Document Detail


Mild cognitive impairment: to treat or not to treat.
MedLine Citation:
PMID:  16263056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mild cognitive impairment (MCI) refers to memory deficits in excess of normal aging, but not sufficient for the diagnosis of Alzheimer's disease (AD). In general, patients with MCI are not disabled and have no other obvious cognitive deficits other than memory. Many studies have shown that patients with MCI are more likely to progress to AD than age-matched controls. Drug therapy to prevent or delay deterioration in patients with MCI has been tested only very recently. The results of three clinical trials are discussed. One of two trials with donepizil suggests that donepizil may delay onset of AD, but the effect is modest and the side effects are problematic. Galantamine appeared to be associated with excess deaths, and vitamin E was not effective. No medications are currently indicated for the prevention of dementia in patients with MCI.
Authors:
Howard S Kirshner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current neurology and neuroscience reports     Volume:  5     ISSN:  1528-4042     ISO Abbreviation:  Curr Neurol Neurosci Rep     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-04-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100931790     Medline TA:  Curr Neurol Neurosci Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  455-7     Citation Subset:  IM    
Affiliation:
Department of Neurology, Stroke Division, Vanderbilt University School of Medicine, 2100 Pierce Avenue, MCS 320, Nashville, TN 37232, USA. Howard.Kirshner@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Alzheimer Disease / complications
Cholinesterase Inhibitors / therapeutic use*
Clinical Trials as Topic
Cognition Disorders / drug therapy*,  etiology
Disease Progression
Humans
Indans / therapeutic use*
Piperidines / therapeutic use*
Chemical
Reg. No./Substance:
0/Cholinesterase Inhibitors; 0/Indans; 0/Piperidines; 120011-70-3/donepezil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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