Treatment of Alzheimer’s disease by neurologist Igor Stanislavovich Shkinder in Dnipro.

Patients usually present with issues such as memory decline, difficulty concentrating, behavioral changes, or slowed thinking. The doctor performs a thorough clinical assessment, carefully reviews the complaints and medical history, and, if necessary, orders additional tests to rule out other causes of the symptoms.

The patient receives a clear and step-by-step plan of action — what to do now to relieve the condition, which examinations to undergo, and how to monitor changes over time. Special attention is paid to differential diagnosis and selecting the most appropriate treatment regimens, taking comorbid conditions into account.

When to see a doctor

If you are concerned about problems with memory, thinking, or behavior, it is important to understand the causes and choose appropriate measures. You should make an appointment with a neurologist if, with Alzheimer’s disease, you notice:

• Persistent difficulty remembering new information
• Problems with concentration and comprehension
• Frequently repeating the same questions or stories
• Changes in emotional state, irritability, or apathy
• Slowed thinking and speech
• Difficulty performing familiar household tasks
• Symptoms getting worse over time or new symptoms appearing
• The impairment interfering with work, communication, or sleep
• No improvement when trying to manage the problems on your own
• Recurrent or worsening signs of memory and behavior changes
• The initial appearance of similar symptoms that cause concern
• A need to adjust treatment or assess how the condition is progressing

Even if the symptoms seem minor or do not cause much distress, a doctor’s consultation can help identify the causes and determine the next steps. It is important not to ignore the symptoms, especially if they make everyday life difficult or raise concerns about your health.

Emergency situations or when you need to see a doctor urgently

• A sudden and sharp decline in memory or orientation in space
• Severe speech impairment or inability to express thoughts coherently
• Sudden onset of weakness or numbness on one side of the body
• Progressive impairment of coordination and balance
• Fainting accompanied by changes in behavior or confusion

If you have these symptoms, do not wait for a scheduled appointment—seek urgent medical care. Our clinic offers a doctor house call service for prompt assessment of your condition.

Causes and Risk Factors in Alzheimer’s Disease

To understand Alzheimer’s disease, it is important to know which causes and factors contribute to the development of this condition. This helps identify what should be checked and which measures can be discussed with a doctor to reduce the risk of progression.

Main causes / mechanisms (briefly)

• Disruption of nerve cell function related to the accumulation of specific proteins in the brain
• Gradual deterioration of signal transmission between brain regions
• Age-related changes that affect memory and thinking function
• Genetic predisposition associated with a risk of earlier symptom onset
• Chronic vascular disorders that reduce blood supply to the brain

Risk factors

• Age over 65 — the most significant factor
• Having relatives with similar cognitive changes
• Previous strokes or traumatic brain injuries
• Smoking and frequent alcohol consumption
• Cardiovascular disease and high blood pressure
• Diabetes and metabolic disorders
• Chronic stress and depressive states
• Low mental activity and social isolation

Reversible causes that should be ruled out

• Deficiency of B vitamins and other nutrients
• Thyroid disorders
• Side effects of certain medications that affect memory and attention
• Acute infections or inflammatory processes in the body

Alzheimer’s disease requires a comprehensive approach, so identifying the causes and risk factors is important for choosing further management. All issues should be discussed with a doctor and appropriate examinations should be carried out.

Diagnosis

The diagnosis of Alzheimer’s disease is aimed at identifying possible causes of memory and thinking problems, as well as ruling out other conditions. The approach to assessment is always individual and helps create a plan for further testing and treatment.

Diagnostic approach

• Collecting a detailed medical history, including a description of symptoms and how they have changed over time
• Assessing cognitive function and performing a neurological examination
• Carrying out basic tests to evaluate memory and thinking
• Ordering additional investigations when indicated
• Analyzing the results and formulating a preliminary diagnostic plan
• Discussing the next steps and monitoring methods with the patient and family members
• Referring to related specialists if necessary

Typical tests when indicated

These may include:

• Magnetic resonance imaging (MRI) or computed tomography (CT) of the brain
• Laboratory tests to rule out reversible causes
• Neuropsychological testing for a more accurate assessment of memory and thinking functions
• Studies of the brain’s vascular system
• Electroencephalography (EEG) when indicated

What to bring to the appointment

• Results of previous examinations and imaging studies
• A list of current medications and dosages
• A symptom diary and notes on behavior changes, if available
• Medical records related to comorbid conditions
• Information about family history of hereditary diseases, if known

Diagnosing Alzheimer’s disease takes time and requires a comprehensive approach. All stages are carried out with the patient’s individual characteristics in mind and only when indicated.

