Do you offer memantine for patients undergoing PCI?

Extrapalating on 0614, I do use memantine for patients undergoing PCI. I do this for 6 months. These are patients that are expected to live even longer than brain met patients. And given the low toxicity, I think it would be rude not too (as one of my former students would say!)

I also routinely offer memantine to all my WBRT and PCI patients, especially now that the drug has gone generic and is more affordable. Interestingly, because of this, I'm finding that 3rd party payors are also covering the drug. Nevertheless, I have had 3 patients that experienced confusion, dizzin...

I've started making memantine part of my routine, though it's important to ramp-up the dose slowly, as done on study.