PMID- 17173107 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20240315 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 3 IP - 4 DP - 2006 Dec TI - The use of herbal medicine in Alzheimer's disease-a systematic review. PG - 441-5 AB - The treatments of choice in Alzheimer's disease (AD) are cholinesterase inhibitors and NMDA-receptor antagonists, although doubts remain about the therapeutic effectiveness of these drugs. Herbal medicine products have been used in the treatment of Behavioral and Psychological Symptoms of Dementia (BPSD) but with various responses. The objective of this article was to review evidences from controlled studies in order to determine whether herbs can be useful in the treatment of cognitive disorders in the elderly. Randomized controlled studies assessing AD in individuals older than 65 years were identified through searches of MEDLINE, LILACS, Cochrane Library, dissertation Abstract (USA), ADEAR (Alzheimer's Disease Clinical Trials Database), National Research Register, Current Controlled trials, Centerwatch Trials Database and PsychINFO Journal Articles. The search combined the terms Alzheimer disease, dementia, cognition disorders, Herbal, Phytotherapy. The crossover results were evaluated by the Jadad's measurement scale. The systematic review identified two herbs and herbal formulations with therapeutic effects for the treatment of AD: Melissa officinalis, Salvia officinalis and Yi-Gan San and BDW (Ba Wei Di Huang Wan). Ginkgo biloba was identified in a meta-analysis study. All five herbs are useful for cognitive impairment of AD. M. officinalis and Yi-Gan San are also useful in agitation, for they have sedative effects. These herbs and formulations have demonstrated good therapeutic effectiveness but these results need to be compared with those of traditional drugs. Further large multicenter studies should be conducted in order to test the cost-effectiveness of these herbs for AD and the impact in the control of cognitive deterioration. FAU - Dos Santos-Neto, Leopoldo Luiz AU - Dos Santos-Neto LL FAU - de Vilhena Toledo, Maria Alice AU - de Vilhena Toledo MA FAU - Medeiros-Souza, Patricia AU - Medeiros-Souza P FAU - de Souza, Gustavo Almeida AU - de Souza GA LA - eng PT - Journal Article DEP - 20061023 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC1697739 EDAT- 2006/12/19 09:00 MHDA- 2006/12/19 09:01 PMCR- 2006/12/01 CRDT- 2006/12/19 09:00 PHST- 2005/11/26 00:00 [received] PHST- 2006/09/15 00:00 [accepted] PHST- 2006/12/19 09:00 [pubmed] PHST- 2006/12/19 09:01 [medline] PHST- 2006/12/19 09:00 [entrez] PHST- 2006/12/01 00:00 [pmc-release] AID - 10.1093/ecam/nel071 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2006 Dec;3(4):441-5. doi: 10.1093/ecam/nel071. Epub 2006 Oct 23.