Treatment

Treatment for Alzheimer’s disease is aimed at reducing symptoms and slowing disease progression. The treatment plan is selected individually, taking into account the patient’s characteristics, and requires regular medical follow-up.

Treatment goals

• Reduce the severity of cognitive impairment and improve memory
• Support daily functioning and improve quality of life
• Slow disease progression and prevent complications
• Address or correct associated conditions that affect the course of the disease

Main treatment approaches

• May include medication therapy when indicated to support brain function
• Non-drug methods play an important role, such as cognitive rehabilitation and psychological support
• Lifestyle and care recommendations, including physical activity and social engagement
• Monitoring and treatment of comorbid conditions that affect the nervous system
• If necessary, involvement of related specialists for a comprehensive approach

What the doctor does

• Selects and adjusts treatment regimens based on current symptoms and the patient’s response
• Takes into account comorbidities and possible drug interactions
• Monitors side effects and evaluates treatment effectiveness
• Explains improvement criteria and plans for further follow-up
• Coordinates care with other specialists if comprehensive treatment is required

What to expect: plan and monitoring

• Response to treatment is assessed regularly; the timing depends on the individual situation
• The treatment plan is adjusted if effectiveness is insufficient or side effects occur
• Regular contact with the doctor is important for monitoring disease progression
• Additional examinations may be ordered if needed to clarify the condition

You can learn more about treatment options during a consultation with Dr. Igor Stanislavovich Shkinder.

Prevention

Prevention in Alzheimer’s disease helps reduce the risk of development and slow the progression of symptoms. The prevention plan is selected individually, taking into account the patient’s health characteristics.

Main measures of primary prevention

• Control of blood pressure and cardiovascular diseases
• Quitting smoking and reducing alcohol consumption
• Maintaining an active lifestyle and regular physical activity
• Healthy and balanced nutrition
• Supporting mental activity and regularly learning new skills
• Stress management and adequate sleep

Screening and secondary prevention / regular monitoring

• Regular monitoring of blood pressure and blood sugar levels, as indicated
• Assessment of cognitive functions if changes or risk factors appear
• Discussing with a doctor whether medication adjustments are needed, if indicated
• Monitoring comorbid conditions that affect brain health

Practical tips

• Include physical activity recommended by your doctor in your daily routine
• Discuss possible changes in therapy with your doctor if you have comorbid conditions
• Maintain social connections to improve emotional well-being
• Pay attention to sleep quality and seek help if needed
• Monitor your diet and avoid deficiencies in important vitamins and trace elements

Preventive measures for Alzheimer’s disease are important for maintaining quality of life and are selected individually together with a doctor.

Important to know

Treating Alzheimer’s disease requires a comprehensive and thoughtful approach. To choose an effective treatment strategy, it is important to assess symptoms in a timely manner and identify possible causes or triggering factors. Ongoing monitoring helps adjust the treatment plan in line with changes in the patient’s condition. Some common factors, such as stress, sleep quality, and coexisting medical conditions, can influence the course of the disease. Self-medication is not recommended — it may make diagnosis more difficult and cause unwanted reactions.

• It is important to identify the causes of symptoms, not just relieve individual manifestations
• Early assessment makes it possible to choose the right approach and reduce the risk of complications
• Monitoring and adjusting the plan are part of effective long-term treatment
• Factors such as stress and chronic illnesses affect the condition and require attention
• Self-medication can distort the signs of the disease and interfere with an accurate diagnosis
• An individual treatment plan is developed based on a thorough assessment by a specialist

For detailed information about Alzheimer’s disease and the specifics of its treatment, we recommend reading our general A–Z page. It contains useful materials that will help you better understand the approach to this complex condition.

