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The Benefits of
Early Detection
New treatments are most effective
when prescribed early in the disease.
Since 1996 five
new drugs have been approved by the FDA for the treatment of Alzheimer’s
disease and other dementias. Four of these drugs work by slowing the
breakdown of acetylcholine, a brain chemical (neurotransmitter) that is
necessary for memory formation: Cognex, Aricept, Exelon, and Reminyl. The
fifth drug, Namenda, works by regulating glutamate, another neurotransmitter
that is disrupted in Alzheimer's Disease, and protecting brain cells
(neurons) that are lost during Alzheimer's Disease. Research suggests that
combining Namenda with drugs that promote acetylcholine (i.e., Aricept)
offers better results than any single drug.
Although none of
these drugs can stop or reverse the course of Alzheimer's Disease, research
shows that the earlier patients with Alzheimer's Disease begin taking these
medications, the longer they preserve their mental abilities. This has
placed a great emphasis on the early detection of abnormal memory decline.
The importance of
early detection has been expressed by the Surgeon General:
“The urgency of
addressing obstacles to recognition and accurate diagnosis of Alzheimer’s
disease is underscored by promising studies that point to the pronounced
clinical advantages of early detection.” - Mental Health: Report to the
Surgeon General, 1999.
With early
detection, comes the opportunity for intervention, and the opportunity to
significantly alter the course of Alzheimer’s Disease and other dementias.
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