alzheimers Flashcards
Alzheimer med
- Donepzil (aricept)
- Rivastagmine (exelon)
- Galantamine ( Razadyne)
- Memantine (Namenda)
- Namzaric ( Memantine ER+ Namenda)
Medar ar Acetylcholinesterase Inhibitor (INC Ach)
Donepzil
Aricept
Indication
- Mild to moderate/ moderate to severe
Dosage form
- ODT, Tab, Patch (once weekly)
- Dose QHS
Side effect
- GI ( swallow and do not crush)
donepzil patch
Adlarity
Rivastagmine
**Exelon **
Indication: mild to moderate
Dosage form: Cap, Patch
Dose: BID with food (nausea)
Patch benefit
- Once daily
- less N/V
Galantamine
Razadyne
- Mild to moderate
- Dosage form: (ER cap w/am meal), solution
cholinesteras inhibitor SE
- Gastric acid secrettion- PUD
- N/V
- cholinergic -SLUDGE
- Bradycardia
- worsen asthma /COPD
cholinergic agents
-
Bethanechol (urecholine): for urinary ret
2. Cevimeline: for dry mouth - Neostigmne: for muscle strength (imp muscle strenght)
- Physotigmine: reversal of anticholinergic toxicity
Anticholinergic
OTC: benadryl
Antipsychotic drugs
atropine (anticholinergic)
used for
- Symptomatic bradycardia
- inhib salivation and secretion
- Antidote for nerve agents, mushroom poison, anticholinesterase poisoning
Memantine
Namenda, XR, Titration pack, titration pack XR
- MOA: NMDA receptro antagonist
- Indic: Mod- severe alzheimers
- Dosage: Ir Tab, ER caps, Sol
- SE:
-diziness (common) ,rash
Namzirac
Memantine + Donepzil
inidc: Mod to severe
- take in evening
cognitive test for Alzheimer
MMSE
- mini mental state examination