Self-help before the appointment: what you can and cannot do

Before your appointment with Dr. Igor Stanislavovich Shkinder, it is important to follow safe measures that will help you prepare for the consultation and avoid harming yourself. If your condition worsens, do not delay contacting a specialist.

What you can do before the appointment

• Write down when and how the symptoms started, and what makes them worse or better
• Bring a list of all your current medications with the names and, if known, the dosages
• Keep a symptom diary: note the intensity and the time when changes occur
• Reduce physical activity and rest to help you feel better
• Drink water to avoid dehydration, if there are no contraindications
• Measure and record your blood pressure and pulse, if you know how to do it
• Stay calm and avoid stressful situations, if possible
• Write down questions and important points to discuss with the doctor

What you should not do before the appointment

• Do not stop or change medications without consulting your doctor
• Do not start taking several new medications or supplements at the same time
• Do not use folk remedies without consultation, so as not to complicate the picture
• Do not try to interpret test or examination results on your own
• Do not ignore worsening symptoms or delay seeing a doctor if you have warning signs
• Do not take medications you do not usually use without a doctor’s recommendation
• Do not increase your physical load if you feel weakness or worsening memory
• Do not change your usual sleep or eating routine unless necessary

If there are signs of an emergency, seek help from Dr. Igor Stanislavovich Shkinder immediately.

How I can help as a physician with Alzheimer’s disease

During an Alzheimer’s disease consultation, I can help you in the following ways: I will carefully review symptoms and medical history, assess the severity of the condition and potential risks. Together, we will look at current medications and how well they are tolerated, and determine the next steps for further examinations and treatment. I will pay special attention to accompanying medical conditions and the effects of any medications being taken. You will also receive recommendations on routine and lifestyle adjustments tailored to your individual needs.

• I review complaints and medical history to identify possible causes of symptoms
• I assess the severity of impairments and possible health risks
• I analyze current treatment plans considering tolerance and effectiveness
• I develop a plan for examinations, treatment, and ongoing follow-up
• I take into account comorbidities and interactions with other medications
• I recommend appropriate changes to routine and lifestyle when indicated
• I discuss criteria for monitoring progress and when to seek a follow-up visit
• I provide an initial assessment of possible causes, including ruling out other conditions
• I adjust therapy if the effect is insufficient or side effects occur

My approach is focused on comprehensive problem-solving and supporting the patient at every stage of treatment and recovery. Regular assessment of the condition and timely adjustment of the plan are important in order to improve quality of life and slow disease progression.

What Questions Can You Ask a Doctor About Alzheimer’s Disease

At an appointment about Alzheimer’s disease, you can discuss the following issues with Igor Stanislavovich Shkinder:

• Difficulty remembering new information and frequent forgetfulness
• Trouble concentrating and slowed thinking
• Changes in mood or behavior that cause concern
• Problems with performing everyday household tasks
• Recurrent symptoms or worsening condition
• Lack of effect from previously prescribed treatment
• Questions about possible examinations and necessary tests
• Clarification of treatment options and the features of each approach

If there is a sudden worsening of memory, weakness on one side of the body, speech problems, or loss of consciousness, emergency medical help is needed — do not wait for a scheduled appointment.

Frequently Asked Questions During a Consultation

• What is happening to me, and what could it be?
• Why did the symptoms appear now?
• How can I tell whether the problems are related to Alzheimer’s disease and not something else?
• What examinations do I need in my case?
• Which tests and studies are truly necessary?
• How should I prepare properly for the appointment and examinations?
• What treatment options are available, and how do they differ?
• Is it possible to recover completely, or is this a chronic condition?
• What should I do if the prescribed therapy does not help?
• Are there ways to manage this without medications or procedures?
• How long does treatment usually last, and how often are follow-up visits needed?
• What signs show that the condition is improving or worsening?
• What should I do if symptoms suddenly get worse or flare up?

During the consultation, the doctor will help you understand your symptoms and determine the necessary examination and treatment plan. In urgent situations, immediate medical intervention or referral to specialized services is required.

How the consultation takes place

A consultation with a neurologist for Alzheimer’s disease includes a detailed review of complaints, an assessment of the current condition, and the creation of a plan for further action. The scope of examinations is selected individually, based on the situation and indications. In most cases, the first appointment is used for an initial assessment, and the next steps are planned gradually.

