Worst Pills, Best Pills

An expert, independent second opinion on more than 1,800 prescription drugs, over-the-counter medications, and supplements

donepezil (ARICEPT, ARICEPT 23)


E-ALERTS

Search results below include E-Alerts where your selected drug is a primary subject of discussion.


DISEASE AND DRUG FAMILY INFORMATION

Search results below include Disease and Drug Family Information where your selected drug is a primary subject of discussion.

Alzheimer's Disease
The strategy to sell Alzheimer’s disease drugs is based on hope, fear, and guilt: hope that one of these drugs might work, fear that if one of these drugs is not started quickly, all will be lost; and guilt if family members have not made the decision to fight the disease with expensive, sometimes dangerous, drugs. Recent reviews by the U.S. Preventive Services Task Force and the American Academy of Neurology are appropriately skeptical of the use of these drugs.

DRUG AND DIETARY SUPPLEMENT PROFILES

A comprehensive review of the safety and effectiveness of this drug. If the drug is not a Do Not Use product, information on adverse effects, drug interactions and how to use the medication are included.
Search results below include Drug and Dietary Supplement Profiles where your selected drug is a primary subject of discussion.

donepezil (ARICEPT, ARICEPT 23); tacrine (COGNEX)
  • We list these drugs as Do Not Use drugs primarily because they are minimally effective.

WORST PILLS, BEST PILLS NEWSLETTER ARTICLES

Search results below include Worst Pills, Best Pills Newsletter Articles where your selected drug is a primary subject of discussion.

