Vascular dementia: pharmacological treatment approaches and perspectives

Clin Interv Aging. 2007;2(3):327-35.

Abstract

Vascular dementia is a common condition for which there are no effective approved pharmacological treatments available. Absence of effective treatments creates a difficult situation for those suffering from the disease, their caregivers, and healthcare providers. This review will address our current understanding of the mechanisms of nerve cell damage due to ischemia and summarize available clinical trial data on several commonly used compounds including memantine, donepezil, galantamine, rivastigmine, nimodipine, hydergine, nicergoline, CDP-choline, folic acid, as well as such nonpharmacological approaches as validation therapy.

Publication types

  • Review

MeSH terms

  • Brain Ischemia / complications*
  • Brain Ischemia / drug therapy
  • Brain Ischemia / metabolism
  • Cholinesterase Inhibitors / therapeutic use
  • Cognition / drug effects
  • Dementia, Vascular / drug therapy*
  • Dementia, Vascular / etiology
  • Dementia, Vascular / metabolism
  • Excitatory Amino Acid Antagonists / therapeutic use
  • Glutamic Acid / metabolism
  • Humans
  • Nerve Degeneration / complications*
  • Nerve Degeneration / drug therapy
  • Nerve Degeneration / etiology
  • Nerve Degeneration / metabolism
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use*
  • Nootropic Agents / pharmacology
  • Nootropic Agents / therapeutic use*
  • Receptors, Glutamate / drug effects
  • Receptors, Glutamate / metabolism
  • Treatment Outcome

Substances

  • Cholinesterase Inhibitors
  • Excitatory Amino Acid Antagonists
  • Neuroprotective Agents
  • Nootropic Agents
  • Receptors, Glutamate
  • Glutamic Acid