1. Clarifying the complaints and the purpose of the visit: what is causing concern, when the symptoms started, what affects the condition, and what the patient expects.
2. Taking a medical history, including possible risk factors and associated conditions.
3. Reviewing previous examinations and treatment, if any; patients are advised to bring medical documents and a list of medications they are taking.
4. Performing an examination and basic tests to assess cognitive function and neurological status, as indicated.
5. Making a preliminary conclusion about the possible causes of the impairment and assessing what else should be ruled out.
6. Developing an examination plan if needed, which may include MRI, brain CT, laboratory tests, and neuropsychological testing.
7. Creating a treatment and management plan aimed at maintaining function and slowing disease progression.
8. Discussing monitoring, criteria for effectiveness, and timing of follow-up visits; recommendations on when to seek medical attention if changes occur.

If this is your first visit with such symptoms, special attention is paid to clarifying the complaints and identifying the causes. If previous treatment has not helped, we will review possible reasons for the lack of improvement and adjust the treatment approach.

Such a consultation helps form a comprehensive understanding of the condition and determine the most appropriate plan of action for each patient.

Preparing for the Appointment

To make a neurology consultation about Alzheimer’s disease as effective as possible, it is important to prepare in advance and gather the necessary information. This will help assess the condition more quickly and choose an appropriate treatment plan.

• Bring a list of all current medications, including names and dosages if you know them.
• Bring the results of any previous examinations, scans, and tests, including MRI, CT, and neuropsychological tests.
• Write down the main complaints: when and how the symptoms start, what makes them worse or better.
• If you have any questions or concerns, prepare them in advance to discuss with the doctor.
• Do not stop taking prescribed medications without consulting your doctor.
• Arrive 10–15 minutes before your scheduled appointment time for registration, if this is required by the clinic.
• If in doubt, check the preparation instructions by phone or when booking.
• Unless there are special instructions, there is no need to come on an empty stomach.
• Do not apply makeup or creams to the face or head if an examination requires it.
• If you wear contact lenses, ask in advance whether they need to be removed temporarily.

If you have any doubts about how to prepare or what to expect during the appointment, it is better to clarify the details when booking and not to change your medication schedule on your own.

About the Doctor

Igor Stanislavovich Shkinder is a neurologist with over 20 years of experience. He specializes in the diagnosis and treatment of complex neurological conditions, including Alzheimer’s disease.

He often works with patients during their initial visit, during exacerbations, and when previous treatment has not been effective. The doctor pays special attention to a thorough review of symptoms and the selection of therapy, taking into account any coexisting conditions.

During the consultation, you will receive a clear explanation of the situation and a plan for the next steps.

Why Patients Choose Dr. Shkinder Igor Stanislavovich

Choosing a doctor for Alzheimer’s disease requires confidence that the approach will be comprehensive and tailored to all aspects of the patient’s condition. Ivan Stanislavovich works step by step, beginning with a thorough diagnosis and differential assessment of symptoms to understand the causes of the changes. An important part of the process is monitoring progress and adjusting treatment if there is no effect or if side effects occur. He pays attention to comorbidities and drug interactions, which is especially important for older patients. Patients appreciate clear explanations, a transparent treatment plan, and the opportunity to come with tests already completed for review of the results.

• A clear treatment plan with specific steps and criteria for monitoring changes in condition
• Tests and examinations are performed only when indicated, without unnecessary procedures or analyses
• Consideration of comorbidities and medication interactions for treatment safety
• Monitoring and timely adjustment of treatment if there is no effect or if side effects occur
• Review and interpretation of previously completed examinations for an accurate approach
• Explanation of treatment goals and possible risks in simple, accessible language
• Focus on preventing complications and exacerbations to maintain quality of life
• Experience in managing complex cases and working with patients who have combined diagnoses

This approach helps make treatment as effective and convenient for the patient as possible. The doctor not only prescribes therapy but also supports the patient throughout the entire period, adapting recommendations and helping them navigate changes in their condition.

