Common anticholinergics linked to cognitive decline include meclizine, scopolamine, biperiden, oxybutynin, and diphenhydramine. However, others such as glycopyrronium and tiotropium have not shown these effects. Patients and physicians should carefully weigh the risks and benefits of these medications.
Corticosteroids and the Brain
Corticosteroids are used to treat various inflammations and autoimmune diseases. However, prolonged use, especially oral use, can cause serious side effects such as disorientation, anxiety, and depression. A British study found that people taking corticosteroids long-term had a higher risk of developing dementia.
Glucocorticoids like prednisone affect brain function by altering levels of the stress hormone cortisol. Even inhaled corticosteroids like fluticasone can have negative effects if used in high doses or for a long time. It is essential that healthcare professionals closely monitor their use and consider alternative treatments.
Benzodiazepines: A Silent Risk to Memory