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Alternative medicine

By Mayo Clinic staff

Several dietary supplements, herbal remedies and therapies have been studied for people with dementia. Some may be beneficial.

Dietary supplements, vitamins and herbal remedies
Use caution when considering dietary supplements, vitamins or herbal remedies to slow the progress of dementia, especially if you're taking other medications.

Dietary supplements, vitamins and herbal remedies aren't regulated, and claims about their benefits aren't always based on scientific research. Some alternative medicine options for Alzheimer's disease and other forms of dementia that have been studied include:

  • Vitamin E. Some studies have shown that vitamin E may slow the progression of Alzheimer's disease. Doctors warn against taking large doses of vitamin E because it may have a higher risk of mortality, especially in people with heart disease.
  • Omega-3 fatty acids. Omega-3s, a type of polyunsaturated fatty acid found in fish and nuts, may reduce the risk of heart disease, stroke and mild cognitive impairment. However, in studies, omega-3 fatty acids haven't significantly slowed cognitive decline in mild to moderate Alzheimer's disease. More research is needed to understand whether omega-3 fatty acids benefit people with Alzheimer's and other types of dementia.
  • Coenzyme Q10. This antioxidant occurs naturally in your body. It's also necessary for normal cell reactions.

    A synthetic version of this compound, called idebenone, showed some positive results in testing for Alzheimer's disease.

    More studies are needed to determine safe dosages and potential benefits of coenzyme Q10.

  • Ginkgo. Extracts from the leaves of the Ginkgo biloba tree have antioxidant and anti-inflammatory properties that may protect cells in your brain from breaking down.

    Some studies have shown that ginkgo may slow the progression of memory problems in people with Alzheimer's or other types of dementia. Other studies have found that ginkgo doesn't slow or delay the onset of dementia.

Other therapies
People with dementia often experience worse symptoms when they're frustrated or anxious. The following techniques may help reduce agitation and promote relaxation in people with dementia.

  • Music therapy, which involves listening to soothing music
  • Pet therapy, which involves use of animals, such as visits from dogs, to promote improved moods and behaviors in people with dementia
  • Aromatherapy, which uses fragrant plant oils
  • Massage therapy
References
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  2. What is dementia? Alzheimer's Association. http://www.alz.org/what-is-dementia.asp. Accessed Jan. 18, 2013.
  3. Shadlen MF, et al. Evaluation of cognitive impairment and dementia. http://www.uptodate.com/home. Accessed Feb. 1, 2013.
  4. Hake AM, et al. Epidemiology, pathology, and pathogenesis of dementia with Lewy bodies. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  5. Hake AM, et al. Clinical features and diagnosis of dementia with Lewy bodies. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  6. Types of dementia. Alzheimer's Association. http://www.alz.org/dementia/types-of-dementia.asp. Accessed Jan. 18, 2013.
  7. Vascular dementia. Alzheimer's Association. http://www.alz.org/dementia/vascular-dementia-symptoms.asp. Accessed Feb. 11, 2013.
  8. Frontotemporal dementia (FTD). Alzheimer's Association. http://www.alz.org/dementia/fronto-temporal-dementia-ftd-symptoms.asp. Accessed Feb. 11, 2013.
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  11. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Jan. 28, 2013.
  12. Shadlen MF, et al. Risk factors for dementia. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  13. Press D, et al. Treatment of dementia. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  14. Press D, et al. Cholinesterase inhibitors in the treatment of dementia. http://www.uptodate.com/home. Accessed Feb. 12, 2013.
  15. Press D, et al. Safety and societal issues related to dementia. http://www.uptodate.com/home. Accessed Feb. 12, 2013.
  16. Press D, et al. Treatment of behavioral symptoms related to dementia. http://www.uptodate.com/home. Accessed Feb. 12, 2013.
  17. Eating. Alzheimer's Association. http://www.alz.org/care/alzheimers-food-eating.asp. Accessed Feb. 11, 2013.
  18. The changing brain in AD. National Institute on Aging. http://www.nia.nih.gov/alzheimers/publication/part-2-what-happens-brain-ad/changing-brain-ad. Accessed Feb. 13, 2013.
  19. Personal care: Assisting a person with dementia with changing daily needs. Alzheimer's Association. http://www.alz.org/care/alzheimers-dementia-dressing.asp. Accessed Feb. 11, 2013.
  20. Communication and Alzheimer's. Alzheimer's Association. http://www.alz.org/care/dementia-communication-tips.asp. Accessed Feb. 4, 2013.
  21. Creating a daily plan. Alzheimer's Association. http://www.alz.org/care/dementia-creating-a-plan.asp. Accessed Feb. 4, 2013.
  22. Early-stage caregiving. Alzheimer's Association. http://www.alz.org/care/alzheimers-early-mild-stage-caregiving.asp. Accessed Feb. 13, 2013.
  23. Sleep issues and sundowning. Alzheimer's Association. http://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp. Accessed Feb. 4, 2013.
  24. Alternative treatments. Alzheimer's Association. http://www.alz.org/alzheimers_disease_alternative_treatments.asp. Accessed Feb. 13, 2013.
  25. Wollen KA. Alzheimer's disease: The pros and cons of pharmaceutical, nutritional, botanical, and stimulatory therapies, with a discussion of treatment strategies from the perspective of patients and practitioners. Alternative Medicine Review. 2010;15:223.
  26. Buettner LL, et al. Animal-assisted therapy for clients with dementia. Journal of Gerontological Nursing. 2011;37:10.
  27. Being a healthy caregiver. Alzheimer's Association. http://www.alz.org/care/alzheimers-dementia-healthy-caregiver.asp. Accessed Feb. 4, 2013.
  28. Taking care of yourself. Alzheimer's Association. http://www.alz.org/living_with_alzheimers_taking_care_of_yourself.asp. Accessed Feb. 12, 2013.
  29. Caregiver stress. Alzheimer's Association. http://www.alz.org/care/alzheimers-dementia-caregiver-stress-burnout.asp. Accessed Feb. 4, 2013.
  30. Graff-Radford NR (expert opinion). Mayo Clinic, Jacksonville, Fla. March 4, 2013.
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DS01131 April 16, 2013

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