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. 2024 Jan 19;14(1):96. doi: 10.3390/brainsci14010096

Table 1.

The AChE inhibitors now available or unavailable on the market for clinical use in AD.

AChE Inhibitor Dosage
(mg/d)
Outcomes and Side Effects Availability for Clinical Use Reference
Tacrine 80–160 Nausea and abnormal liver functionality No [10]
Physostigmine 36 Nausea, diarrhea, and dizziness No [11]
Rivastigmine 6–12 Nausea, vomiting, and diarrhea Yes [11]
Galantamine * 20–50 Nausea, vomiting, and diarrhea Yes [11]
Donepezil 10 Higher cognitive improvements and reduced inflammatory cytokines as well as oxidative stress Yes [12]
5 Reduced inflammatory cytokines and oxidative stress
Metrifonate NA Bradycardia, rhinitis, abdominal pain, neuromuscular dysfunction, and respiratory failure No [13]

* Fewer side effects compared to other AChE inhibitor drugs; NA, not available.