There are currently no specific treatments for vascular dementia. However, a doctor may prescribe medicines to treat other underlying conditions that can damage blood vessels.

These include diabetes, stroke, high blood pressure, high cholesterol and heart problems. A doctor will also advise taking up a healthy lifestyle. This could include stopping smoking, taking more exercise, maintaining a normal weight and eating and drinking healthily.

People with vascular dementia may benefit from cognitive therapy. These activities are designed to stimulate thinking skills and engage people. They are often group-based and include games with an emphasis on enjoyment.

For people with both vascular dementia and Alzheimer’s (mixed dementia), there are some drugs that may help with the symptoms. You can discuss the treatment options with the doctor.

To help relieve symptoms of anxiety, agitation and aggression, a doctor may first assess someone’s health and environment. This could help identify any causes or triggers of agitation or aggression. Non-drug approaches such as aromatherapy or music therapy may also be considered. This might depend on a person’s preference as well as the availability of treatments.

If someone experiences severe and distressing problems with agitation and aggression that can’t be controlled with non-drug approaches or milder medications, then antipsychotic drugs may be considered. However, these can have severe side-effects, and are not suitable for everyone. They should be carefully monitored. Your doctor will consider what may be appropriate.

What is vascular dementia?

This booklet aims to help you understand more about vascular dementia. It gives an overview of the causes, symptoms and treatments.


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Alzheimer’s Research UK has a wide range of information about dementia. Order booklets or download them from our online form.

This information was updated in December 2019 and is due for review in December 2021. It does not replace any advice that doctors, pharmacists or nurses may give you. Please contact us if you would like a version with references.

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