I was told that it really doesn't matter if it's vascular or Alzheimer. Doctors in my town seem to avoid labeling, and so does my husband. I prefer knowing more about what to expect. Planning for the possible future would be helpful to me, and for medicines I would think. 3 years ago she had brain scans, and did not show signs of typical late stage alzheimers, but did show age related narrowing of veins to or in the brain. She was given Aricept anyway, and an antidepressant. I've read about both, but feel confused.