Case Studies

Initial Consultation for Memory Impairment in an Elderly Patient

An elderly patient presented with complaints of gradual memory decline, difficulty concentrating, and frequent forgetfulness. An important step was to rule out other possible causes of cognitive deterioration, including vascular and metabolic disorders. A comprehensive history was taken, a neurological examination was performed, and additional tests were recommended to clarify the condition. Following the initial measures, the symptoms were stabilized, and a management plan with regular monitoring was established. The patient continues to be followed in order to assess progress and adjust treatment as needed.

Adjusting Treatment Strategy Due to Insufficient Therapeutic Effect

A middle-aged patient was advised to modify a previously prescribed treatment after the earlier therapy failed to produce the expected improvement. The medical history and symptoms were discussed in detail, a repeat examination was performed, and the tolerance of the prescribed medications was assessed. As a result, the treatment approach was adapted based on the new findings. Follow-up visits showed a reduction in symptom severity and an improvement in overall condition. Ongoing monitoring and supportive therapy continue with the aim of preventing possible complications.

Chronic Disease Course Taking Comorbidities into Account

An elderly female patient presented with a long history of cognitive impairment and accompanying cardiovascular disease. It was necessary to consider the interaction of multiple conditions and medications. During the consultation, her complaints were reviewed in detail, risks were assessed, and an appropriate set of measures was selected to control her condition. Over the following months, moderate stabilization was observed, which helped improve her quality of life. Regular monitoring and treatment adjustment remain key elements of patient management.

Symptom Exacerbation and Development of a Prevention Plan

A patient visited the doctor with a sudden worsening of memory and difficulty speaking. It was important to rule out acute conditions and identify possible triggering factors. After assessing the condition and performing the necessary examinations, an urgent and follow-up treatment plan was developed, including measures to prevent recurrent exacerbations. Follow-up appointments showed gradual improvement, as well as adherence to the recommended preventive measures. The patient continues to be monitored with regular assessment of progress and treatment adjustment if necessary.

Recurrent Symptoms and a Request for a Second Opinion

A young man came for a consultation due to recurrent episodes of worsening memory and concentration despite previous prescriptions. The goal was to carefully analyze the causes and rule out other neurological disorders. The physician reviewed the previously performed examinations in detail, ordered additional tests when indicated, and proposed an alternative management strategy. Follow-up showed a reduction in symptom severity. It is planned to continue dynamic monitoring and adjust treatment if necessary.

How long does the consultation last?

Usually, a consultation lasts from 30 to 60 minutes; please уточнять when booking.

How should I prepare for the appointment?

Write down your main complaints, symptoms, and questions to discuss with the doctor.

What should I bring to the appointment?

Bring results of previous tests, scans, discharge summaries, and a list of medications you are taking.

Do I need to come fasting?

Usually no, unless otherwise specified when booking.

How many visits are usually required?

The number of visits depends on the situation; often a series of appointments is needed to assess and adjust treatment.

When can I expect the first results from treatment?

This is individual and depends on the chosen treatment approach and the patient’s condition.

What should I do if I get worse before the appointment?

If your condition worsens with red-flag symptoms such as sudden weakness or speech impairment, seek emergency care.

Can treatment be combined with my current medications?

This is discussed during the appointment; do not change your medications without consulting your doctor.

Can I have an online consultation?

Yes, a remote consultation is possible; please ask about the conditions when booking.

Can I come with tests I’ve already done?

Yes, bring all available results for a comprehensive assessment.

Do I need to come back for follow-up, and how often?

Follow-up visits depend on your progress and treatment plan; usually monitoring is done regularly.

Can I get a second opinion?

Yes, the doctor is ready to discuss the results and offer alternative options.

What should I do if symptoms return after improvement?

Do not delay seeking medical advice; it is important to adjust treatment if your condition changes.

What tests may be needed for Alzheimer’s disease?

The scope of tests is determined individually, based on the doctor’s indications.

What should I do if I’m afraid I won’t be able to manage the symptoms at home?

Discuss this problem with the doctor; they will suggest support and ways to help.

Can I change the treatment plan on my own?

This is not recommended; any changes should be made under a specialist’s supervision.

How can I tell if the treatment is working?

The doctor will explain the criteria for evaluating effectiveness and the changes over time.

What should I do if the previously prescribed treatment didn’t help?

At the consultation, the doctor will analyze the reasons and adjust the treatment approach.