[Suvash]

Dear Mr Damiano,
Its so nice to hear from you again. and thank you so much for sharing your experiences with us. you are always welcome.

i also talked about your case with my teacher and he says that the details you have given here are just not sufficient to comment anything about the treatment. we have to see the case in more detailed fashion which, ofcourse, i am sure you must have done.

The treatment should be guided and aimed at the underlying cause usually hypertension, diabetes, atherosclerosis, strokes, coronary arterial disease- in case of vascular dementia. You have not mentioned anything about these things. so, if you could possibly post more about the symtoms, signs and history of your patient, then it will be lot more easier for anyone to comment on it.
however, in cases of vascular dementia, the recovery of the lost cognitive functions is not likely to occur, isn't that so?

at the same time, comfort and support to the patient can also be very valuable and helpful. In fact, non drug therapy has an important place in the management of dementia. the primary goal is to make the dementiated patients life comfortable, uncomplicated and safe. Memory aids such as notebooks, lists and posted daily reminders are frequently helpful.

In such cases, anti cholinesterases like DONEPEZIL and RIVASTIGMINE may also be considered as suitable alternatives. what do you think about that, mr damiano?

Levetiracetam may have various side effects like drowsiness, asthenia, dizziness, anorexia, diarrhoea, amnesia, ataxia, depression, emotional lability, aggression, insomnia, nervousness, tremors, headache.. so these might have manifested while going for higher doses.

so, i hope you will consider these things and go for the most suitable option for your patient. We all wish you all the best.