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Management of patients with pre-dementia cognitive impairment

https://doi.org/10.37586/2686-8636-3-2025-332-342

Abstract

Cognitive disorders are one of the most significant problems for elderly and senile people. Particular attention should be paid to the diagnosis of early pre-dementia stages of cognitive impairment: subjective and subtle cognitive decline and mild cognitive impairment. The review presents current concepts of classification of pre-demential forms of cognitive decline, their diagnosis, and therapeutic approaches to managing patients with these disorders. Non-pharmacological methods for managing patients with initial forms of cognitive declines are discussed. The importance of cognitive training, physical activity, and socialization for such patients is highlighted. When considering drug therapy for pre-demetial cognitive impairment, the safety profile of medications is discussed, especially in the elderly population, where it is important. Finding safe and well-tolerated medications for elderly patients remains a priority for specialists. The possibility of using Prospekta in the management of patients with early cognitive decline is being considered.

About the Author

N. N. Koberskaya
Faculty of General Medicine, Sechenov First Moscow State Medical University of the Ministry of Heath of the Russian Federation (Sechenov University); Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation (Pirogov University), Russian Gerontological Research and Clinical Center
Russian Federation

Koberskaya Nadezhda Nikolaevna

Moscow



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Koberskaya N.N. Management of patients with pre-dementia cognitive impairment. Russian Journal of Geriatric Medicine. 2025;(3):332-342. (In Russ.) https://doi.org/10.37586/2686-8636-3-2025-332-342

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