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Anti-Cholinergic Drugs and Memory: the Effects of Benzhexol on Memory in a Group of Geriatric Patients

Published online by Cambridge University Press:  29 January 2018

G. Potamianos
Affiliation:
Division of Clinical Cell Biology, MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, HA1 3UJ
J. M. Kellett
Affiliation:
St George's Hospital Medical School, Blackshaw Road, London, SW17 0QT

Summary

A double blind trial on the effects of 2 mg of benzhexol on memory was performed on thirteen elderly subjects without cognitive impairment. The tests given 90 minutes after the drug or placebo involved learning a list of ten words, a paired-associate learning task, learning a short story and a test of digit span. Subjects were asked to recall the word list one minute after an interfering task, and 6 items from the story directly. Digit span involved immediate recall and the paired learning was measured by the number of trials necessary to learn. All tests were significantly impaired by the benzhexol except for digit span. This suggests that muscarinic blocking drugs should be avoided in the elderly, as they mimic the memory deficits found in senile dementia of Alzheimer type.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Crow, T. J. & Grove-White, I. G. (1973) An analysis of the learning deficit following hyoscine administration to man. British Journal of Pharmacology, 49, 322–7.CrossRefGoogle ScholarPubMed
Doshay, L. J., Constable, K. & Zier, A. (1954) Five year follow-up of treatment with trihexyphenidyl (Artane). Outcome in four hundred and eleven cases of paralysis agitans. Journal of American Medical Association, 154, 16, 1334–6.CrossRefGoogle ScholarPubMed
Drachman, D. A. (1977) Memory and cognitive function in man: Does the cholinergic system have a specific role. Neurology, 27, 783–90.CrossRefGoogle ScholarPubMed
Miller, H. (1960) The management of Parkinsonism. Practitioner, 184, 170–4.Google ScholarPubMed
Perry, E. K., Perry, R. H., Blessed, G. & Tomlinson, B. E. (1977) Necropsy evidence of central cholinergic deficits in senile dementia. Lancet, i, 189.CrossRefGoogle Scholar
Reisine, T. D., Bird, E. D. & Spokes, E. (1978) Pre and postsynaptic neurochemical alterations in Alzheimer's disease. Transactions of American Society of Neurochemistry, 9, 203.Google Scholar
Safer, D. J. & Allen, R. P. (1970) The central effects of scopolamine in man. Biological Psychiatry, 3, 347–55.Google Scholar
White, P., Hiley, C. R., Goodhardt, M. J., Carrasco, L. H., Keet, J. P., Williams, I. E. I. & Bowden, D. M. (1977) Neocortical cholinergic neurons in elderly people. Lancet, i, 668–70.Google Scholar
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