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A newly
approved drug for mild to moderate Alzheimer's disease may
also be effective in treating dementia symptoms caused by
cerebrovascular disease, according to Finnish researchers.
As reported
in the April 12th issue of the Lancet, the study found that
the drug Reminyl (galantamine hydrobromide) helped improve
memory, language, reasoning skills, ability to perform activities
of daily living and behavior in these patients.
Cerebrovascular
disease is a primary cause or contributing factor in about
one in four individuals with dementia. The researchers said
no other treatment has been documented effective in treating
such individuals.
"As
a result, they often went untreated. Research such as this
offers persuasive evidence that dementia patients can be helped,
even when cerebrovascular disease -- usually one or more strokes
-- is present," said Dr. Timo Erkinjuntti, the study's
lead author and a faculty member of the Memory Research Unit
at the Helsinki University Central Hospital.
In the
six-month study, 592 patients diagnosed with vascular or mixed
dementia were either given Reminyl or a placebo. Three-fourths
of those receiving Reminyl remained stable or improved after
six months compared with 54 percent of those receiving a placebo.
The ability to think and remember improved or remained stable
in 64 percent of the patients taking Reminyl versus 51 percent
of those taking a placebo.
Reminyl
is thought to inhibit an enzyme that breaks down acetylcholine
-- a critical chemical in the brain that plays a key role
in memory and learning. In addition, it is believed that Reminyl
modulates the brain's nicotinic receptors, to which acetylcholine
binds. Laboratory research suggests that through this action,
Reminyl stimulates greater release of the chemical.
Source:
Hypertension
Week of April 14, 2002
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