Memantine for Alzheimer's disease
Content provided by Healthwise
Examples
| Brand Name | Generic Name |
| Namenda | memantine hydrochloride |
How It Works
Memantine is the first in one class of medicines developed to treat Alzheimer's disease. It has been available in Europe for years but was only recently approved for treating Alzheimer's disease in the United States. It works in a completely different way compared to other Alzheimer's disease medicines.
It is possible that symptoms of Alzheimer's disease may be related to an imbalance of brain chemicals—specifically glutamate—that affect learning and memory. Memantine blocks the activity of glutamate and improves moderate to severe symptoms of Alzheimer's disease.1
Why It Is Used
Memantine is the first medicine available that slows the late stages of Alzheimer's disease. It effectively reduces moderate to severe symptoms of memory loss and thinking problems, as opposed to other medicines that improve mild to moderate symptoms.2
How Well It Works
Memantine is the only medicine available to treat more severe thinking and memory symptoms of Alzheimer's disease. But no medicine has yet been developed that can stop the damaging changes in the brain that cause personality changes and memory loss from Alzheimer's disease.
Patients with moderate to severe Alzheimer's disease who were taking cholinesterase inhibitors experienced improvement in their thinking and daily functioning when they added memantine (Namenda) to their treatment.3
Side Effects
Common mild side effects include:
- Dizziness.
- Confusion.
- Headache.
- Constipation.
People who have severe kidney disease may not be able to take memantine and those with moderate kidney disease may need to take smaller doses.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
If current medicines have not helped, you may want to talk with the person's doctor about trying memantine. Other medicines may reduce mild to moderate symptoms, but memantine has been shown to reduce moderate to severe symptoms of thinking and memory problems from Alzheimer's disease.
Memantine, like other Alzheimer's disease medications, will not stop the progression of the disease.
Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.
References
Citations
Memantine for Alzheimer's disease (2003). Medical Letter on Drugs and Therapeutics, 45(W1165A): 73–74.
McShane R, et al. (2006). Memantine for dementia. Cochrane Database of Systematic Reviews (2). Oxford: Update Software.
Tariot PN, et al. (2004). Memantine treatment in patients with moderate to severe Alzheimer's disease already receiving donepezil. JAMA, 291(3): 317–324.
Credits
| Author | Monica Rhodes |
| Editor | Kathleen M. Ariss, MS |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Anne C. Poinier, MD - Internal Medicine |
| Specialist Medical Reviewer | Peter J. Whitehouse, MD - Neurology |
| Last Updated | November 10, 2008 |
| Last updated: | November 10, 2008 |
|---|---|
| Author: | Monica Rhodes |
| Reviewed By: | Anne C. Poinier, MD - Internal Medicine, Peter J. Whitehouse, MD - Neurology |
| Editors: | Kathleen M. Ariss, MS, Pat Truman, MATC |
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