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Clinical Pharmacokinetics of Centrally Acting Cholinesterase Inhibitors

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Cholinergic Basis for Alzheimer Therapy

Part of the book series: Advances in Alzheimer Disease Therapy ((AADT))

Abstract

Reversible cholinesterase inhibitors in clinical use can be divided into peripherally and centrally acting compounds. The peripherally acting compounds, neostigmine, pyridostigmine and edrophonium are all quaternary ammonium compounds and are used for the reversal of neuromuscular blockade following anesthesia and in patients with myasthenia gravis (Aquilonius and Hartvig, 1988). The centrally acting compounds physostigmine and 1,2,3,4-tetrahydro-9-aminoacridine (THA), have been used in the management of pain (Hartvig et al., 1989a) and in the treatment of several neurological or psychiatric diseases. Renewed interest in the centrally active drugs has arisen following positive reports on symptom alleviation in patients with different types of dementia (Summers et al., 1986, for review see Håkansson, 1990).

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Hartvig, P., Wiklund, L., Aquilonius, S.M., Lindström, B. (1991). Clinical Pharmacokinetics of Centrally Acting Cholinesterase Inhibitors. In: Becker, R., Giacobini, E. (eds) Cholinergic Basis for Alzheimer Therapy. Advances in Alzheimer Disease Therapy. Birkhäuser, Boston, MA. https://doi.org/10.1007/978-1-4899-6738-1_8

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  • DOI: https://doi.org/10.1007/978-1-4899-6738-1_8

  • Publisher Name: Birkhäuser, Boston, MA

  • Print ISBN: 978-1-4899-6740-4

  • Online ISBN: 978-1-4899-6738-1

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