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  Study: Namenda slows progess of Alzheimer's for a Year

Jan. 15 (United States)  
 


Weekend, January 14-15 (CogLabs Newswire)

- The drug Namenda slows Alzheimer's diseasse for at least a year, doctors report in the Archives of Neurology.

Namenda, which was approved by the FDA in 2003, had already fared well in a study that lasted about seven months. The new results come from an extension of that study.

The Alzheimer's Association estimates that 4.5 million people in the U.S. have Alzheimer's disease. Alzheimer's is the most common form of dementia in older adults. However, it's not a normal part of aging.

Alzheimer's disease affects parts of the brain involved in memory, intelligence, judgment, language, and behavior. Its exact cause isn't known, and no cure exists.

Experts' Comments

"This study demonstrates that it is possible to alleviate some of the cognitive and functional losses associated with the later stages of Alzheimer's providing a basis for greater optimism on the part of caregivers," says Barry Reisberg, MD, in a news release.

Reisberg worked on both Namenda studies. He's on staff in the psychiatry department of New York University's medical school.

"Our study verifies that this medication continues to be beneficial and is safe with remarkably few side effects," Reisberg says.

The journal also contains an editorial by Jeffrey Cummings, MD, of the David Geffen School of Medicine at the University of California at Los Angeles (UCLA).

"These new data from Reisberg and co-workers provide additional reassurance to prescribing physicians that long-term use of [Namenda] is safe, continues to have a low rate of adverse effects, and may have continuing beneficial clinical effects," writes Cummings. He didn't work on Reisberg's study.

Year-Long Study

In the original study, patients either got Namenda or a fake drug (placebo). When the study was extended for an additional six months, patients could keep taking Namenda or switch to Namenda from the placebo.

All patients had moderate to severe Alzheimer's. They took a 10-milligram dose of Namenda twice a day.

Those who had already been taking Namenda generally appeared to maintain their benefits. In patients who had previously taken the placebo, the pace of mental decline from Alzheimer's slowed significantly, the researchers report.

Results were based on a variety of tests that checked mental decline.

No new side effects were noted. The most common adverse effects were agitation, insomnia, hallucinations, urinary tract infection, and urinary incontinence.

The study was funded by Merz Pharmaceuticals GmBH, which markets Namenda in Germany.

Source: WebMD

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.

Read testimonials from scientists and physicians on MemCheck.
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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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