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Medical University of Sofia, Faculty of Medicine Department of Pharmacology and Toxicology. Alzheimer’s Disease. Avi Gandhi (2009). Medical University of Sofia, Faculty of Medicine Department of Pharmacology and Toxicology. Background.
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Medical University of Sofia, Faculty of Medicine Department of Pharmacology and Toxicology Alzheimer’s Disease Avi Gandhi(2009)
Medical University of Sofia, Faculty of Medicine Department of Pharmacology and Toxicology
Background • It is the progressive mental deterioration that can occur in middle or old age, due to generalized degeneration of the brain. • It causes a steady loss of memory, speech, thinking, and carrying on daily activities. • As a person becomes older the risk for developing Alzheimer’s increases. • Annual cost can be over $50,000 • Affects over 26.6 million people worldwide
Symptoms • Memory loss • confused about time and place • changes in personality and mood • trouble speaking and accomplishing tasks
7 Stages • No impairment • very mild cognitive decline • mild cognitive decline • moderate cognitive decline • moderately severe cognitive decline • severe cognitive decline • very severe cognitive decline
Anatomical Changes • Neurofibrillary tangles • loss of neuronal synapse • dead or dying nerve cells • formation of plaques
Treatment • Acetylcholine esterase inhibiters • Rivastigmine • Galantamine • Donepezil • NMDA receptor antagonist • Memantine
Side Effects • nausea • vomiting • loss of appetite • headache • confusion • constipation(memantine)
Behavioral Drugs • Antidepressants • Peroxeine • Fluxetine • Anxiolytics • Lorazepam • Antipsychotic • Clozapine • Haloperidol
Clinical Trials • “Alzheimer’s in Long-Term Care--Treatment for Agitation” • “Cognitive Behavioral Therapy of Early Dementia” • “Nefiracetam in the Treatment of Alzheimer’s Disease”
Sources • www.wikipedia.com • Harrison’s Internal Medicine • Lippincott’s Illustrated Reviews Pharmacology • NextBio • Modern Pharmacology with Modern Clinical Applications • http://www.alz.org/index.asp