22 April 2010

Medications Used in the Treatment of Alzheimer’s Disease

I had discussed in the class the research that is being conducted regarding the relationship between fibrin and Alzheimer’s Disease. I was interested in finding the current medications that are used in the treatment of AD, and came across an article from a PhD student, Carrie Hill. We know that there is no current cure for AD, which is why studies like I discussed in class are being performed. There are, however, medications that improve symptom management of the disease. When developing treatment plans, the cognitive and behavioral symptoms are considered.
I wanted to focus on cognitive symptoms, which include problems with thought processes like memory, language, and judgment. Cholinesterase inhibitors and Namenda are two kinds of medications that have been approved by the FDA for treating these symptoms. Cholinesterase inhibitors increase the levels of acetylcholine in the brain, which plays a key role in memory and learning. Surprisingly, this alone can postpone the worsening of symptoms for 6 to 12 months in about half of the people who take it. Cholinesterase inhibitors are most commonly prescribed for mild to moderate Alzheimer’s disease. Namenda, known as memantine, regulates glutamate in the brain, which plays a key role in processing information. This drug is used to treat moderate to severe Alzheimer’s disease and may delay the worsening of symptoms in some people.
Cholinesterase inhibitors can be started as soon as Alzheimer’s symptoms appear, and are most effective in the early stages of disease. When a physician determines that the cholinesterase inhibitor is no longer effective, memantine is usually introduced. Sometimes, memantine and a cholinesterase inhibitor are taken simultaneously during the moderate stage of the disease. I wonder if this combination with the addition of anti-inflammatory drugs would show a decrease in the progression of Alzheimer’s Disease?


http://alzheimers.about.com/od/treatmentofalzheimers/a/treatments.htm

1 comment:

  1. Is there a possibility that the cholinesterase inhibitors and memantine cause other problems in the body besides helping with AD. The increased acetylcholine from the cholinesterase has to have an effect on the PNS and not just the CNS. Is this effect bad or good? I mean sure it helps the AD, but I think before we start prescribing all these drugs we need to look at what it can fix and what it hurts. If it hurts too much of the body and fixes some things, is it really worth taking? AD is a bad thing to have so I'm sure it is worth taking, but just saying that many prescription drugs help with alot and also cause alot more problems in the long run.

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