Alzheimer's Disease Flashcards
2 pathological features of Alzheimer’s disease
Amyloid plaques
Neurofibrillary tangles
What brain neurotransmitters are decreased in Alzheimer’s?
Serotonin, acetylcholine, norepinephrine
What levels are usually elevated in Alzheimer’s?
Glutamate
What are the two classes of drugs to treat Alzheimer’s?
Acetylcholinesterase inhibitors
NMDA antagonists
3 acetylcholinesterase inhibitors in clinical use to treat Alzheimer’s?
Donepezil, Galantamine, Rivastigmine
NMDA antagonist drug to treat Alzheimer’s?
Memantine
2nd generation, reversible cholinesterase inhibitor
Donepezil
Slowly-reversible cholinesterase inhibitor targets both AChE & BuChE
Rivastigmine
Galantamine MAO
Reversible AChE/BuChE inhibitor & stimulates pre-synaptic nicotinic receptors
Half life of donepezil
70 hours
Half life of Rivastigmine
1-2 hours
Net effect of Memantine
Elevate tonic levels of glutamate
Natural chemical found in turmeric Alzheimer’s disease?
Curcumin