If you or a loved one has been diagnosed with Alzheimer’s, the first question is usually "what can I do?" The good news is there are several medicines that actually slow the disease’s progress and many everyday habits that help keep the brain working longer. Below we break down the main drug families and the practical steps you can start today.
The FDA has approved four drugs specifically for Alzheimer’s. Donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne) belong to a class called cholinesterase inhibitors. They boost the brain chemical acetylcholine, which is low in Alzheimer’s patients. Most people notice steadier memory and better daily function for several months.
The fourth option, memantine (Namenda), works differently by regulating glutamate, another messenger that can become toxic when over‑active. Memantine is usually prescribed for moderate to severe stages or combined with a cholinesterase inhibitor for added benefit.
All these drugs have side effects—nausea, dizziness, or insomnia are common—but doctors can adjust the dose or switch meds if needed. It’s worth scheduling a regular check‑in so your treatment stays effective and tolerable.
Medication alone isn’t enough. A brain‑healthy lifestyle adds real value. Regular aerobic exercise, even a brisk 30‑minute walk most days, improves blood flow and supports neuroplasticity. Pair that with a Mediterranean‑style diet rich in fish, nuts, berries, olive oil, and leafy greens, and you give the brain extra fuel.
Staying mentally active matters too. Simple activities like crossword puzzles, learning a new hobby, or using apps designed for cognitive training keep neural pathways engaged. Social interaction is another powerhouse—chatting with friends, joining support groups, or volunteering can lower stress hormones that worsen memory loss.
Sleep quality should not be ignored. Aim for 7‑8 hours of uninterrupted rest; deep sleep clears out brain waste products linked to Alzheimer’s pathology. If you struggle with insomnia, talk to your doctor about safe remedies before reaching for over‑the‑counter pills.
Finally, manage other health conditions aggressively. High blood pressure, diabetes, and cholesterol spikes all accelerate cognitive decline. Keep these under control with medication, diet, and regular monitoring.
Putting it together: start a conversation with your healthcare provider about cholinesterase inhibitors or memantine, commit to daily movement, choose brain‑boosting foods, stay socially connected, protect sleep, and treat any co‑existing illnesses. These steps create a solid front against Alzheimer’s progression and give you the best chance for a fuller, more independent life.
Navigating Alzheimer's treatment options in 2025 involves looking beyond Aducanumab to a variety of alternatives. From Memantine, which tackles excessive glutamate activity, to new emerging therapies, patients and caregivers have options to consider. This article delves into six current treatment options, analyzing their pros and cons to aid informed decision-making.