Alzheimer treatments Flashcards
Treatments for mild-moderate Alzheimer disease
Galantamine, Tacrine, Donepezil and Rivastigmine
Treatments for Moderate to severe alzheimer disease
Memantine
Possible treatment for alzheimer
Ginko Biloba
Mechanism of mild to moderate treatments
Inhibit AChE -> causes increase excitation
Mechanism of memantine
NMDA receptor antagonist
Adverse effects of memantine
Dizzy, headache, confusion, constipation
ADME of galantamine
Caution when taking w/Antidepressants – may interfere w/Galantamine clearance
Disadvantages of Rivastigmine and Tacrine
Short half life.
Rivastigmine = 2x a day
Tacrine = Many times a day
Side effects of mild-moderate treatments
Stomach ulcer risk and tacrine can cause liver damage