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| Alzheimer's disease
in a nutshell
Optimal treatment: Vit E + Namenda + a Cholinesterase Inhibitor |
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| Drug | Pros | Cons | ||||||||
| Vitamin E 400 IU daily and Vit C 500 mg daily |
Nonprescription Cost: $5/month |
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| Namenda (Nemantine) Start 5 mg qd, increase weekly by 5 mg/d to 10 mg bid. |
NMDA receptor agonist. May be used alone or with Aricept. Drug assistance program |
Cost: $140/month | ||||||||
| Donepezil (Aricept) 5 mg qd for 4 to 6 wk, increase to 10 mg qd |
Cholinesterase Inhibitor Drug assistance program |
GI symptoms Cost $140/month |
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| Rivastigmine (Exelon) Start 1.5 mg bid, increase by 3 mg daily every 2 weeks. (capsule of 1.5, 3, 4.5, 6 mg) |
Cholinesterase Inhibitor Reduce behavioral symptoms Free 30 day trial Drug assistance program |
GI disturbances Cost: About $150/month |
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| Galantamine
(Reminyl) 4 mg BID for 4 weeks, then 8 mg bid (available in 4, 8, 12 mg) |
Cholinesterase Inhibitor Drug assistance program |
Cost: About $140/month | ||||||||
| Razadyne ER 8 mg qd for 4 weeks, then 16 mg qd, may increase up to 24 mg qd. |
Slow release form of Galantamine | Cost: About $160 per month | ||||||||
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