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Showing posts with the label pharmacology

The Placebo Problem and Clinical Trials

The September 2009 issue of Wired has a nifty little article on the impact of placebo effects on pharmaceutical clinical trials and pharma company decision making: "Real. Fake. Both Can Cure Depression." by Steve Silberman. === Addendum on 28th August: As you will see from the comments, this piece is available on Wired magazine's website. You can access it here ===

Neuropsychology Abstract of the Day: Alzheimer Drug Regimens & Delivery Systems

Bassil, N & Grossberg, GT. (2009). Novel regimens and delivery systems in the pharmacological treatment of Alzheimer's disease. CNS Drugs, 23(4) , 293-307. The mainstay of current management of patients with Alzheimer's disease involves drugs that provide symptomatic therapy. Research approaches for future therapy of Alzheimer's disease are focusing on disease modifying and/or preventive approaches. Two classes of medications have been approved by the US FDA for the treatment of Alzheimer's disease: the cholinesterase inhibitors (tacrine, donepezil, rivastigmine, galantamine), mostly for mild to moderate Alzheimer's disease, and the noncompetitive NMDA receptor antagonist memantine for the moderate to severe stages of Alzheimer's disease. Management of comorbid medical problems can be more complex in patients with dementia than in those without dementia. Unfortunately, medication adherence in Alzheimer's disease is low and good adherence is essential fo...