My father has vascular dementia and is taking Donep-M half tablet at bedtime, but it is difficult for us to split the tablet properly. Can I give one full tablet once daily or switch to Donep 5 mg instead?

Difficulty splitting the tablet can occur, but changing the dose on your own may lead to unwanted effects or reduce its benefits. Try using a proper tablet cutter to get an even half, or ask your pharmacist if the same medicine is available in a lower-strength tablet so you do not need to split it. Keep the dose timing consistent at night and watch for any changes in memory, sleep, or behaviour if doses vary. Avoid giving a full tablet suddenly, as this may increase side effects like dizziness or stomach upset. Note any worsening confusion or unusual symptoms after dosing changes. Consult the prescribing doctor before adjusting the dose or switching to a different strength.

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?

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.

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.

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.

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

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.

I had a stroke, and since then, I have been facing memory loss, even after taking Strocit Plus earlier and now using Donep M and Ecosprin Gold 20. My memory has not improved. What should I do?

Memory problems after a stroke often happen due to brain injury, and recovery can be slow and vary from person to person. Try keeping a simple daily routine with fixed timings, using reminders like notes or phone alarms to support memory, and engage in light mental activities such as reading, puzzles, or conversations to keep the mind active. Regular gentle exercise and a balanced diet can also help overall brain function, and taking medicines exactly as advised is important. Ensure proper sleep, as poor rest can worsen memory. Consult your doctor to review your treatment and explore additional support for memory improvement.

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

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.