Showing posts with label donezepil. Show all posts
Showing posts with label donezepil. Show all posts

Donezepil-Dementia

For Geriatric Use
The Molecule Donezepil is used in the treatment of Dementia as in Alzheimer's disease.[AD]


Levels of certain chemicals that carry messages around the brain (neurotransmitters) are low. This is corrected by Donezepil, which is a reversible inhibitor of the enzyme acetylcholinesterase.
Alzheimer disease (AD) is the most common cause of dementia in industrialized nations. Dementia is a brain disorder that interferes with a person’s ability to carry out everyday activities.

* The brain of a person with Alzheimer disease (see Multimedia file 1) has abnormal areas containing clumps (senile plaques) and bundles (neurofibrillary tangles) of abnormal proteins. These clumps and tangles destroy connections between brain cells.


* This usually affects the parts of the brain that control cognitive (intellectual) functions such as thought, memory, and language.


* Levels of certain chemicals that carry messages around the brain (neurotransmitters) are low.

About 5 million people in the United States and more than 30 million people worldwide have Alzheimer disease.



* The resulting losses in intellectual ability are called dementia when they are severe enough to interfere with everyday functioning.

Alzheimer disease affects mainly people aged 60 years or older.

* The risk of developing Alzheimer disease continues to increase with age. People aged 80 years, for example, have a significantly greater risk than people aged 65 years.


* About 5 million people in the United States and more than 30 million people worldwide have Alzheimer disease. Many others have mild, or minimal, cognitive impairment, which frequently precedes dementia.


* The number of people with Alzheimer disease is expected to rise substantially in the next few decades because of the aging of the population.


The cost of caring for people with the disease is estimated at over $100 billion per year in the United States. The average yearly cost per affected person is $20,000 to $40,000, depending on the severity of the disease.



* The disease affects all races and ethnic groups.


* It seems to affect more women than men.

Alzheimer disease is a progressive disease, which means that it gets worse over time. It cannot be cured or reversed by any known treatment.
Alzheimer disease is a progressive disease, which means that it gets worse over time. It cannot be cured or reversed by any known treatment.

* The symptoms often are subtle at first.


* Over time, people with the disease lose their ability to think and reason clearly, judge situations, solve problems, concentrate, remember useful information, take care of themselves, and even speak.


* Changes in behavior and personality are common.


* People with mild Alzheimer disease usually require close supervision and help with everyday tasks such as cooking, shopping, and paying bills.


* People with severe Alzheimer disease can do little on their own and require complete full-time care.
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donezepil-dementia-alzheimer's

[ARICEPT®]
DONEZEPIL is used for the treatment of dementia of the Alzheimer's type.
[ARICEPT® Manufactured in India by Elsai Pharmaceuticals Pvt. Ltd.]


As per the modified COSTART dictionary
frequent adverse events are those occurring in at least 1/100 patients;
infrequent adverse events are those occurring in 1/100 to 1/1000 patients.


SIDE EFFECTS are Cholinomimetic -
  1. nausea,
  2. diarrhea,
  3. insomnia,
  4. vomiting,
  5. muscle cramp,
  6. fatigue and
  7. anorexia.
These adverse events are found in 5 % patients. They are often mild and transient.
Nervous System
  1. Insomnia
  2. Dizziness
  3. Depression
  4. Abnormal Dreams
  5. Somnolence
Urogenital System
  1. Frequent Urination
Here is the beginning of my post.



Body as a Whole: Frequent: influenza, chest pain, toothache; Infrequent: fever, edema face, periorbital edema, hernia hiatal, abscess, cellulitis, chills, generalized coldness, head fullness, listlessness.

Cardiovascular System: Frequent: hypertension, vasodilation, atrial fibrillation, hot flashes, hypotension; Infrequent: angina pectoris, postural hypotension, myocardial infarction, AV block (first degree), congestive heart failure, arteritis, bradycardia, peripheral vascular disease, supraventricular tachycardia, deep vein thrombosis.

Digestive System: Frequent: fecal incontinence, gastrointestinal bleeding, bloating, epigastric pain; Infrequent: eructation, gingivitis, increased appetite, flatulence, periodontal abscess, cholelithiasis, diverticulitis, drooling, dry mouth, fever sore, gastritis, irritable colon, tongue edema, epigastric distress, gastroenteritis, increased transaminases, hemorrhoids, ileus, increased thirst, jaundice, melena, polydipsia, duodenal ulcer, stomach ulcer.

Endocrine System: Infrequent: diabetes mellitus, goiter.

Hemic and Lymphatic System: Infrequent: anemia, thrombocythemia, thrombocytopenia, eosinophilia, erythrocytopenia.

Metabolic and Nutritional Disorders: Frequent: dehydration; Infrequent: gout, hypokalemia, increased creatine kinase, hyperglycemia, weight increase, increased lactate dehydrogenase.

Musculoskeletal System: Frequent: bone fracture; Infrequent: muscle weakness, muscle fasciculation.

Nervous System: Frequent: delusions, tremor, irritability, paresthesia, aggression, vertigo, ataxia, increased libido, restlessness, abnormal crying, nervousness, aphasia; Infrequent: cerebrovascular accident, intracranial hemorrhage, transient ischemic attack, emotional lability, neuralgia, coldness (localized), muscle spasm, dysphoria, gait abnormality, hypertonia, hypokinesia, neurodermatitis, numbness (localized), paranoia, dysarthria, dysphasia, hostility, decreased libido, melancholia, emotional withdrawal, nystagmus, pacing.

Respiratory System: Frequent: dyspnea, sore throat, bronchitis; Infrequent: epistaxis, post nasal drip, pneumonia, hyperventilation, pulmonary congestion, wheezing, hypoxia, pharyngitis, pleurisy, pulmonary collapse, sleep apnea, snoring.

Skin and Appendages: Frequent: pruritus, diaphoresis, urticaria; Infrequent: dermatitis, erythema, skin discoloration, hyperkeratosis, alopecia, fungal dermatitis, herpes zoster, hirsutism, skin striae, night sweats, skin ulcer.

Special Senses: Frequent: cataract, eye irritation, vision blurred; Infrequent: dry eyes, glaucoma, earache, tinnitus, blepharitis, decreased hearing, retinal hemorrhage, otitis externa, otitis media, bad taste, conjunctival hemorrhage, ear buzzing, motion sickness, spots before eyes.

Urogenital System: Frequent: urinary incontinence, nocturia; Infrequent: dysuria, hematuria, urinary urgency, metrorrhagia, cystitis, enuresis, prostate hypertrophy, pyelonephritis, inability to empty bladder, breast fibroadenosis, fibrocystic breast, mastitis, pyuria, renal failure, vaginitis.


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