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Alzheimer Alzheimer s Disease s Disease - - Update on Current Update on Current Research Research Cherie Simpson, RN CNS Cherie Simpson, RN CNS Senior Adult Specialty Healthcare Senior Adult Specialty Healthcare and Research and Research

Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

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Page 1: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

AlzheimerAlzheimer’’s Diseases Disease--Update on Current Update on Current

ResearchResearchCherie Simpson, RN CNSCherie Simpson, RN CNS

Senior Adult Specialty Healthcare Senior Adult Specialty Healthcare and Researchand Research

Page 2: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

New Twist on Current MedicinesNew Twist on Current Medicines

RivastigmineRivastigmine TransdermalTransdermal PatchPatchComparison of 23mg Comparison of 23mg DonepezilDonepezil SR to 10 mg IMSR to 10 mg IMMemantineMemantine

Delaying the progression of driving impairmentDelaying the progression of driving impairmentIn combination with Vitamin EIn combination with Vitamin ECompared to Compared to DonepezilDonepezil in early stagesin early stagesCommunicationCommunicationComprehensive, Individualized Management of AD Comprehensive, Individualized Management of AD and Caregiver Burdenand Caregiver Burden

Page 3: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

New Twists New Twists

EstrogenEstrogen

TestosteroneTestosterone

LevadopaLevadopa

Page 4: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

DHADHAIsoflavonesIsoflavonesAntioxidantsAntioxidants

Not Just Nutritional SupplementsNot Just Nutritional Supplements

Page 5: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Two In OneTwo In One

ZTZT--11

PRXPRX--03140314

Page 6: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

LifeStyleLifeStyle

EXERCISE

Page 7: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Insulin/Glucose ConnectionInsulin/Glucose Connection

RosiglitazoneRosiglitazoneDD--pinitolpinitolSNIFF 120SNIFF 120

Page 8: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Altering or Preventing the DiseaseAltering or Preventing the Disease

VaccineVaccineWyeth/ElanWyeth/Elan (II, III soon)(II, III soon)Novartis/CytosNovartis/Cytos (I)(I)Merck (I)Merck (I)AffirisAffiris (I)(I)Institute of Molecular Institute of Molecular MedicineMedicine

Page 9: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Altering or Preventing the DiseaseAltering or Preventing the Disease

Selective AmyloidSelective Amyloid--beta lowering agents beta lowering agents ALAL--108108AntibioticsAntibioticsNonsteroidalNonsteroidalSimvastatinSimvastatinVitamin E and SeleniumVitamin E and Selenium

Page 10: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Future ResearchFuture Research--ItIt’’s On Goings On Going

SKSK--PCPC--B70M (II)B70M (II)HF0220 (II)HF0220 (II)GSK933776A (I)GSK933776A (I)PFPF--04360365 (I)04360365 (I)PAZPAZ--417, SAM315 (I)417, SAM315 (I)CTSCTS--2166 (going to II)2166 (going to II)

Page 11: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Treating the Behavioral and Treating the Behavioral and Psychological SymptomsPsychological Symptoms

DepressionDepression

ApathyApathy

AgitationAgitation

Disrupted sleepDisrupted sleep

Problems with Problems with Activities of Daily Activities of Daily LivingLiving

Page 12: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

DepressionDepressionSertralineSertralineEscitalopramEscitalopramAntidepressant + Antidepressant + DonepezilDonepezil

ApathyApathyMethylphenidateMethylphenidate

Treating the Behavioral and Treating the Behavioral and Psychological SymptomsPsychological Symptoms

Page 13: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Treating the Behavioral and Treating the Behavioral and Psychological SymptomsPsychological Symptoms

AgitationAgitationMemantineMemantineAnitpsychotic/divalproexAnitpsychotic/divalproexDiscontinuation of antipsychoticDiscontinuation of antipsychoticPrazosinPrazosinBifeprunoxBifeprunox

Page 14: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Treating the Behavioral and Treating the Behavioral and Psychological SymptomsPsychological Symptoms

SleepSleep

BathingBathing

Page 15: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

Other ResearchOther Research

REVEAL IIIREVEAL IIICouples CopingCouples CopingIntervention for AdultIntervention for Adult--Child CaregiversChild Caregivers

Page 16: Current Research aug07 - Texas Department of State Health ... · Cherie Simpson, RN CNS Senior Adult Specialty Healthcare and Research. New Twist on Current Medicines

ResourcesResources

www.clinicaltrials.govwww.clinicaltrials.govSearch by Search by ““AlzheimerAlzheimer’’s Diseases Disease”” or by drug or by drug companycompany

www.alz.orgwww.alz.orgResearchResearch

www.alzforum.orgwww.alzforum.orgAlzheimerAlzheimer’’s Research Forums Research Forum