Vascular Dementia Treatment Options and Medication Management

Vascular dementia does not have a specific cure, but its prognosis can be relatively favorable with appropriate treatment strategies. Managing and maintaining blood pressure at optimal levels is crucial, as it can significantly improve cognitive function and reduce the risk of future strokes. However, excessively low blood pressure should be avoided as it may worsen symptoms.

Antiplatelet Therapy and Circulation Improvement

Antiplatelet medications such as aspirin at a daily dose of 100mg or clopidogrel at 75mg per day are commonly recommended to reduce the risk of stroke. In addition, treatments aimed at improving cerebral circulation, including Ginkgo biloba extract (such as Egb 761), ginseng saponins, and puerarin, have shown benefits in supporting brain blood flow and reducing stroke likelihood.

Neuroprotective Agents and Cognitive Support

Neuroprotective agents play a vital role in slowing the progression of dementia. Antioxidants like vitamin C and vitamin E, along with monoamine oxidase inhibitors such as selegiline, may help preserve cognitive function. Calcium channel blockers like nimodipine and flunarizine are also used to protect brain cells from damage and support overall brain health.

Metabolic Enhancers for Brain Function

Brain metabolism enhancers such as Cerebrolysin, citicoline, and piracetam can aid in the recovery of cognitive abilities. These agents promote the brain's utilization of amino acids, phospholipids, and glucose, thereby improving mental responsiveness and memory. When used as part of a comprehensive treatment plan, they can contribute to partial restoration of cognitive performance.