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Psych VivasPsychopharmacology — cognitive enhancers

Psych Vivas · Psychopharmacology — cognitive enhancers

Cognitive enhancers — consultant viva

Fellowship viva covering AChEI/memantine mechanisms, doses, subtype indications, landmark trials, safety, and deprescribing.

clinical1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
Examiner places cards: Rogers donepezil, Reisberg memantine, Tariot combination, DOMINO-AD, AD2000, McKeith DLB, EXPRESS PDD, Petersen MCI, donepezil 5→10 mg, renal memantine, oxybutynin interaction.

Station structure

Time: 8–10 minutes. Depth: consultant teaching registrar. Expect named mechanisms, doses, subtype trials (DLB/PDD), DOMINO-AD continuation logic, AD2000 critical appraisal without nihilism, and MCI non-indication fluency.[4][6][8][9]

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References10ShowHide
  1. [1]Rogers SL, Farlow MR, Doody RS, et al. A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease Neurology, 1998.PMID 9443470
  2. [2]Reisberg B, Doody R, Stöffler A, et al. Memantine in moderate-to-severe Alzheimer's disease N Engl J Med, 2003.PMID 12672860
  3. [3]Tariot PN, Farlow MR, Grossberg GT, et al. Memantine treatment in patients with moderate to severe Alzheimer disease already receiving donepezil: a randomized controlled trial JAMA, 2004.PMID 14734594
  4. [4]Howard R, McShane R, Lindesay J, et al. Donepezil and memantine for moderate-to-severe Alzheimer's disease N Engl J Med, 2012.PMID 22397651
  5. [5]Courtney C, Farrell D, Gray R, et al. Long-term donepezil treatment in 565 patients with Alzheimer's disease (AD2000): randomised double-blind trial Lancet, 2004.PMID 15220031
  6. [6]McKeith I, Del Ser T, Spano P, et al. Efficacy of rivastigmine in dementia with Lewy bodies: a randomised, double-blind, placebo-controlled international study Lancet, 2000.PMID 11145488
  7. [7]Emre M, Aarsland D, Albanese A, et al. Rivastigmine for dementia associated with Parkinson's disease N Engl J Med, 2004.PMID 15590953
  8. [8]Petersen RC, Thomas RG, Grundman M, et al. Vitamin E and donepezil for the treatment of mild cognitive impairment N Engl J Med, 2005.PMID 15829527
  9. [9]Birks JS, Harvey RJ Donepezil for dementia due to Alzheimer's disease Cochrane Database Syst Rev, 2018.PMID 29923184
  10. [10]McShane R, Westby MJ, Roberts E, et al. Memantine for dementia Cochrane Database Syst Rev, 2019.PMID 30891742
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