Prakt. lékáren. 2008; 4(6): 286-290

PHARMACOTHERAPY OF DEMENTIAS

doc. MUDr. Roman Jirák CSc
Psychiatrická klinika 1. LF UK a VFN Praha

Current pharmacotherapeutic approaches are presented which are used in the treatment of Alzheimer‘s disease as the most common type of dementia, and of related dementias. Only two approaches are evidence-based: the use of acetylcholinesterase inhibitors and that of memantine. The other approaches are rather of supplementary importance. Novel approaches that are currently under investigation are also mentioned some

of which will likely be used in clinical practice. The paper deals with the so-called cognitive pharmacotherapy, not with the pharma-­

cotherapy used in behavioural, emotional, and sleep disorders that accompany the dementia syndrome. Current pharmacotherapy does not allow to cure Alzheimer‘s disease

and related dementias, it is not causal, but it does allow to improve their course and, most of all, to delay the severe stages of dementias associated with being fully dependent on the care of others.

Keywords: Key words: Alzheimer‘s disease, beta-amyloid, dementia, pharmacotherapy, cholinesterase inhibitors, memantine.

Published: January 1, 2009  Show citation

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Jirák R. PHARMACOTHERAPY OF DEMENTIAS. Praktické lékárenství. 2008;4(6):286-290.
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References

  1. Areosa SA, Sheriff F. Memantine for dementia (Cochrane review). In: The Cochrane Library, Issue 2, 2003; Oxford. Go to original source...
  2. Arias E, Alés E, Gabilan NH, et al. Galantamine prevents apoptopsis induced by beta-amyloid and thapasigargin: involvement of nicotinic acetylcholine receptors. Neuropharmacology 2004; 46: 103-114. Go to original source... Go to PubMed...
  3. Birks J, Grimley EJ, Iakovidou V, et al. Rivastigmine for Alzheimer´s disease. In: The Cochrane Library, Issue 2, 2003; Oxford.
  4. Birks J, Grimley EJ, Van DM. Ginkgo biloba for cognitive impairment and dementia (Cochrane Review). In: The Cochrane Library, Issue 2, 2003; Oxford. Go to original source... Go to PubMed...
  5. Birks JS, Melzer D, Beppu H. Donepezil for mild and moderate Alzheimer´s disease (Cochrane Review). In: The Cochrane Library, Issue 2, 2003; Oxford. Go to original source...
  6. Caltagirone C, Bianchetti A, Di Luca M, et al. Guidelines for the treatment of Alzheimer´s disease from the Italian Association of Psychogeriatrics. Drugs & Aging 2005; 22 Suppl. 1: 1-26. Go to original source... Go to PubMed...
  7. Cummings JL. Cholinesterase inhibitors for treatment of dementia associated with Parkinson's disease. J Neurol Neurosurg Psychiatry. 2005; Jul; 76(7): 903-904. Go to original source... Go to PubMed...
  8. Cummings J, Winblad B. A rivastigmine patch for the treatment of Alzheimer´s disease and Parkinson´s disease dementia. Expert Rev. Neurotherapeutics 2007; 7(11): 1457-1463. Go to original source... Go to PubMed...
  9. Jirák R, Koukolík F. Demence, Neurobiologie, klinický obraz, terapie. Praha: Galén, 2004; 1. vydání.
  10. McKeith IG, et al. Diagnosis and management of dementia with Lewy bodies: Third report of the DLB consortium. Neurology 2005; 65: 1863-1872. Go to original source... Go to PubMed...
  11. Olin J, Schneider L. Galantamine for Alzheimer´s disease (Cochrane Review). In: The Cochrane Library, Issue 2, 2003; Oxford.
  12. Qizilbash N, Schneider LS, Chui H, Tariot P, Brodaty H, Kaye J, Erkinjuntti T, eds. Evidence-based Dementia practice. Oxford: Blackwell Science Ltd a Blackwell publishing company. 2003; 428-446.
  13. Schenk D. Opinion: Amyloid-beta immunotherapy for Alzheimer´s Disease: The End of Beginning. Nat Rev Neurosci. 2002; 3: 824-828. Go to original source... Go to PubMed...
  14. Tariot PN, Farlow MR, Grossberg GT, et al. Memantine treatment in patients with moderate to severe Alzheimer disease already receiving donepezil. A randomized, controlled trial. JAMA, Jan. 21, 2004; 291(3): 317-324. Go to original source... Go to PubMed...
  15. Winblad B, Cummings J, Andreasen N, et al. A six-month double-blind, randomized, placebo-controlled study of transdermal patch in Alzheimer´s disease - rivastigmine patch versus kapsule. Internat Journ of Geriatr Psychiatry, 2007; 22: 456-467. Go to original source... Go to PubMed...
  16. Zimmermann M, Gardoni F, Di Luca M. Molecular Rationale for the Pharmacological Treatment of Alzheimer´s Disease. Drugs & Aging 2005; 22 Suppl. 1: 1-11. Go to original source... Go to PubMed...




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