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General Internal Medicine • Neurology • Vascular Neurology • Psychiatry • Behavioral Neurology & Neuropsychiatry
Do you ever use amantadine or modafinil to aid in the rehabilitation of patients with ischemic strokes?
In patients who have decreased arousal after ischemic stroke, do you use amantadine or modafinil to aid with wakefulness and interaction with therapy to aid in recovery? Are there any contraindications to watch for?
Answer from: at Community Practice
None of the other respondents mentioned the classic stimulants: amphetamine and methylphenidate. One advantage is that they act quickly. If there is no improvement in executive function or alertness, they can be stopped in a day or two and something else tried. I am not a fan of modafinil, it seems ...
Comments
at Steven A. Fayer MD PC
I use Ritalin and then go to long-acting methylphe...
I use Ritalin and then go to long-acting methylphe...
Answer from: at Academic Institution
Comment: Long-term effects of TBIs vary from minor to severe. As they affect the brain, psychiatrists are not uncommonly called in for consultation early by the neurology or PM&R team, and/or later by the patient and/or family, or PCP.
Some common symptoms of long-term effects of a TBI ma...
While reference #3 may be cited as support for ama...
Thank you for your comment, Dr. @Wilner, on the NE...
Thanks for your response. I agree that the use of...