mind associated with advanced aging. Indications of old age vary in the time of their appearance. Homoeopathy works very well in this condition if you are intrested then you should also take aurum iodatum 0/1 with ascending potencies for few month.
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If hyponatrmia persist you can continue memantine along with citicoline and piracetam
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Hi lybrate-user, one of the side effects of donepezil is hyponatremia, reduced pulse rate, urinary retention. There are other medications with less of these side effects.
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Do not stop dementia medication. Continue tolvaptan on 15 mg. Increase salt intake.
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