Case Report: Post–Traumatic Memories Triggered by Donepezil in a Dose-Dependent Pattern

Michael L. Wolff MD
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引用次数: 5

Abstract

Background

This case report describes a new adverse drug event due to use of donepezil in a patient with probable Alzheimer's Disease.

Case summary

While receiving a 10-mg dose of donepezil nightly, an 87-year old veteran of World War II experienced irrepressible memories of a kamikaze strike. This symptom did not occur at a 5-mg dose of donepezil and resolved with downward titration of this agent.

Conclusions

This sequence of dosage and symptoms suggests acetylcholinesterase inhibition was the trigger for release of these memories, which are otherwise mostly chronically repressed in this individual.

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病例报告:多奈哌齐剂量依赖性引发创伤后记忆
本病例报告描述了一个新的药物不良事件,由于使用多奈哌齐患者可能患有阿尔茨海默病。一位87岁的二战老兵在每晚服用10毫克的多奈哌齐后,对神风特攻队的袭击产生了难以抑制的记忆。5毫克剂量的多奈哌齐没有出现这种症状,并随着该药的下降滴度而消失。结论:这种剂量和症状的顺序表明乙酰胆碱酯酶抑制是这些记忆释放的触发因素,否则这些记忆在该个体中大多被慢性抑制。
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来源期刊
American Journal Geriatric Pharmacotherapy
American Journal Geriatric Pharmacotherapy GERIATRICS & GERONTOLOGY-PHARMACOLOGY & PHARMACY
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