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Drugs for Alzheimers
Cholinesterase inhibitors (mild-moderate), NMDA receptor antagonists (moderate-severe)
MOA of Cholinesterase Inhibitors
Increases acetylcholine → improve cognitive/slow decline
Adverse Effects of Cholinesterase Inhibitors
NVD, weight loss
MOA of NMDA receptor antagonists
Reduces glutamate toxicity → helps memory, cognition, ADLs
Adverse Effects of NMDA receptor antagonists
Dizziness, confusion, headache, constipation
Adverse Effects of Benzodiazepine Receptor Agonists
Headache, dizziness, daytime sleepiness/hangover, confusion, risk of dependence/withdrawal, falls
Adverse Effects of Melatonin Receptor Agonist (ramelteon)
Drowsiness, dizziness, fatigue, nausea, headache
Adverse Effect of Orexin Receptor Antagonist (suvorexant)
Next-day drowsiness, sleepiness during day, possible narcolepsy, headache, dizziness
Adverse Effects of OTC antihistamines
Sedation, dry mouth, urinary retention, constipation, fast HR, hangover drowsiness during morning