Snoezelen for dementia

Snoezelen (or multi-sensory stimulation) is used to promote positive mood in older people with dementia, as well as manage maladaptive behaviors (eg, autism and other behaviors that interfere with everyday activities).

The Snoezelen (pronounced SNOOzelen) environment provides gentle stimulation of the primary senses. The objective is to overcome inhibitions, enhance self-esteem, and reduce tension.

A Cochrane review found no scientific support, but others disagree. Continue reading Snoezelen for dementia

Update: Grapefruit juice:Rx drug interactions

According to Dr. William McCloskey, the likelihood of drug:grapefruit juice interactions having a negative effect on a patient’s response to the drug has not been clearly established.

This might be due to the fact that many drugs affected by grapefruit juice have a wide therapeutic index. In other words, toxic blood levels are so much higher than the blood levels needed to achieve an effective treatment dose that any increase caused by grapefruit juice is not sufficient to reach toxicity.

That’s not to say there is no risk of a grapefruit juice:drug interaction.

Unfortunately, the source article has been deleted, but here’s the bottom line. If you take any of the drugs listed below and feel you must drink grapefruit juice, first discuss it with your doctor.

  • Amiodarone (Cordarone)
  • Atorvastatin (Lipitor)
  • Buspirone (Buspar)
  • Carbamazepine (Tegretol)
  • Clomipramine (Anafranil)
  • Cyclosporine (Sandimmune, Neoral)
  • Diazepam (Valium)
  • Etoposide (VePesid)
  • Felodipine (Plendil)
  • Fexofenadine (Allegra)
  • Itraconazole (Sporanox)
  • Lovastatin (Mevacor)
  • Methadone (Methadose)
  • Midazolam (Versed)
  • Nicardipine (Cardene)
  • Nifedipine (Procardia)
  • Nimodipine (Nimotop)
  • Nisoldipine (Sular)
  • Saquinavir (Invirase)
  • Sildenafil (Viagra)
  • Simvastatin (Zocor)
  • Triazolam (Halcion)

3/19/08 11:13 JR

An academic allopathic view of CAM options for arthritic pain

Arthritis pain includes a range of ailments, from acute musculoskeletal injuries to degenerative osteoarthritis (OA) to chronic inflammatory conditions, such as rheumatoid arthritis.

Dr. Eric Ruderman, Associate Professor of Medicine in the Division of Rheumatology at Northwestern University Feinberg School of Medicine in Chicago has published a review on Medscape, with lots of space devoted to CAM: exercise, acupuncture, and nutritional supplements. Continue reading An academic allopathic view of CAM options for arthritic pain

Is dementia the Achilles heel of mainstream medicine?

Writing in Alternative Therapies in Health and Medicine, Dr. Mark Hyman asserts, “We are at a crossroads where the old ideas we have about disease and diagnosis become less meaningful as we understand more and more about the importance of individual differences in determining illness.”

Alzheimer’s disease is the poster child for the limitations of allopathic medicine. Continue reading Is dementia the Achilles heel of mainstream medicine?