Hello doctor, My father suffered a brain stroke before six months and following that, his body is partially paralyzed from the right side. We have shown him to two neurologists and got confused after both gave completely different diagnoses. He had diabetes for a very long time and had blood pressure issue. He currently has below symptoms:  Body tremors. Swallowing problems. No saliva control. Speech difficulty. Unable to stand on one leg. Severe weakness. Looks skinny. Frequent urination (it seems fine now after medication).  We are currently giving medications which are Roslay Gold, Solitral, Liofen-XL, Rejunex CD3, Urimax, Telpres + Aldactone, Glimsame MV, Cilidoc and Donep M forte. I would like your suggestion if any of the above drugs are optional or duplicate? I do not know but want to do my best for my father. So, I am checking online for many things. I got one doubt if Donep M forte and Rejunex CD3 can be given together? Will they cause any side effect if combined? I can show my father online if that is possible. You may ask for more details as I am not sure which data you may need to suggest me a better option. I do not see much improvement after four months of this treatment.
Hello. I reviewed all your father's therapy. I would explain that there is no interaction between these drugs and it is fine to take them concomitantly. Donep-M (Donepezil plus Memantine) is a drug used for dementia. While Rejunex CD3 is composed of vitamin B1 and alpha lipoic acid. It is fine to take these drugs. I would also recommend taking daily Aspirin 80 or 100 mg if no contraindications. It seems that your father has vascular dementia, urinary incontinence, diabetes, and arterial hypertension. Peripheral neuropathy cannot be excluded, considering the fact that he suffers from diabetes. Investigations to be done: Brain MRI, and nerve conduction study. Hope you will find this answer helpful. If you have any other questions feel free to ask me again. For further queries consult a neurologist online -->