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As Alzheimer's disease progresses, patients become unable to
carry out their usual daily activities. The effect of treatment on the
course of functional decline is therefore an important outcome measure
in dementia studies. Wilcock et al (p 1445) report on the six month
efficacy and safety of galantamine, a new treatment for Alzheimer's
disease. Galantamine significantly improved cognitive and global
function compared with placebo. Moreover, relative to placebo,
galantamine slowed the progression of functional decline. Most patients
tolerated galantamine well.