nice guidelines galantamine topamax

Your responsibility. • donepezil, galantamine, rivastigmine for mild to moderately severe Alzheimer’s disease • memantine for moderately severe to severe Alzheimer’s disease. Topiramate is predicted to decrease the efficacy of combined hormonal contraceptives. Last updated: endstream endobj 1423 0 obj <>/Metadata 54 0 R/Outlines 141 0 R/PageLayout/OneColumn/Pages 1420 0 R/StructTreeRoot 144 0 R/Type/Catalog>> endobj 1424 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1425 0 obj <>stream Donepezil, Galantamine, Rivastigmine and Memantine for the treatment of Dementia NOTES to the GP The information in the integrated medicationguideline has been developed in consultation with CCGs in South East London Topiramate (Topamax) Source: Scottish Medicines Consortium - SMC - 12 January 2004.

1.1 The three acetylcholinesterase inhibitors … Topiramate has been associated with acute myopia with secondary angle-closure glaucoma, typically occurring within 1 month of starting treatment. NICE guidelines advise that people with dementia who develop non-cognitive symptoms that cause them significant distress or who develop challenging behaviour, should be offered a comprehensive assessment at an early opportunity to establish the factors likely to generate, aggravate or improve the problem. More: Prescribing and Technical Information - More: Guidance. Source guidance details Comes from guidance Donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's Implement shared care prescribing guideline for drugs for dementia example remains consistent with the guidance. h�b```�>Ń cb�K*�‚m�܍�ii�,KX]�Xކ���T�-%�:9���?ZZ��;�IK��c�6�%ӎ�QZ��l�Ć�� L � $`� � `� h�S ���Ģ`�1�35I��a�aM��4�(^�v�����@!����.

Guidance for the prescribing of donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer’s dementia This guidance has been prepared and approved for use in Worcestershire in consultation with NHS Worcestershire, Worcestershire Health and Care NHS Trust and the Worcestershire Acute Hospitals NHS Trust.

The guidance is based on NICE … They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Recommendation 1.3 has been updated and replaced by recommendation 1.5.5 in the NICE guideline on dementia... SPS comment ... (2012) The effectiveness and cost-effectiveness of donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer s disease (review of Technology Appraisal No. 1439 0 obj <>/Filter/FlateDecode/ID[<020649CE16C5B145960A21966B970A33><15FE6F6BBCAA5640926E5D1E06B6CE80>]/Index[1422 32]/Info 1421 0 R/Length 86/Prev 213344/Root 1423 0 R/Size 1454/Type/XRef/W[1 2 1]>>stream

1.1. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. The three acetylcholinesterase (AChE) inhibitors donepezil, galantamine and rivastigmine are recommended as options for managing mild to moderate Alzheimer's disease. Published date: The benefits of these drugs for patients with other forms of dementia (for example, vascular dementia or dementia with Lewy bodies) have not been assessed in this guidance. The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. Name of the medicinal product This review examines the available evidence on the mechanisms, the risk factors, patient characteristics and treatment of acute angle closure glaucoma associated with the use of topiramate. The primary efficacy variables will be the NPI -12, the COGDRAS tests of attention and visuospatial orientation, and the ADCS-CGIC. 1453 0 obj <>stream - Donepezil, galantamine and rivastigmine are recommended as options in the management of patients with Alzheimer’s disease of mild to moderate severity. Evidence-based information on fibromyalgia from hundreds of trustworthy sources for health and social care. The TAR describes the development of a new model based on time-to-institutionalisation. Published date:  -  Choroidal effusions resulting in anterior displacement of the lens and iris have also been reported.

This guidance has been partially updated by NICE’s guideline on The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. 0

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