medigraphic.com
SPANISH

Revista Mexicana de Neurociencia

Academia Mexicana de Neurología, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2005, Number 1

<< Back Next >>

Rev Mex Neuroci 2005; 6 (1)

Extended-release galantamine efficacy in Alzheimer’s disease vascular or mixed dementia open trial

Albert-Meza G, Santos-Zambrano J, Mena-Barranco F, Navarrete-Báez H, Viveros-Erosa MA, Pérez-Hernández M, González-Garza J
Full text How to cite this article

Language: Spanish
References: 7
Page: 34-37
PDF size: 84.45 Kb.


Key words:

Cognitive impairment, dementia, galantamine.

ABSTRACT

Objective: To evaluate the efficacy and safety of galantamine in the treatment of Alzheimer’s disease or vascular or mixed dementia. Design: Open-label, multicenter trial with outpatients with mild to moderate dementia symptoms due to Alzheimer’s Disease (AD), vascular o mixed. Intervention: Patients received in a open-label fashion extended-release galantamine once a day 8, 16 or 24 mg/day, according to dose-response. Main outcome measures: Scores on the MMSE, clock-drawing task, ADAS-cog scale, the clinician’s interview based impression of change, and caregiver input (Zarit caregiver burder questionnaire), were assessesed. Methods: Extended-release galantamine was given once a day at 8, 16 y 24 mg/day. Results: Of 27 patients, 11 (41%) male, and 16 (59%) female, mean 73 ± 8 years. For efifcacy end-points showed statistically significant improvement in MMSE baseline mean 17 ± 3 vs. final 24 ± 3 (p = 0.001), ADAS-cog (decrease is improvement) baseline mean 28 ± 7 vs. 22 ± 8, p = 0.05. Clock drawing test scores baseline 4.5 vs. final 7, p = 0.01 and interpretation, cognitive impairment (baseoine 93% vs. final 18%) and without cognitive impairment baseline 7% vs. final 82% (p = 0.01 c2). Adverse events: 1 (3%) patient recorded irritability that improved with dose decrease. Conclusion: The treatment with extended release galantamine improved cognitive tasks and that improved the daily living activities and decrease the burden of the caregiver (Zarit).


REFERENCES

  1. Bartus RT, Dean RL, Beer B, Lippa AS. The cholinergic hypothesis of geriatric memory dysfunction. Science 1982; 217: 408­14.

  2. Allen NHP, Burns A. The treatment of Alzheimer’s disease. J Psychopharmacol 1995; 9: 43­56.

  3. Schneider LS. New therapeutic approaches to Alzheimer’s disease. J Clin Psychiatry 1996; 57(suppl 14): 30­6.

  4. Pryse­Phillips W. Do we have drugs for dementia? Arch Neurol 1999; 56: 735­7.

  5. Zarit SH, Reever KE, Bach-Peterson J.Relatives of the Impaired Elderly: Correlates of Feelings of Burden. Gerontologist 1980; 20: 649-54.

  6. Butman J, Sarasola D, Lon L, Serrano C, et al. Impacto económico de la enfermedad de Alzheimer. Revista Neurológica Argentina 2003; 28: 16-23

  7. Belle SH, Song Z, Czaja SJ, Burns R, et al. Use of cognitive enhancement medication in persons with Alzheimer Disease who have a family caregiver. Results from the resources for enhancing Alzheimer’s Caregiver Health (REACH) Project. Am J Geriatr Psychiatry 2004;12:250–257.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Neuroci. 2005;6