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makemydaze

07/27/17 11:34 AM

#112975 RE: Investor2014 #112960

That's a great point investor -"I am sure if you are someone, like Macfarlane, who has been working with Alzheimer's patients and various drugs for a long time, you know real improvement when you see it!"

Consideration has to be given to "better social behavior" and fewer drug side effects which can greatly effect the caregiver as well as the patient.

From the NIH - current standard of care drugs for AZ and their side effects:
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DRUG NAME
DRUG TYPE AND USE
HOW IT WORKS
COMMON SIDE EFFECTS

Aricept® (donepezil)
Cholinesterase inhibitor prescribed to treat symptoms of mild, moderate, and severe Alzheimer's
Prevents the breakdown of acetylcholine in the brain
Nausea, vomiting, diarrhea, muscle cramps, fatigue, weight loss

Exelon® (rivastigmine)
Cholinesterase inhibitor prescribed to treat symptoms of mild to moderate Alzheimer's (patch is also for severe Alzheimer's)
Prevents the breakdown of acetylcholine and butyrylcholine (a brain chemical similar to acetylcholine) in the brain
Nausea, vomiting, diarrhea, weight loss, indigestion, muscle weakness

Namenda® (memantine)
N-methyl D-aspartate (NMDA) antagonist prescribed to treat symptoms of moderate to severe Alzheimer's
Blocks the toxic effects associated with excess glutamate and regulates glutamate activation
Dizziness, headache, diarrhea, constipation, confusion

Namzaric® (memantine extended-release and donepezil)
NMDA antagonist and cholinesterase inhibitor prescribed to treat symptoms of moderate to severe Alzheimer’s (for patients stabilized on both memantine and donepezil taken separately)
Blocks the toxic effects associated with excess glutamate and prevents the breakdown of acetylcholine in the brain
Headache, nausea, vomiting, diarrhea, dizziness

Razadyne® (galantamine)
Cholinesterase inhibitor prescribed to treat symptoms of mild to moderate Alzheimer's
Prevents the breakdown of acetylcholine and stimulates nicotinic receptors to release more acetylcholine in the brain
Nausea, vomiting, diarrhea, decreased appetite, dizziness, headache

------------------------------------------------------------------------
RE: Behavioral Problems

Managing Behavior
Common behavioral symptoms of Alzheimer’s include sleeplessness, wandering, agitation, anxiety, aggression, restlessness, and depression. Scientists are learning why these symptoms occur and are studying new treatments—drug and nondrug—to manage them. Research has shown that treating behavioral symptoms can make people with Alzheimer’s more comfortable and makes things easier for caregivers.

Examples of medicines used to help with depression, aggression, restlessness, and anxiety include:

Celexa® (citalopram)
Remeron® (mirtazapine)
Zoloft® (sertraline)
Wellbutrin® (bupropion)
Cymbalta® (duloxetine)
Tofranil® (imipramine)


https://www.nia.nih.gov/health/how-alzheimers-disease-treated

Anavex just to improve on the standard of care to make a case for approval.