Mesh : Administration, Oral Adult Aged Alzheimer Disease / diagnosis drug therapy Brain Injuries / diagnosis drug therapy Carbamates / administration & dosage Clinical Trials as Topic Cytidine Diphosphate Choline / administration & dosage Donepezil Female Follow-Up Studies Humans Indans / administration & dosage Injections, Intravenous Injury Severity Score Male Middle Aged Parasympathomimetics / administration & dosage Phenylcarbamates Physostigmine / administration & dosage Piperidines / administration & dosage Rivastigmine Severity of Illness Index Tacrine / administration & dosage Treatment Outcome

来  源:   DOI:10.1097/00001199-200208000-00005   PDF(Sci-hub)

Abstract:
BACKGROUND: There are many agents in clinical use that manipulate central nervous system levels of epinephrine, dopamine, and serotonin. However, development of pharmacological options to manipulate central acetylcholine systems has lagged behind because of poor penetration of the blood-brain barrier and significant peripheral nervous system side effects. Newer agents have demonstrated some efficacy in the management of behavioral and cognitive side effects in Alzheimer\'s disease, and preliminary data in traumatic brain injury suggest acetylcholine esterase inhibitors may play a significant role in the treatment of this patient population as well.
CONCLUSIONS: In this article, the basic neuroanatomy and pharmacology of the central acetylcholine system are reviewed, along with agents currently available for clinical use.
摘要:
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