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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23-milligram dose of Aricept “significantly more toxic” than the 10-milligram dose and said it  “should be immediately withdrawn from the market.”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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    the integrity of scientific research, is in serious violation of relevant national regulations and creates a pernicious influence at home and abroad," according to Xinhua. After He announced his research last year, Chinese officials put an immediate stop to his experiments, the AP reported.
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    too without orgasming too 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
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    it as once again for me at least for some reason the side effects hit me 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
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    A Chinese scientist who said he edited the genes of twins to protect them against HIV acted on his own and could face
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    That baby and the two twins will be kept under medical observation through regular visits overseen by health officials, according to Xinhua. The news agency didn't specify which laws He may have broken, but said he faked an ethical review by others, the AP reported. This behavior seriously violates ethics and the integrity of scientific research, is in serious violation of relevant national regulations and creates a pernicious influence
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    septic death was similar among patients who received trastuzumab and those who did not Sales of electronic-cigarettes could be halted if companies don't stop marketing the devices to youth, U.S. Food and Drug Administration Commissioner Dr. Scott Gottlieb warned. He's said he's horrified at the recent
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    November 29, 2020 at 22:46 | Report abuse | Reply
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    November 29, 2020 at 22:48 | Report abuse | Reply
  28. Davidssasw

    as I mentioned above but again its just being patient. My relationship is fantastic now and I feel like a proper man again. As I didn't before. Don't want to have
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    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 retrograde ejaculation due to needing Flomax for urinary problems but there have been no side effects from the combination.
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