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Learn about Alzheimer's disease, its history, causes, and approved medications like Aricept, Razadyne, Exelon, and Namenda. Explore the limitations, future treatments, and citations for further reading.
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Alzheimer’s and Medications used to treat it Katherine Noonan BME 281
What is Alzheimer’s? • Brain cells degenerate and die • Causes progressive loss of intellectual and social skills and interferes with day to day life • Also a steady decline in memory and mental function • Normally occurs in older people • Caused by beta-amyloid clumps preventing cell to cell communication • Caused by tangles of tau protein therefore disrupting the transport system
Brief History • 1906- German doctor Alois Alzheimer identified the disease • 1960’s- link between cognitive decline and the number of plaques and tangles in the brain • 1970’s- Alzheimer’s came out as a significant area of research • Aricept FDA approved in 1996 • Razadyne FDA approved in 2001 • Exelon FDA approved in 2000 • Namenda FDA approved in October, 2003
Medications • Aricept (Donepezil)- Cholinesterase inhibitor, prevents the breakdown of acetylcholine in the brain, improves mental function • Razadyne (Galantamine)- Acetylcholinesterase inhibitor, prevents breakdown of acetylcholine and stimulates nicotinic receptors to release more acetylcholine in the brain, improves memory and thought processes • Exelon (Rivastigmine)- Cholinesterase inhinitor, prevents breakdown of acetylcholine and butyrylcholine in the brain improves mental function. Also used to treat dementia in Parkinson’s patients • Namenda (Memantine)- NMDA receptor antagonists, protects the brain's nerve cells against excess amounts of glutamate, a messenger chemical released in large amounts by cells damaged by Alzheimer's
Limitations • There is no cure for Alzheimer’s, these drugs only treat symptoms and help slow the degradation of brain cells • Alzheimer’s patients are also instructed to take multiple medications for mood swings, anxiety, depression, etc. • Multiple side effects for each drug
Future • Vaccinations: a new study showed that injecting the patient with beta-amyloid can produce antibodies against the protein reducing the acclamation • Inhibiting drugs that prevent an enzyme from producing amyloid protein, called PBT2, without interfering with the enzymes other functions
Citations • http://www.ahaf.org/alzheimers/about/understanding/history.html • http://www.ahaf.org/alzheimers/treatment/common/ • http://www.mayoclinic.com/health/alzheimers-disease/DS00161/DSECTION=causes • Pubmed health: • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001006/ • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001066/ • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000190/ • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000250/