Cited by 277Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchCholinesterase and Neurodegenerative Diseases

Memantine: A Review of Its Use in Alzheimer’s Disease

Robinson, Dean M, Keating, Gillian M·2006·Drugs

Abstract

Memantine (Ebixa, Axura, Namenda, Akatinol) is a moderate-affinity, uncompetitive, voltage-dependent, NMDA-receptor antagonist with fast on/off kinetics that inhibits excessive calcium influx induced by chronic overstimulation of the NMDA receptor. Memantine is approved in the US and the EU for the treatment of patients with moderate to severe dementia of the Alzheimer's type. In well designed clinical trials, oral memantine, as monotherapy or in addition to a stable dose of acetylcholinesterase inhibitors, was well tolerated during the treatment of mild to severe Alzheimer's disease for up to 52 weeks. Memantine generally modified the progressive symptomatic decline in global status, cognition, function and behaviour exhibited by patients with moderate to severe Alzheimer's disease in four 12- to 28-week trials. In patients with mild to moderate Alzheimer's disease, data from three 24-week trials are equivocal, although meta-analyses indicate beneficial effects on global status and cognition. Memantine is an effective pharmacotherapeutic agent, and currently the only approved option, for the treatment of moderate to severe Alzheimer's disease.

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Crossref · 10.2165/00003495-200666110-00015

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Authors
Robinson, D. M., & Keating, G. M.
Corresponding author
Robinson, Dean M
Venue
Drugs
Published
2006
Volume
66
Issue
11
Pages
1515-1534
ISSN
0012-6667 (ISSN-L)
OpenAlex
W2110841847
Cited by
277
References
83
Citations by year
2026: 10 · 2025: 30 · 2024: 24 · 2023: 20 · 2022: 26 · 2021: 10 · 2020: 9 · 2019: 9 · 2018: 8 · 2017: 8 · 2016: 13 · 2015: 12 · 2014: 11 · 2013: 8 · 2012: 14
FWCI
8.91
Type
journal article
Language
en
Open access
closed
Locations
  • Drugs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
memantine, NMDA receptor antagonists, Alzheimer's disease, dementia treatment, uncompetitive antagonists, calcium influx inhibition, neuroprotection, pharmacokinetics, drug metabolism, renal excretion, acetylcholinesterase inhibitors, cognitive decline, tolerability, adverse events, drug interactions, dose-limiting toxicity, pharmacoeconomics, cost-effectiveness
MeSH terms
Alzheimer Disease, Clinical Trials as Topic, Humans, Memantine, Dopamine Agents, Treatment Outcome

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