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Treatment

Treatment

Treatment decisions always require an individualized medical evaluation. These pages explain the options so you can have a better conversation with your clinician.

Can dementia be treated?

There is meaningful treatment for dementia, even though most causes cannot yet be cured.

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Donepezil (Aricept)

A cholinesterase inhibitor used across mild, moderate, and severe Alzheimer's disease.

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Rivastigmine (Exelon)

A cholinesterase inhibitor available as a skin patch, often used in Lewy body and Parkinson's disease dementia.

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Galantamine (Razadyne)

A cholinesterase inhibitor used in mild to moderate Alzheimer's disease.

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Memantine (Namenda)

An NMDA receptor modulator used in moderate to severe Alzheimer's disease, often alongside a cholinesterase inhibitor.

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Leqembi (lecanemab)

An anti-amyloid antibody that modestly slows decline in early Alzheimer's disease for carefully selected patients.

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Kisunla (donanemab)

An anti-amyloid antibody for early symptomatic Alzheimer's disease, given by infusion with MRI monitoring.

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Amyloid-targeting treatment

Anti-amyloid antibodies are the first treatments that address Alzheimer's biology rather than only symptoms.

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Who may qualify for disease-modifying therapy

Eligibility depends on stage, biomarker confirmation, imaging findings, medications, and other health conditions.

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ARIA monitoring

ARIA is brain swelling or small bleeding that can occur with amyloid-targeting therapy and requires MRI surveillance.

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Lifestyle interventions

Lifestyle measures do not replace medical treatment, but their combined effect is real and worth pursuing.

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Exercise

Exercise is among the most consistently supported interventions for brain and functional health.

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Sleep

Poor sleep worsens memory, mood, and behavior; treating sleep disorders can improve daily function.

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Hearing

Treating hearing loss is one of the highest-value, most overlooked interventions available.

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Nutrition

A Mediterranean-style eating pattern is reasonable, and maintaining weight becomes the priority as dementia advances.

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Social connection

Isolation accelerates decline; engagement supports mood, sleep, and function.

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Blood pressure and vascular health

Vascular risk factor control is one of the few measures with evidence for reducing dementia risk.

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Cognitive activity

Mental engagement is worthwhile; commercial brain-training claims outpace the evidence.

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