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Namenda (memantine): The side effect of dizziness and the associated tendency to fall were very bothersome. The hoped for improvement in mental clarity (which is intermittent at present and results in confusion at unpredictable times and places) did not occur -- in fact, I would have to say that I felt "spacey" on this medication rather than clearer in my thought processes. My doctor prescribed "off label" so that may explain my negative experience. On the other hand, I wonder if the Alzheimer's patients are able to adequately articulate to their caregivers that they feel certain side effects such as dizziness or "spacey" feelings. If not, the side effects could easily be attributed to the Alzheimer's disease rather than the medication.
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The proposals differ by way of how a lot course is given to the Secretary concerning the negotiation course of itself; the criteria for figuring out which medicine would be topic to negotiations; the components to be considered in figuring out a negotiated value; the extent to which the Secretary is supplied leverage to safe price concessions from drug manufacturers; and fallback approaches that may apply in the occasion of unsuccessful negotiations.
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