PMID- 21934621 OWN - NLM STAT- MEDLINE DCOM- 20120104 LR - 20161125 IS - 1473-6578 (Electronic) IS - 0951-7367 (Linking) VI - 24 IP - 6 DP - 2011 Nov TI - Pharmacological treatment of dementia and mild cognitive impairment due to Alzheimer's disease. PG - 556-61 LID - 10.1097/YCO.0b013e32834b7b96 [doi] AB - PURPOSE OF REVIEW: To give an overview of recent developments in pharmacological treatment options of cognitive as well as behavioural and psychological symptoms of dementia (BPSD) associated with Alzheimer's disease (AD) dementia and mild cognitive impairment due to AD (MCI-AD). RECENT FINDINGS: Knowledge about the efficacy and limitations of the antidementive drugs memantine and cholinesterase inhibitors (ChEIs) in different stages of AD is further expanding. The prediction of treatment response to ChEI and assessment of treatment outcome in the individual patient remain unsolved issues. Commonly prescribed antidepressants have recently failed to be beneficial in depressed AD dementia patients. Clinical trials on new disease-modifying drugs have been disappointing so far. SUMMARY: There is an urgent need for more effective treatment options for cognitive symptoms and BPSD in AD dementia and MCI-AD and for disease-modifying drugs to stop the underlying neurodegenerative process. Recently published new research criteria for the diagnosis of AD enlarge the window for the detection of the disease to early, predementia stages and include biomarkers related to the underlying cerebral AD pathology. In future studies, these criteria will hopefully facilitate the identification of effective drugs in early AD stages. FAU - Popp, Julius AU - Popp J AD - Division of Old Age Psychiatry, Department of Psychiatry, University Hospital of Lausanne, Lausanne, Switzerland. FAU - Arlt, Sonke AU - Arlt S LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Opin Psychiatry JT - Current opinion in psychiatry JID - 8809880 RN - 0 (Antipsychotic Agents) RN - 0 (Cholinesterase Inhibitors) RN - 0 (Dopamine Agents) SB - IM MH - Alzheimer Disease/*complications/drug therapy MH - Antipsychotic Agents/*therapeutic use MH - Cholinesterase Inhibitors/*therapeutic use MH - Cognitive Dysfunction/*drug therapy MH - Dementia/*drug therapy MH - Dopamine Agents/*therapeutic use MH - Humans EDAT- 2011/09/22 06:00 MHDA- 2012/01/05 06:00 CRDT- 2011/09/22 06:00 PHST- 2011/09/22 06:00 [entrez] PHST- 2011/09/22 06:00 [pubmed] PHST- 2012/01/05 06:00 [medline] AID - 10.1097/YCO.0b013e32834b7b96 [doi] PST - ppublish SO - Curr Opin Psychiatry. 2011 Nov;24(6):556-61. doi: 10.1097/YCO.0b013e32834b7b96.