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Propentofylline For Alzheimer's Disease


   Propentofylline is a relatively new drug that markedly slows the progression of alzheimer's disease for up to 56 weeks [166]. The drug increases Mini Mental State Exam scores in patients noticeably within 3 months and the effects last for up to one year [167-168]. The drug also substantially reduces home care and caregiving costs [169].
    Propentofylline is usually taken in doses of 300 milligrams, three times daily, one hour before meals. Meals seem to interfere with the absorption of the drug [170]. The drug is well tolerated and has no severe side effects.
    How does the drug work? Propentofylline is an adenosine A2 receptor agonist and protects brain cells from injury [171]. Propentofylline decreases the toxic effects of amyloid beta protein [172]. The drug also increases the synthesis of nerve growth factor [173]. Propentofylline is a promising new drug for the treatment of alzheimer's disease with different modes of action than cholinesterase inhibitors.