2007
DOI: 10.1517/14656566.8.2.203
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Memantine in the treatment of mild-to-moderate Alzheimer’s disease

Abstract: Memantine is the first and only medication that has been approved by European, US and Canadian regulatory agencies for the treatment of moderate-to-severe Alzheimer's disease (AD). It is an NMDA receptor antagonist that works to prevent excitotoxicity and cell death, which are mediated by the excessive influx of calcium during a sustained release of glutamate. Preclinical studies of memantine reveal that it has the potential to improve memory and learning processes after impairment has occurred, as well as to … Show more

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Cited by 52 publications
(33 citation statements)
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“…Glutamate or free radicals, triggers of neuronal injury in AD (Smith et al, 2000;Li et al, 2004;Moreira et al, 2005;Cosman et al, 2007), may play a central role in inducing ER stress in AD. Activation of glutamate receptors sensitive to NMDA results in excess accumulation of Ca 2+ in neurons that can induce free radical production and ER stress (Dugan et al, 1995;Reynolds and Hastings, 1995;Liu et al, 1998).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Glutamate or free radicals, triggers of neuronal injury in AD (Smith et al, 2000;Li et al, 2004;Moreira et al, 2005;Cosman et al, 2007), may play a central role in inducing ER stress in AD. Activation of glutamate receptors sensitive to NMDA results in excess accumulation of Ca 2+ in neurons that can induce free radical production and ER stress (Dugan et al, 1995;Reynolds and Hastings, 1995;Liu et al, 1998).…”
Section: Discussionmentioning
confidence: 99%
“…Activation of glutamate receptors sensitive to NMDA results in excess accumulation of Ca 2+ in neurons that can induce free radical production and ER stress (Dugan et al, 1995;Reynolds and Hastings, 1995;Liu et al, 1998). It is of note that memantine, a partial NMDA receptor antagonist, is approved for treating moderate-to-severe AD patients (Li et al, 2004;Cosman et al, 2007).…”
Section: Discussionmentioning
confidence: 99%
“…The feasibility of this approach is, in part, supported by the broad peripheral distribution of these receptors. For example, MORs are present in a number of peripheral tissues, including the small and large intestines, kidney, lung, spleen, testis, ovaries and uterus (97). While these sites are important in mediating a number of physiologic processes, molecular and functional studies suggest that MORs and NMDA receptors localized on unmyelinated, cutaneous sensory axons contribute to antinociception (98).…”
Section: The Role Of Peripheral Opioid and Nmda Receptors In Mediatinmentioning
confidence: 99%
“…Hence, using NMDA antagonists would be an efficient way to prevent RGC loss. Memantine is a promising neuroprotective agent and has been approved for use on patients with moderate to severe Alzheimer`s disease by the US Food and Drug Administration [100,101]. Memantine is a NMDA receptor blocker and may prevent excitotoxic cell death of damaged RGCs [100,101].…”
Section: N-methyl-d-aspartate (Nmda) Receptor Antagonistsmentioning
confidence: 99%