Use symptom improvement after shunting in NPH, predictors of response to shunting in NPH, and donepezil (Aricept) dosing to frame the working diagnosis and next step; let it shape prognosis counseling and follow-up intensity. Make predictors of response to shunting in NPH the checkpoint that determines whether you escalate testing, narrow the differential, or change treatment.

It's often better tolerated if taken in the morning or with food; Positive response to the tap test and having an identifiable secondary cause also point to a good result; After that, you can increase it to ten milligrams once daily; Gait disturbances and urinary incontinence improve far more reliably and consistently than cognitive deficits do; You want to start at five milligrams once daily for the first month