Chemical structure of tacrine
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Tacrine

Tacrine is a parasympathomimetic and a centrally acting cholinesterase inhibitor (anticholinesterase). It was the first centrally-acting cholinesterase inhibitor approved for the treatment of Alzheimer's disease, and was first synthesised at the Department of Pharmacology at the University of Sydney. more...

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Clinical uses

Tacrine was the prototypical cholinesterase inhibitor for the treatment of Alzheimer's disease. Its clinical effectiveness was hindered by poor oral bioavailability and considerable adverse drug reactions (including nausea, diarrhoea, urinary incontinence, and hepatotoxicity) such that few patients could tolerate therapeutic doses. Indeed there is some doubt as to its efficacy in humans at all.

Other newer cholinesterase inhibitors, such as donepezil, are now preferred over tacrine.

Sources

  • Brenner, G. M. (2000). Pharmacology. Philadelphia, PA: W.B. Saunders Company. ISBN 0-7216-7757-6

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Tacrine - one small step for Alzheimer's patients. (Cognex) : An article from: Medical Update $5.95

Methodology, results and quality of clinical trials of tacrine in the treatment of Alzheimer's disease: a systematic review of the literature
Objective: to review systematically the methodology, results and quality of clinical trials oftacrine in the treatment of Alzheimer's disease (AD). Methods: ...
The presence of leuko-araiosis in patients with Alzheimer's disease predicts poor tolerance to tacrine, but does not discriminate responders from non-responders
Background: aproximately one-third of patients with Alzheimer's disease (AD) respond favourably to the anticholinesterase tacrine, but the drug's usefulness ...
Tolerance to tacrine, arterial hypotension and leuko-araiosis in Alzheimer's disease
A woman treated for breast cancer with mastectomy and radiotherapy in 1965 presented with a pleural mass and high CA 15.3 concentrations in a pleural ...
Maximizing function in Alzheimer's disease: what role for tacrine?
As the number of elderly persons continues to increase, family physicians will be caring for more patients with Alzheimer's disease. The treatment plan ...
Alzheimer drug will get wider testing - tacrine
The FDA has approved wider testing of the Warner-Lambert drug tacrine that is being developed to treat Alzheimer's disease.
Drug therapy for patients with Alzheimer's disease
The number of persons in the United States who were diagnosed with Alzheimer's disease in the year 2000 was 4.5 million. The prevalence of Alzheimer's ...
Use of tacrine in Alzheimer's disease - Tips From Other Journals
he cause of Alzheimer's disease is unknown, but many of the symptoms have been related to changes in neurotransmitters, particularly acetylcholine. Tacrine ...
A drug for Alzheimer's? - tacrine
Since 1986, when a report in the New England Journal of Medicine cited promising results in 14 patients with Alzheimer's disease, the drug now known ...

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