Effectiveness of Memantine in Alzheimer’s Disease

Mohammad Aamir Qayyum Sarguroh Khan¹
¹ Ivane Javakhishvili Tbilisi State University

Introduction

Alzheimer’s disease (AD) is a widespread
neurodegenerative disorder, causing cognitive decline and memory impairment. It affects millions globally, posing significant challenges to patients and healthcare systems. This review aims to assess the effectiveness of two commonly prescribed medications, memantine (an NMDAR blocker) and donepezil (a cholinesterase inhibitor), in managing AD.

Methods

The review encompasses clinical trials and comparative analyses, scrutinizing the benefits and limitations of memantine and donepezil. Studies considered cognitive and functional outcomes, providing insights into the therapeutic effects of these medications. Additionally, the analysis explores the potential synergistic effects of combining memantine and donepezil, shedding light on their combined efficacy.

Results

Both memantine and donepezil demonstrate efficacy in improving cognitive and functional aspects in AD patients. However, the review indicates that the combination therapy of these drugs does not exhibit superior efficacy compared to individual use. Long- term effects and adverse reactions necessitate further investigation, especially with the introduction of newer treatments like monoclonal antibodies, which adds complexity to the landscape of AD management.

Conclusion

Informed decisions regarding the usage of memantine and donepezil in AD treatment should carefully weigh potential benefits against risks for individual patients. The review emphasizes the need for continuous research to explore both existing and evolving therapies, aiming to enhance the quality of life for those affected by this devastating disease. As treatment options evolve, maintaining an updated understanding of the landscape is crucial for healthcare practitioners and researchers alike.

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