Rivastigmine in the treatment of Alzheimer's disease: an update

Maria Luisa Onor, Marianna Trevisiol, Eugenio AgugliaDepartment of Clinical, Morphological and Technological Sciences, U.C.O. of Clinical Psychiatry, University of Trieste, Trieste, ItalyAbstract: Alzheimer’s disease is the most common form of dementia in industrialized countries. In the E...

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Autores principales: Maria Luisa Onor, Marianna Trevisiol, Eugenio Aguglia
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Publicado: Dove Medical Press 2007
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spelling oai:doaj.org-article:b446a942660d4761a371fd5f0b56ef122021-12-02T04:41:52ZRivastigmine in the treatment of Alzheimer's disease: an update1178-1998https://doaj.org/article/b446a942660d4761a371fd5f0b56ef122007-04-01T00:00:00Zhttps://www.dovepress.com/rivastigmine-in-the-treatment-of-alzheimer39s-disease-an-update-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Maria Luisa Onor, Marianna Trevisiol, Eugenio AgugliaDepartment of Clinical, Morphological and Technological Sciences, U.C.O. of Clinical Psychiatry, University of Trieste, Trieste, ItalyAbstract: Alzheimer’s disease is the most common form of dementia in industrialized countries. In the European Union, about 54% of dementia cases are believed to be due to Alzheimer’s disease. The condition is an age-related neurodegenerative disorder characterized by multiple cognitive deficiencies, including loss of memory, judgment, and comprehension. These manifestations are accompanied by behavioral and mood disturbances. Although no cure has yet been discovered for Alzheimer’s disease, symptomatic therapies are now widely available and offer significant relief to patients and benefits to caregivers in terms of reduced care burden. At the start of the 21st century, health technology assessments recommended three agents for he symptomatic treatment of mild to moderate Alzheimer disease: rivastigmine, donepezil, and galantamine. Rivastigmine (Exelon®, Novartis Basel—Switzerland) is a slowly reversible inhibitor of acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE), while donepezil (Aricept®, Pfizer, New York, USA) and galantamine (Reminyl®, Janssen, New Jersey,USA) show no functional inhibition of BuChE, and are considered AChE-selective, rapidly-reversible inhibitors. The efficacy of all three agents has been evaluated in large, double-blind, placebocontrolled clinical trials of up to 6 months’ duration. Rivastigmine treatment in mild to moderate Alzheimer’s disease improves cognition, activities of daily living, and global function.Keywords: acetylcholinesterase inhibitors, Alzheimer’s disease, donepezil, galantamine, rivastigmine.Maria Luisa OnorMarianna TrevisiolEugenio AgugliaDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 2, Pp 17-32 (2007)
institution DOAJ
collection DOAJ
language EN
topic Geriatrics
RC952-954.6
spellingShingle Geriatrics
RC952-954.6
Maria Luisa Onor
Marianna Trevisiol
Eugenio Aguglia
Rivastigmine in the treatment of Alzheimer's disease: an update
description Maria Luisa Onor, Marianna Trevisiol, Eugenio AgugliaDepartment of Clinical, Morphological and Technological Sciences, U.C.O. of Clinical Psychiatry, University of Trieste, Trieste, ItalyAbstract: Alzheimer’s disease is the most common form of dementia in industrialized countries. In the European Union, about 54% of dementia cases are believed to be due to Alzheimer’s disease. The condition is an age-related neurodegenerative disorder characterized by multiple cognitive deficiencies, including loss of memory, judgment, and comprehension. These manifestations are accompanied by behavioral and mood disturbances. Although no cure has yet been discovered for Alzheimer’s disease, symptomatic therapies are now widely available and offer significant relief to patients and benefits to caregivers in terms of reduced care burden. At the start of the 21st century, health technology assessments recommended three agents for he symptomatic treatment of mild to moderate Alzheimer disease: rivastigmine, donepezil, and galantamine. Rivastigmine (Exelon®, Novartis Basel—Switzerland) is a slowly reversible inhibitor of acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE), while donepezil (Aricept®, Pfizer, New York, USA) and galantamine (Reminyl®, Janssen, New Jersey,USA) show no functional inhibition of BuChE, and are considered AChE-selective, rapidly-reversible inhibitors. The efficacy of all three agents has been evaluated in large, double-blind, placebocontrolled clinical trials of up to 6 months’ duration. Rivastigmine treatment in mild to moderate Alzheimer’s disease improves cognition, activities of daily living, and global function.Keywords: acetylcholinesterase inhibitors, Alzheimer’s disease, donepezil, galantamine, rivastigmine.
format article
author Maria Luisa Onor
Marianna Trevisiol
Eugenio Aguglia
author_facet Maria Luisa Onor
Marianna Trevisiol
Eugenio Aguglia
author_sort Maria Luisa Onor
title Rivastigmine in the treatment of Alzheimer's disease: an update
title_short Rivastigmine in the treatment of Alzheimer's disease: an update
title_full Rivastigmine in the treatment of Alzheimer's disease: an update
title_fullStr Rivastigmine in the treatment of Alzheimer's disease: an update
title_full_unstemmed Rivastigmine in the treatment of Alzheimer's disease: an update
title_sort rivastigmine in the treatment of alzheimer's disease: an update
publisher Dove Medical Press
publishDate 2007
url https://doaj.org/article/b446a942660d4761a371fd5f0b56ef12
work_keys_str_mv AT marialuisaonor rivastigmineinthetreatmentofalzheimer39sdiseaseanupdate
AT mariannatrevisiol rivastigmineinthetreatmentofalzheimer39sdiseaseanupdate
AT eugenioaguglia rivastigmineinthetreatmentofalzheimer39sdiseaseanupdate
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