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Alzheimer's Drugs - Part Three


© Karen Largent

Donepezil hydrochloride (Aricept)

The second drug to be approved for the treatment of Alzheimer's symptoms is Donepezil or Aricept. It received approval from the prescription in January of 1997.United States FDA in November of 1996 and was available by

In August of 1997, Aricept received approval in Canada. It is the first drug approved in Canada for the treatment of Alzheimer's symptoms.

Aricept is similar to Tacrine in that it limits the breakdown of the neurotransmitter acetylcholine. During clinical testing, Aricept or a placebo (dummy) were given to 473 patients for a period of 30 weeks. At the conclusion of the study, 80% of those given Aricept had shown improvement or had no further mental deterioration. Some improvements that have been noted include a better physical appearance, better attitude, renewed ability to laugh and a longer attention span.

Aricept does have some side effects, as most drugs do. Unlike Tacrine, Aricept does not produce the dangerous liver toxicity. The most frequently reported side effects are diarrhea and nausea.

Aricept may also cause an irregular heartbeat, particularly in those who have a pre-existing heart condition.

Aricept is less costly than Tacrine. It is taken in a 5 to 10 milligram dose once daily. It averages $30.00 less in cost per month than Tacrine.

In my next article, I will be presenting information on some lesser known drug treatments for AD and current investigational drugs.

       

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Here's the follow-up discussion on this article: View all related messages

3.   Aug 17, 1998 7:30 PM
Joani Ozaeta

My mom has "symptoms of alzheimers" at the age of 44. She was on a trial for three years but "they" just recently decided to discontinue the study and not approve the drug. She has n ...


-- posted by JoaniO


2.   Oct 13, 1997 4:57 PM
Thank you for posting Simon. In researching this article I did see that in the UK, Aricept is quite costly. Hopefully with the approval of new medications costs will come down. Polypharmacy, or overdr ...

-- posted by Karen_Largent


1.   Oct 13, 1997 2:11 PM
Dear Karen,

I've just read your article and found it very interesting. My interest stems from the fact I'm a Registered Mental Nurse in the U.K. and my specialism for 13 years until very recently ...


-- posted by SimonW





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