Effects of Rofecoxib or Naproxen vs Placebo on Alzheimer Disease Progression

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Abstract
Alzheimer disease (AD) is among the most important health problems of elderly persons, affecting more than 4 million people in the United States. In the last decade, cholinesterase inhibitors have been widely used to alleviate symptoms of cognitive dysfunction in AD. The use of anti-inflammatory drugs is among the strategies under active investigation for the development of effective disease-modifying treatment for AD. This approach is supported by a wealth of laboratory evidence that inflammatory mechanisms contribute to neuronal damage in AD.1 Furthermore, many epidemiological studies suggest that anti-inflammatory drugs have a protective effect, reducing the incidence of AD.2