Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 9, 2024

Viagra Shows Promise in Boosting Brain Blood Flow for Dementia Prevention

 My doctor a year ago said it wasn't proven enough to do this. Is it now totally proven? Was this tested in women also?

Isn't your competent? doctor already doing these? If not, you don't have a functioning stroke doctor! Why are you seeing them?

 

But this for the negative view: Does Viagra really help prevent Alzheimer’s? Not so fast

The latest here:

Viagra Shows Promise in Boosting Brain Blood Flow for Dementia Prevention

Summary: A new study reveals that sildenafil (Viagra) enhances brain blood flow and improves blood vessel function in patients at risk of vascular dementia. This study marks a significant advancement in addressing this condition.

The team found that sildenafil increased blood flow in the brain’s small and large vessels, potentially preventing dementia. These findings highlight the drug’s promise for larger-scale trials to confirm its effectiveness.

Key Facts:

  1. Sildenafil improved blood flow and cerebrovascular function in at-risk patients.
  2. The trial involved 75 participants with minor stroke and small vessel disease signs.
  3. Sildenafil had fewer side effects compared to cilostazol, another similar drug tested.

Source: Oxford University

A new trial conducted by the University of Oxford reveals that sildenafil, commonly known as Viagra, enhances blood flow to the brain and improves the function of brain blood vessels in patients at a heightened risk of vascular dementia.

This study, published in Circulation Research, marks a potentially pivotal step in the fight against this debilitating condition.

Dr. Alastair Webb, as Associate Professor at the Wolfson Center for Prevention of Stroke and Dementia at Oxford University said, “This is the first trial to show that sildenafil gets into the blood vessels in the brain in people with this condition, improving blood flow and how responsive these blood vessels are.

This shows blue pills in an old man's hand.
Sildenafil enhanced the blood flow response to carbon dioxide, indicating improved cerebrovascular function. Credit: Neuroscience News

“These two key factors are associated with chronic damage to the small blood vessels in the brain, which is the commonest cause of vascular dementia. This demonstrates the potential of this well-tolerated, widely-available drug to prevent dementia, which needs testing in larger trials.”

The significance of this research lies in its potential to transform the treatment and prevention of vascular dementia, which currently lacks specific therapies.

Chronic damage to the small blood vessels in the brain is not only the leading cause of vascular dementia but also contributes to 30% of strokes and 80% of brain bleeds. High blood pressure, reduced blood flow to the brain, and impaired blood vessel function exacerbate these conditions, making the findings of this trial particularly crucial.

The OxHARP trial was a meticulously designed double-blind, placebo-controlled study involving 75 participants who had experienced a minor stroke and showed signs of mild to moderate small vessel disease.

Each participant received sildenafil, a placebo, and cilostazol (a similar drug) over three-week periods in a randomized order. The study employed cardiovascular physiology tests, ultrasound, and functional MRI scans to evaluate the drugs’ effects.

Key findings include:

  • Sildenafil increased blood flow in both large and small brain vessels as measured by ultrasound and MRI scans.
  • Sildenafil enhanced the blood flow response to carbon dioxide, indicating improved cerebrovascular function.
  • Both sildenafil and cilostazol lowered blood vessel resistance in the brain.
  • Sildenafil caused fewer side effects compared to cilostazol, particularly with less incidence of diarrhea.

Looking ahead, the next steps involve larger-scale trials to confirm these findings and explore sildenafil’s potential in preventing vascular dementia on a broader scale.

Professor Peter Rothwell, Founding Director of the Wolfson Center for Prevention of Stroke and Dementia said, “Professor Webb’s findings are very encouraging and highlight the potential for preventing vascular dementia using existing drugs that target the underlying reduction in flow in the small blood vessels in the brain.”

About this dementia and neuropharmacology research news

Author: Alastair Webb
Source: Oxford University
Contact: Alastair Webb – Oxford University
Image: The image is credited to Neuroscience News

Original Research: Open access.
Cerebrovascular Effects of Sildenafil in Small Vessel Disease: The OxHARP Trial” by Alastair Webb et al. Circulation Research

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