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Alternative medicine

By Mayo Clinic staff

Alzheimer's Caregiving

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Various herbal mixtures, vitamins and other supplements are widely promoted as preparations that may support cognitive health or prevent or delay Alzheimer's. The National Institutes of Health (NIH) convened an expert panel that concluded current evidence doesn't support any benefit from taking extra vitamin B, vitamin C, vitamin E, folic acid or beta carotene.

Omega-3 fatty acids
The NIH panel concluded there is somewhat stronger data — but not definitive evidence — that omega-3 fatty acids in fish oil may help prevent cognitive decline.

Vitamin E
Some physicians prescribe high doses of vitamin E to help treat Alzheimer's disease, based on a federally funded study showing that vitamin E delayed loss of ability to carry out daily activities and placement in residential care for a few months. Since that study, other research has associated taking vitamin E with an increased risk of death. No one should take vitamin E except under a doctor's supervision.

Ginkgo
Ginkgo is a plant extract containing several substances believed to be of possible benefit in Alzheimer's. But a large study funded by the NIH found no effect in preventing or delaying Alzheimer's disease.

Supplements promoted for cognitive health can interact with medications you're taking for Alzheimer's disease or other health conditions. Work closely with your health care team to create a treatment plan that's right for you. Make sure you understand the risks and benefits of everything it includes.

References
  1. Thies W, et al. 2012 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2012; 8:131.
  2. Halter JB, et al. Hazzard's Geriatric Medicine and Gerontology. 6th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=540.. Accessed Nov. 18, 2012.
  3. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4.. Accessed Nov. 18, 2012.
  4. Basics of Alzheimer's disease. Alzheimer's Association. http://www.alz.org/national/documents/brochure_basicsofalz_low.pdf. Accessed Dec. 19, 2012.
  5. Alzheimer's disease fact sheet. National Institute on Aging. http://www.nia.nih.gov/NR/rdonlyres/7DCA00DB-1362-4755-9E87-96DF669EAE20/13991/ADFactSheetFINAL2510.pdf. Accessed Nov. 18, 2012.
  6. Alzheimer's disease information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/alzheimersdisease/alzheimersdisease.htm. Accessed Dec. 13, 2012.
  7. Desai AK. Revitalizing the aging brain. Medical Clinics of North America. 2011;95:463.
  8. Caring for a person with Alzheimer's disease. National Institute on Aging. http://www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease/understanding-ad. Accessed Dec. 19, 2012.
  9. Essentials of a diagnostic workup. Alzheimer's Association. http://www.alz.org/professionals_and_researchers_14902.asp. Accessed Dec. 19, 2012.
  10. Nowrangi MA. Epidemiology, assessment and treatment of dementia. Psychiatric Clinics of North America. 2011;34:275.
  11. Alternative treatments. Alzheimer's Association. http://www.alz.org/alzheimers_disease_alternative_treatments.asp. Accessed Dec. 19, 2012.
  12. Preventing Alzheimer's disease and cognitive decline. National Institutes of Health State-of-the-Science Conference Statement. http://consensus.nih.gov/2010/alzstatement.htm. Accessed Dec. 19, 2012.
  13. Farina N, et al. Vitamin E for Alzheimer's dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002854.pub3/abstract. Accessed Dec. 10, 2012.
  14. Natural medicines in the clinical management of Alzheimer's disease. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Dec. 10, 2012.
DS00161 Jan. 19, 2013

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