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New Beta Amyloid Medicines Able to Treat Alzheimers?

Nov. 7 (Health News Daily)  
Researchers are looking at new medicines that may treat the underlying cause of Alzheimer's disease. Currently, the most frequently prescribed Alzheimer's disease treatments provide temporary relief of symptoms but do not prevent the disease from getting worse.

Alzheimer's disease is the most common form of dementia, affecting 4.5 million people in the United States. It is a progressive brain disorder that gradually destroys a person's memory and ability to learn, make judgments, communicate and carry out daily activities.

Some of the new Alzheimer's disease medicines are believed to work by targeting a toxic form of a protein called beta-amyloid. Scientists hypothesize that a build-up of beta-amyloid causes the formation of plaques in the brain that prevent the brain from functioning properly. Beta-amyloid is also thought to cause brain cell death in people with Alzheimer's disease.

Doctors are testing a new medicine that may lower the levels of beta-amyloid in people with Alzheimer's disease. In earlier clinical trials, this medicine reduced the rate of cognitive decline by 36 percent in patients with mild Alzheimer's disease. Now the medicine is being widely studied across the country.

The greatest risk factor for Alzheimer's disease is increasing age. Twenty five percent of the population over 75 is affected and for those over 85 the risk is nearly 50 percent. Common symptoms include a gradual loss of memory, problems with reasoning or judgment, disorientation, difficulty in learning, loss of language skills and a decline in the ability to perform routine tasks.

There is no single test to diagnose Alzheimer's disease. Instead, the diagnosis is made by taking a detailed history of an individual and weighing the results of several tests, including a complete physical and neurological examination, a psychiatric assessment and lab tests. Once these tests are completed, a diagnosis of "probable" Alzheimer's disease can be made by elimination of other possible causes of the symptoms.

There is currently no cure for Alzheimer's. Some treatments can temporarily improve the symptoms associated with cognitive loss, providing a boost to memory and understanding. Unfortunately, they do nothing to slow the progression of the underlying disease and as the loss of memory and understanding continues, the individual is soon back on the same course.

More information

Alzheimer's

Is there any treatment?

There is no cure for AD and no way to slow the progression of the disease. For some people in the early or middle stages of AD, medication such as tacrine (Cognex) may alleviate some cognitive symptoms. Donepezil (Aricept), rivastigmine (Exelon), and galantamine (Reminyl) may keep some symptoms from becoming worse for a limited time. A fifth drug, memantine (Namenda), was recently approved for use in the United States. Combining memantine with other AD drugs may be more effective than any single therapy. One controlled clinical trial found that patients receiving donepezil plus memantine had better cognition and other functions than patients receiving donepezil alone. Also, other medications may help control behavioral symptoms such as sleeplessness, agitation, wandering, anxiety, and depression. Prevention, through lifestyle changes and mental and physcial exercise, represents one of the best ways to reduce the likelihood of getting the disease, coupled with regular, systematic monitoring.  

What is the prognosis?

AD is a progressive disease, but its course can vary from 5 to 20 years. The most common cause of death in AD patients is infection.  As the population ages and other diseases are brought under control - Alzheimer's becomes a major risk.

What research is being done?


Scientists are currently studying or testing different types of drugs and other substances to determine if they can stop AD progression, including nonsteroidal anti-inflammatory drugs (NSAIDS), statins (such as those used for lowering cholesterol), folic acid, gingko biloba, huperzine, and vitamins E, B6, and B12. Studies in basic science are also exploring the potential of vaccines. Regular  'screenings' are being advocated by some - with the U.S. House of Representatives recently passing a bill in support of early memory check-ups.  All advocate a regimen of physical exercise and mental exercise. If you start an exercise regimen or just walking use MemCheck to track your progress.

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Source: NIH and Cognitive Advisors. For a qualified medical opinion or diagnosis, please see your healthcare provider.  

Famous People and Alzheimers: former President Ronald Reagan, Grambling University football coach Eddie Robinson, actor Charlton Heston, actor James Doohan.   
                                                                                   
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