Inhouse product
Introduction
Galamer 4 is a cholinesterase inhibitor. It is a standard medicine
for mild to moderate dementia related to the disease Alzheimer the active
component of Galamer 4 is galantamine, derived from the bulbs and flowers of
the Caucasian Asian snowdrop (Galanthus caucasicus)
Action
Galamer 4
Inhibits
acetylcholinesterase (blame for acetylcholine decomposition in the brain). A
neurotransmitter is crucial for memory and cognitive functions. This inhibiting of
breakdown increases the concentration of neurotransmitters in the brain, thereby
enhancing cholinergic function It alleviates common Alzheimer's diseases'
repetitive symptoms of memory loss, confusion, and cognitive slowing due to the
increased cholinergic activity it promotes.
Route Dose Absorption
Orally50 -10000 -100- 90 % uses Anti-metabolism RAt: 4. Following an oral dose,
plasma concentration peaks at or around 1 hour.
Cognitive and
Related Effects Safety
The FDA has
approved some cognitive enhancers No short-term treatment of any of the
cholinesterase inhibitors is demonstrated to affect global
functioning in Alzheimer patients treated in clinical trials, however, Galantamine has been demonstrated to improve both cognitive and global
functioning. It uses the change in a standard scale, such as the Alzheimer's
Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) or Mini-Mental State
Examination (MMSE). However, those cognitive benefits of Galantamine also have a
downstream effect on functioning as well - activities of daily living (ADL),
such as dressing, eating, and personal hygiene. Key to this is improving quality
of life for both patients and caregivers.
Side Effects and Safety
Common Side Effects
Gastrointestinal side effects Nausea,
vomiting, and diarrhea may occur frequently, especially at the beginning of
treatment or during dose titration.
Cardiovascular Effects: Bradycardia and hypotension may be
experienced more frequently than in adult patients (See Precautions), and
should be treated as consequential to the prolongation of atrial myocardial
refractory period accompanying action potential after-hyperpolarization, or the
potentiated effect (in action potential duration) on autonomic ganglia.
Serious Adverse Effects Cardiovascular events rare
cases of severe bradycardia and heart block have been reported.
Seizures:
Rare but may occur in some patients. Bladder outlet obstruction in BPH: often
leads to urinary retention
Galantamine increases brain function in
Alzheimer's patients Clinical trials have likewise confirmed the potential of
galantamine to improve basic mental capacity in individuals with Alzheimer's
dementia. Results are changes on standard metrics including ADAS-Cog and MMSE).
The beneficial effects of galantamine
extended beyond cognition and included impact on everyday activities (as
assessed by the ADL [Activities of Daily Living]) and behavior. Important in
enhancing
Conclusion
Galamer (galantamine) continues to be a
mainstay in the treatment of mild-to-moderate Alzheimer's disease. It holds
promise as a therapeutic, in part because it might help to preserve cognitive
function and stave off the daily living activities and behavioral symptoms that
become more common with the progression of AD. New Research and Evolutions The
future of DCS looks very bright, as ongoing studies and improvements are
already having a positive impact on its effectiveness, as well as showing
promise for other applications such as being used with other cognitive
disorders.
Although it is important in the treatment of
Alzheimer's there must be more careful management of side effects and
contraindications for patients and caregivers Galamer epitomizes hope for the
millions across the globe affected by Alzheimer's disease. As we advance with
more research, we can anticipate even better treatments to help patients live
fuller lives and hopefully shape the course of disease for those who love them.
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