If Aricept (donepezil) isn’t working well, causes side effects, or you’re exploring other options for memory support, especially in Alzheimer’s, there are several other treatments and lifestyle approaches to consider.
Prescription Medication Alternatives
Other Cholinesterase Inhibitors: These work similarly to Aricept by boosting acetylcholine levels in the brain.
Galantamine (Razadyne): Approved for mild to moderate Alzheimer’s. It can help improve memory and daily function. Common side effects include nausea, vomiting, diarrhea, dizziness, and headache.
Rivastigmine (Exelon): Used for both Alzheimer’s and Parkinson’s-related dementia. Comes in pills, liquid, and patches (patches help if stomach issues occur). Side effects include nausea, appetite loss, and fatigue.
NMDA Receptor Antagonist
Memantine (Namenda): For moderate to severe Alzheimer’s. It regulates glutamate, another brain chemical. It can be taken alone or with Aricept (combined in Namzaric). Side effects may include confusion, dizziness, constipation, and nausea.
Disease-Modifying Therapy
Aducanumab (Aduhelm): Aimed at early-stage Alzheimer’s, it targets amyloid plaques in the brain. Though approved, its safety and effectiveness are still debated. Possible serious side effects include brain swelling, bleeding, and confusion.