Suggest Treatment For Cognitive Decline After Taking Adrafinil To Treat Post-stroke Fatigue
Treatment should be continued.
Detailed Answer:
Hello and thanks for using Healthcaremagic.com.
I have read your question and understand your concerns.
The stroke itself, seizures and lamotrigine use may contribute to cognitive decline.
Drugs such modafinil, armodafinil may stimulate the brain function but don't fight the cause of the fatigue.
Nootropic drugs such piracetam and vitamins B group may be used in cases like yours.
If seizures are confirmed then antiepileptic drugs such levetiracetam, oxcarbazepine may be useful in controlling them.
If you suffer from spasticity, I think low doses of baclofen and physical therapy may be useful.
Discuss with your Neurologist about these issues.
Hope this helps.
Feel free to ask if you have any other questions or clarifications.
Take care.
Also, what treatment should be continued? I have started taking Huperzine A, using breathing techniques and hypnosis. Thanks again
Explained below.
Detailed Answer:
Welcome back.
THC/CBD use may promote good sleep and may reduce the spasticity.
All other drugs that you mentioned are mostly nootropic drugs (Semax, Huperzine A, and partly Cerebrolysin), I think you should use only one of them and Huperzine A is okay.
There are not sufficient data from studies to prove their efficacy, but it is generally accepted that their use may result in some benefits regarding cognitive functions.
I think behavioral therapy may be more appropriate than hypnosis.
Hope you found the answer helpful.
Kind regards.
I'm also interested in what you think about modafinil raising seizure threshold? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
Thank you
Phenotropil use may be beneficial in your case.
Detailed Answer:
Welcome back and thanks for being on follow up.
Phenylpiracetam is a drug that is mainly used to improve cognitive functions, it's said that it may have anti-convulsive effects too, but is not sufficient to control seizures alone.
Other possibilities should be considered to control seizures.
Phenotropil according to the article you refer , is found to be beneficial in post stroke functioning recovery, so, it remains a good possibility in your case.
About the Modafinil, the study you refer is done on mice, other randomized controlled trials are necessary to assess properly the effects of the Modafinil on seizures threshold and concentrations of anticonvulsants in brain.
Hope this helps.
Kind regards .