Current Pharmacological and Non-Pharmacological Therapies for Neurodegenerative Diseases
Pp. 23-48 (26)
Walter A. S. Moraes
Neurodegenerative disorders are an important cause of mortality and
morbidity in the elderly. The most common neurodegenerative diseases are Alzheimer's
disease and Parkinson's disease. Lewy body dementia is considered the third most
frequent. Much less common are frontotemporal dementia, Huntington's disease,
amyotrophic lateral sclerosis, progressive supranuclear palsy, spinocerebellar ataxias,
Pick disease and prion disease. There is no therapy that is capable to avoid the
progression of these disorders. Current pharmacological therapies offer symptomatic
benefits with very little impact, if any, in modifying the course of these diseases.
Anticholinesterase drugs are the most frequently used to treat Alzheimer's disease.
Disease-modifying treatments for Alzheimer's disease are being developed. Levodopa is
the most effective pharmacological treatment for Parkinson's disease but in long-term
benefit declines. For this reason, association between levodopa and other forms of
treatment is the best approach. There is no approved pharmacological treatment for
most other forms of neurodegenerative diseases except for amyotrophic lateral sclerosis,
Huntington disease and some forms of cerebellar ataxias.