
Do We Have Drugs for Dementia?
No
William Pryse-Phillips, MD
From Memorial University of Newfoundland, Canada
Arch Neurol. 1999;56:735-737.
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ADDRESSING causative rather than symptomatic treatments, I suggest that the following are the appropriate goals of antidementia therapy: (1) to improve the patient's capacity to perform the basic or instrumental activities of daily living; (2) to improve the quality of life of the patient and/or the caregiver; (3) to improve memory and other cognitive and behavioral functions to the extent that this leads to clinically relevant improvements; and (4) to slow the course of the disease with respect to measurable cognitive decline and the level of care required, in comparison with placebo therapy.
Investigators of the ability of drugs to achieve such goals have employed neuropsychological tests, behavioral rating scales, and global ratings by clinicians or caregivers. The pertinence of the first of these is unclear: a 3-point change in the 70-point Alzheimer's Disease Assessment ScaleCognitive Subscale (ADAS-COG) score represents a minor variation that may indicate the . . . [Full Text of this Article] TACRINE
DONEPEZIL
SELEGILINE HYDROCHLORIDE
VITAMIN E
GINKGO BILOBA
OTHER AGENTS
CONCLUSIONS
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