Is Aricept doing more harm than good with pleasant dementia?

A fellow caregiver asked...

My mother has what now is referred to as "Pleasant Dementia". She has been on Aricept for a couple of years and recently her prescription was interrupted by a delay in the insurance approval. While off the Aricept for a week, I noticed a real improvement in her memory and response - more alert, etc. After 3 weeks I am not sure if I have done the right thing as she seems more alert, I am afraid the dementia will deteriorate more quickly. Do you think I should continue the Aricept even though it made her more lethargic and "out of it". Thank you for any information.

Expert Answer

Ladislav Volicer, M.D., Ph.D., is recognized as an international expert on advanced dementia care. He is a courtesy full professor at the School of Aging Studies, University of South Florida, Tampa, and visiting professor at the Third Medical Faculty, Charles University, Prague, Czech Republic. Twenty-five years ago, he established one of the first dementia special care units.

Aricept may have different effects in different people. I would not recommend starting it again if your mother is doing better without it. However, if her dementia progresses, you might want to try it again.