Read this Deric Bownds MIND BLOG and then ask your doctor what the hell is the downside of doing this post-stroke?
http://mindblog.dericbownds.net/2018/08/reversing-age-related-decay-of-brain.html?
Eavri et al.
find that treatment of mice with fluoxetine as they are aging slows the
decline of several brain plasticity makers. Even if shown to have the
same effects in humans, Fluoxetine would probably not be a realistic
therapeutic agent for aging humans because it would have to be taken
from an early age and is not recommended for use in the elderly due to
its side effects. Here is their technical abstract:
Changes in excitatory neuron and synapse structure have been recognized
as a potential physical source of age-related cognitive decline. Despite
the importance of inhibition to brain plasticity, little is known
regarding aging associated changes to inhibitory neurons. Here we test
for age-related cellular and circuit changes to inhibitory neurons of
mouse visual cortex. We find no substantial difference in inhibitory
neuron number, inhibitory neuronal subtypes, or synapse numbers within
the cerebral cortex of aged mice as compared to younger adults. However,
when comparing cortical interneuron morphological parameters, we find
differences in complexity, suggesting that arbors are simplified in aged
mice. In vivo two-photon microscopy has previously shown that in
contrast to pyramidal neurons, inhibitory interneurons retain a capacity
for dendritic remodeling in the adult. We find that this capacity
diminishes with age and is accompanied by a shift in dynamics from
balanced branch additions and retractions to progressive prevalence of
retractions, culminating in a dendritic arbor that is both simpler and
more stable. Recording of visually evoked potentials (VEPs) shows that
aging-related interneuron dendritic arbor simplification and reduced
dynamics go hand in hand with loss of induced stimulus-selective
response potentiation (SRP), a paradigm for adult visual cortical
plasticity. Chronic treatment with the antidepressant fluoxetine
reversed deficits in interneuron structural dynamics and restored SRP in
aged animals. Our results support a structural basis for age related
impairments in sensory perception, and suggest that declines in
inhibitory neuron structural plasticity during aging contribute to
reduced functional plasticity.
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