Cited by 2Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsCholinesterase and Neurodegenerative Diseases

Combination Drug Therapy for the Management of Alzheimer’s Disease

Open access
Dudchenko, N. G., Mkhitaryan, E. A.·2024·Russian Journal of Geriatric Medicine

Abstract

Alzheimer's disease (AD) is one of the most prevalent neurodegenerative diseases worldwide. It is the leading cause of dementia in both older and oldest old population. The standard treatment for AD dementia is based on two groups of drugs: cholinesterase inhibitors (donepezil, rivastigmine, galantamine) and NMDA glutamate receptor modulator memantine. At moderate and severe stages of dementia, it is often necessary to use both a cholinergic inhibitor and memantine simultaneously. This review discusses current capabilities, efficacy and safety of combined therapy for Alzheimer's. It also covers details the features of using fixed combinations of donepezil and memantine in clinical practice.

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Crossref · 10.37586/2686-8636-2-2024-140-144

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  • Combination therapies of the pharmacodynamic and pharmacokinetic types are available.

    “Combination therapies of the pharmacodynamic and pharmacokinetic types are available.”
  • Ongoing clinical trials combine novel DMT- or symptomatic-based treatments with standard-of-care medications such as memantine or cholinesterase inhibitors.

    “As an illustration, ongoing clinical trials combine novel DMT- or symptomatic-based treatments with standard-of-care medications (such as memantine or cholinesterase inhibitors) [217,218,219].”
  • Pharmacodynamic agent combinations for AD may consist of DMTs, which change the course of the disease, or symptomatic medicines, which reduce symptoms without changing the course.

    “Pharmacodynamic agent combinations for AD may consist of DMTs, which change the course of the disease, or symptomatic medicines, which reduce the symptoms without changing the course of the disease.”

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Research works printed but not linked: 4

  1. Birks J, Harvey RJ. Donepezil for dementia due to Alzheimer's disease.Cochrane Database Syst Rev. 2018;6:1-245. https://doi.org/10.1002/14651858.CD001190.pub3 · DOI · Paper page
  2. Ткачева О.Н., Рунихина Н.К., Мхитарян Э.А., Коберская Н.Н., Маневич Т.М. Сравнительный анализ эффективности при- менения монотерапии донепезилом и комбинированной тера- пии донепезилом и акатинолом мемантином у больных с бо- лезнью Альцгеймера на стадии легкой деменции. Российский неврологический журнал. 2019; 24(5):54-60.
  3. Смолярчук Е.А, Лейкин З.Н. Сравнительное клини- ческое исследование фармакокинетики и биоэквивалентно- сти комбинированного лекарственного препарата Миореол и совместного применения монопрепаратов, содержащих донепезил и мемантин. Журнал неврологии и психиатрии им. С.С. Корсакова. 2022; 122(3):85-91.
  4. Колыхалов И.В., Мхитарян Э.А., Федорова Я.Б., Пономарева Е.В., Селезнева Н.Д., Чердак М.А., Дудченко Н.Г., Сейфединова А.Б., Исаев Р.И., Гаврилова С.И., Ткачева О.Н. опыт применения комбинации фиксированных доз донепезила и мемантина в терапии болезни Альцгеймера в рамках наблюдательной неинтервенционной много- центровой программы. Журнал неврологии и психиатрии им. С.С. Корсакова. 2023; 123(12):69-75.

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Authors
Dudchenko, N. G., & Mkhitaryan, E. A.
Affiliations
Pirogov Russian National Research Medical University (RU)
Venue
Russian Journal of Geriatric Medicine
Published
2024-06-30
Issue
2
Pages
140-144
ISSN
  • 2686-8636 (ISSN-L)
  • 2686-8709
OpenAlex
W4401034498
Cited by
2
References
26
Citations by year
2025: 1 · 2024: 1
FWCI
0.59
Type
journal article
Language
en
Open access
Locations
  • Russian Journal of Geriatric Medicine (publishedVersion, cc-by-nc-sa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
Alzheimer's disease, combination therapy, cholinesterase inhibitors, memantine, donepezil, rivastigmine, galantamine, fixed-dose combination, dementia treatment, drug safety and efficacy

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