Thursday, September 27, 2012

Alzheimer's disease

Alzheimer's disease 

ALZ Clinical Trials Phase III Taiwan 

6/7/2021 Aduhelm (aducanumab) - Biogen Eisai 
1/6/2023 Leqembi (lecanemab-irmb) Eisai Biogen 7/6/2023 traditional approval 

oligomannate GV-971 九期一 甘露特钠胶囊 
阿尔茨海默症新药难在哪 阿杜卡奴抗体 aducanumab 渤健 卫材 

Changhua, Kaohsiung Medical University, Kaohsiung Chang Gung, National Cheng Kung, National Taiwan University, Chang Gung

National Institute on Aging: Alzheimer's Disease Research Centers

Treating Alzheimer's > Cognitive Symptoms

Bredesen Protocol

Three cholinesterase inhibitors are commonly prescribed:
  1. donepezil (Aricept), which is approved to treat all stages of Alzheimer’s disease 2006
  2. rivastigmine (Exelon), approved for mild to moderate Alzheimer’s 2007
  3. galantamine (approved in 2001 under the trade name Reminyl and renamed Razadyne in 2005), also approved for mild to moderate stages
How are cholinesterase inhibitors used?
  • Donepezil (Aricept®) is a tablet and can be administered once daily. Generally, the initial dose is 5 mg a day(usually given at night). After four to six weeks, if it is well tolerated, the dose is often increased to the therapeutic goal of 10 mg a day.
  • Rivastigmine (Exelon®) is available as patch, a capsule or as a liquid. The dosage is gradually increased to minimize side effects. Usually the medication is started at 1.5 mg daily. After two weeks the dosage is increased to 1.5 mg twice a day. The therapeutic goal is to increase the dosage gradually every two weeks to reach 6 to 12 mg a day given in two doses, each equal to half the total. There is a greater frequency of side effects at these higher doses; however, taking drugs with meals may be helpful in reducing the occurrence of side effects.
  • Galantamine (Razadyne) is supplied as tablets in strengths of 4, 8 and 12 mg. The recommended starting dose is 4 mg twice a day. If well tolerated after four weeks or more of treatment, the dose is increased to 8 mg twice a day. There was no statistical benefit in clinical trials for 12 mg twice a day over the dose of 8 mg twice a day, but if 8 mg twice a day is well tolerated after four weeks, the dose can be increased to 12 mg twice a day by the physician. Galantamine is also available in an “extended release” form as Razadyne ER that is designed to be taken once a day.
Treatments > Medications for Memory Loss

藥物治療 - 阿茲海默症

膽鹼酶抑制劑:愛憶欣(Aricept, donepezil)、憶思能(Exelon,rivastigmine)、利憶靈(Reminyl, galantamine)。可能的副作用有噁心、拉肚子、厭食、頭痛、嘔吐等。

* Alzheimers disease alternative treatments
Caprylic acid - coconet oil
Omega-3
* Phosphatidylserine

1997 A Controlled Trial of Selegiline, Alpha-Tocopherol, or Both as Treatment for Alzheimer's Disease
Moderate stage: Vitamin-E (Alpha-Tocopherol) 2000IU
Dietary Supplement Fact Sheet: Vitamin E Tolerable Upper Intake Levels 1500 IU 

2 comments:

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