Table (1).
Summary of pharmacological treatments for AD and PDD.
Drug Name | Drug Type | Standard Dosage in AD | Standard Dosage in PDD | Mechanism of Action | Efficacy in AD | Efficacy in PDD | Common Side Effects in AD | Common Side Effects in PDD |
---|---|---|---|---|---|---|---|---|
Rivastigmine | Cholinesterase inhibitor | Capsule: 3-12mg/day, Patch: 4.6-13.3mg/day |
Capsule: 3-12mg /day, Patch: 4.6-9.5mg/day |
Inhibits the action of acetylcholine and butyrylcholine in the brain | Efficacious for the treatment of mild to moderate AD | Efficacious for the treatment of mild to moderate PDD | Nausea, vomiting, diarrhea, dizziness, loss of appetite, weight loss, muscle weakness |
Nausea, vomiting, diarrhea, loss of appetite, dizziness, tremor |
Donepezil | Cholinesterase inhibitor | 5-10mg/day | 5-10mg/day | Delays the breakdown of acetylcholine released into synaptic clefts | Efficacious for patients with mild, moderate, and severe AD | Insufficient evidence | Nausea, vomiting, diarrhea, dizziness, headache, loss of appetite, weight loss, muscle cramps, fatigue | Nausea, vomiting, diarrhea, insomnia |
Galantamine | Cholinesterase inhibitor | 8-24mg/day | 4-24mg/day | Inhibits acetylcholinesterase, and stimulates nicotinic acetylcholine receptors to release more acetylcholine in the brain | Efficacious for the treatment of mild to moderate AD | Insufficient evidence | Nausea, vomiting, diarrhea, dizziness, headache, loss of appetite, weight loss |
Nausea, vomiting, diarrhea |
Memantine | NMDA receptor antagonist | 5-20mg/day | 5-20mg/day | Regulates glutamate activation and blocks the toxic effects of overactive glutamatergic activity | Efficacious for the treatment of moderate to severe AD | Insufficient evidence | Dizziness, headache, confusion, constipation | Dizziness, tiredness, fall |