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Stop selling higher dose Alzheimer's drug, group says
May 18th, 2011
05:05 PM ET

Stop selling higher dose Alzheimer's drug, group says

A specific dose of Alzheimer’s drug should be pulled from the market because it poses a risk to patients, according to a consumer  group.

The drug, donepezil, sold under the brand Aricept, is administered in several doses – the highest being 23 milligrams – for patients with moderate to severe Alzheimer’s disease.

It is prescribed to improve mental function, such as memory, attention and reasoning by increasing a brain chemical. Aricept which is taken daily,  could slow the mental decline, but it does not cure or prevent Alzheimer's. 

The Public Citizen’s Health Research Group called the 23-milligram dose of Aricept “significantly more toxic” than the 10-milligram dose and said it  “should be immediately withdrawn from the market.”

The group says that the drug in higher dose compared with the 10-milligrams could pose increased adverse effects such as slowed pulse rate, nausea, vomiting, diarrhea, urinary incontinence, fatigue, dizziness and agitation.  The group also said the higher dose does not appear to give any benefits to the patients.

Three stages of Alzheimer's

Patients often stop taking the higher dose because of its strong side effects such as vomiting. And Alzheimer’s patients are particularly sensitive to vomiting because it can lead to other problems such as pneumonia, massive gastrointestinal bleeding, esophageal rupture and even death, the group said.

In response, Pfizer, which co-promotes Aricept with another company, Eisai, wrote in an emailed statement: "We are reviewing the petition and will respond accordingly; however, it is important to note that the Aricept (donepezil HCl) 23 mg tablet has been approved by the U.S. Food and Drug Administration for the treatment of moderate-to-severe Alzheimer’s disease. "

Dr. James Lah, director of the cognitive neurology program at Emory University"s Department of Neurology, regularly prescribes Aricept to patients, but doesn't prescribe the 23-milligram dose.

“Being Americans, the notion is that bigger is better, more is better... it’s simply not true in this particular instance,” Lah said.

He said he was concerned when the FDA approved the 23-milligram version.

“There is very little evidence that it’s superior,” Lah, an Alzheimer's clinician and associate professor said.  “There is a lot of evidence that it’s worse in terms of causing side effects.  If you look at the one study, only one clinical trial reported about the 23 versus 10 milligram Aricept. The results were entirely mixed in terms of effectiveness.”

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  20. Davidssasw

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    January 1, 2021 at 09:17 | Report abuse | Reply
  25. Davidssasw

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    quick. It's a wonderful medicine that I can get generically (legitimately) and save some money also so shop around. I have minimal side effects at first. What I mean is 4-5 hours after take it I notice a somewhat rapid heartbeat and some head flushing also but its well worth it as once again for me at least for some reason the side effects hit me
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    later on then most people it seems After getting hit-and-miss results with testosterone creams and gels prescribed by family doctor I went to a urologist who prescribed T injections along with Viagra. Now batting 100 percent. Viagra gives me the confidence I haven't had for a long time. I've found that effects can last up to 12 hours. Slight flushing and sniffles only drawback but well worth it All three cause
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    January 1, 2021 at 09:20 | Report abuse | Reply
  26. Davidssasw

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    through the formal FDA approval process, but has not done so to this point. There has been a 78 percent increase in e-cigarette use by U.S. high school students, and 3.6 million high school and middle school students now use e-cigarettes, according to U.S. Centers for Disease Control and Prevention data released late last year, NBC News reported. Two Doctors Leave Care Facility Where Incapacitated Patient Gave Birth Two doctors who provided care for an
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    incapacitated woman who had a baby after being sexually assaulted are no longer looking after patients at the long-term care center in Phoenix. One resigned and the other has been suspended, Hacienda HealthCare said Sunday, the Associated Press reported. The patient, who is in her
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    January 1, 2021 at 09:27 | Report abuse | Reply
  27. Davidssasw

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    Can be a little frustrating in the sense that you don't always know when you and your partner are going to have sex as obviously unplanned sex is more fun rather than being "planned" which can be a little strange 100MG keeps me rock hard for several hours. My lady can't believe that sex in our 50's is actually better than 30 years ago. I do have
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