Ok, glad to see you are all for a sensible approach
Although I don't want to recommend any nootropics for the sole reason that taking more than 1 at a time is much much different than taking several in a stack (and all the studies are obviously done while administering only 1 nootropic) and also, I have no idea in which stage is this patient nor do I know what other medications is she on, and considering the fact that I am not trained to advise anyone in this area, I can only hypothetically speculate that these nootropics actually might prove useful:
Piracetam: http://www.neurology.../43/2/301.short
Cerebrolysin: http://www.ncbi.nlm....pubmed/20500802
Other than that, I would definitely look into neuroprotective antioxidants:
Acetylcysteine + Lipoic Acid: https://estudogeral....yl cysteine.pdf
...and search for others.
And then make sure the patient receives brain nutrients such as:
Phosphatydil serine: http://www.ncbi.nlm..../pubmed/1609044
DHA (even though it was not found to improve ALS): http://www.ncbi.nlm....pubmed/21045096
Also, don't forget to take care of the diet.
Recent studies have raised the possibility that the ketogenic diet could provide symptomatic benefit and might even be disease modifying in Alzheimer’s disease. Thus, Reger et al. (2004) found that acute administration of medium-chain triglycerides improves memory performance in Alzheimer’s disease patients. Further, the degree of memory improvement was positively correlated with plasma levels of β-hydroxybutyrate produced by oxidation of the medium-chain triglycerides. If β-hydroxybutyrate is responsible for the memory improvement, then the ketogenic diet, which results in elevated β-hydroxybutyrate levels, would also be expected to improve memory function. http://www.ncbi.nlm....les/PMC2367001/
Last but not least, ensure some physical activity and if the patient manages to do some cognitive games such as Lumosity (which is pretty mild), it can benefit her much more than any medication.
Edited by Candidatus, 16 December 2014 - 02:32 PM.