Important Drug Interactions for the Antifungal Drug Voriconazole
May 2023
Patients taking the antifungal drug voriconazole (VFEND), which is marketed in both oral and injectable forms, should be aware that it has clinically important interactions with many other prescription medications.
Important Drug Interactions for Sotalol
January 2023
Patients taking the drug sotalol (BETAPACE, BETAPACE AF, SORINE, SOTYLIZE) should be aware that it has clinically important and potentially dangerous interactions with many other prescription medications.
Important Drug Interactions for the Antidepressant Citalopram (CELEXA)
October 2022
Patients taking the commonly prescribed antidepressant citalopram should be aware that it has clinically important and potentially dangerous interactions with many other prescription and over-the-counter medications.
Important Drug Interactions for Quinidine
June 2022
Patients taking the drug quinidine should be aware that it has clinically important and potentially dangerous interactions with many other prescription medications.
Important Drug Interactions for the Antidepressant Fluoxetine (PROZAC, SYMBYAX)
February 2022
Patients taking the commonly prescribed antidepressant fluoxetine should be aware that it has clinically important and potentially dangerous interactions with many other prescription and over-the-counter medications.
Important Drug Interactions for the Antifungal Drug Itraconazole
November 2021
Patients taking the oral antifungal drug itraconazole (SPORANOX, TOLSURA) should be aware that it has clinically important interactions with many other prescription medications that can affect the safety or effectiveness of itraconazole or the interacting drugs.
Important Drug Interactions for the Abnormal Heart Rhythm Drug Amiodarone
July 2021
Patients taking the commonly prescribed abnormal heart rhythm drug amiodarone should be aware that it has clinically important interactions with many other prescription medications.
Important Drug Interactions for the Antibiotic Erythromycin
June 2021
Patients taking the commonly prescribed antibiotic erythromycin should be aware that it has clinically important interactions with many other prescription medications.
Important Drug Interactions for the Antibiotic Azithromycin
July 2020
Patients taking the commonly prescribed antibiotic azithromycin (ZITHROMAX) should be aware that it has clinically important dangerous interactions with many other prescription medications.
Important Drug Interactions for the Antibiotic Clarithromycin
April 2020
Patients taking the commonly prescribed antibiotic clarithromycin (BIAXIN XL) should be aware that it has clinically important interactions with many other prescription medications.
False-Hope Alzheimer’s Disease Drugs
October 2018
The FDA has approved four drugs for treating Alzheimer’s disease, a devastating brain disorder that affects nearly 6 million Americans, most of whom are elderly. Learn why we have designated each of these drugs as Do Not Use.
Drug-Induced Movement Disorders
February 2018
Abnormal involuntary movements (movement disorders) occur as adverse events associated with many widely used medications and can cause substantial hardship for affected individuals. Find out which drugs are associated with these adverse effects.
Drugs That Cause Loss of Bladder Control
February 2016
Urinary incontinence, or loss of bladder control, is a common and often embarrassing problem that can have a huge impact on quality of life. Find out which drugs can cause this problem.
Canada Issues Warnings on Alzheimer’s Disease Drugs
June 2015
Health Canada, the Canadian equivalent of the U.S. Food and Drug Administration, recently warned physicians and patients about safety concerns regarding two drugs commonly used to treat Alzheimer’s disease. Find out the names of these drugs and the newly identified serious adverse events linked to them.
Did Drug Companies and the FDA Collude to Harm Patients with Alzheimer’s Disease?
December 2012
The FDA sided with a large drug company in refusing to pull from the market a dangerous drug for treating Alzheimer's disease, which Public Citizen had asked the government to ban. What went wrong and why?
Revisiting Memantine (NAMENDA) and Other Alzheimer’s Disease Drugs
July 2011
Find out what outside experts, in published medical journal articles, think about the usefulness of the currently available drugs for treating Alzheimer's disease.
Remove Dangerous Alzheimer’s Drug -- ARICEPT 23 -- From the Market Immediately
July 2011
Find out why Public Citizen and an expert in Alzheimer's disease from Johns Hopkins have asked the FDA to ban the recently approved Alzheimer's drug, Aricept 23, from the market.
New Study Further Links Alzheimer's Drugs to Side Effects
August 2009
We review evidence from a recently-published medical journal article that syncope (fainting), often leading to falls, can be a serious side effect of the Alzheimer’s disease drugs donepezil (ARICEPT), rivastigmine (EXELON) and galantamine (REMINYL). In addition, hospitalizations for slow heart rhythms, pacemaker insertions and hip fractures — all of which can be related to syncope — increased in patients using these Alzheimer’s drugs. This, along with their questionable effectiveness, further increases the evidence underlying our recommendation not to use these drugs.
A Review of Alzheimer’s Drugs: Donepezil (ARICEPT), Rivastigmine (EXELON), and Galantamine (REMINYL)
October 2005
This article outlines a recent systematic review of all published, gold standard clinical trials of the Alzheimers disease drugs donepezil (ARICEPT), rivastigmine (EXELON), and galantamine (REMINYL).
Cutting Your Drug Bill While Reducing Your Risk Of Avoidable Adverse Drug Reactions: Six Examples
February 2005
This article will look at the potential savings for the individual consumer if the alternative treatments recommended in Worst Pills, Best Pills were used for six DO NOT USE drugs. All six are listed in the Drug Topics Magazine Top 200 selling drugs in U.S. in 2003. The drugs are: celecoxib (CELEBREX) used for arthritis and pain; the Alzheimer’s disease drug donepezil (ARICEPT); drospirenone with ethinyl estradiol (YASMIN 28), an oral contraceptive; esomeprazole (NEXIUM) the “new purple pill” for heartburn; montelukast (SINGULAIR), a drug approved for both asthma and hay fever; and valdecoxib (BEXTRA), an arthritis drug very similar to celecoxib.The combined sales of these six DO NOT USE drugs was $8.1 billion with more that 75 million prescriptions dispensed in 2003.
A Review of Long-Term Treatment With the Alzheimer's Disease Drug Donepezil (ARICEPT) Ineffective
September 2004
There is a lack of evidence that this drug provides any meaningful benefit to Alzheimer’s disease patients.
Drugs for Alzheimer's Disease
July 2004
Although, according to the New York Times, “a million Americans take them, at an overall cost of $1.2 billion a year.”, a professor at Johns Hopkins University School of Medicine who is an expert in Alzheimer’s disease was quoted in the article and placed the value of the current crop of Alzheimer’s drugs in perspective when he said, “You can name 11 fruits in a minute instead of 10. Is that worth 120 bucks a month?”
Overselling Donepezil (ARICEPT) and Exploiting Patients with Alzheimers Disease: Why Isn't the FDA Stopping These Ads?
March 2004
A highly misleading advertisement for ARICEPT, implying the drug could keep patients with Alzheimers Disease from having to go into a nursing home for two years, was allowed to run for a very long time without being stopped by the FDA.

ADDITIONAL INFORMATION FROM PUBLIC CITIZEN

Search results below include Additional Information from Public Citizen where your selected drug is a primary subject of discussion.

Press release: FDA Rejects Petition to Ban Aricept 23: Did Drug Companies, FDA Collude in Approving Dangerous Alzheimer’s Drug?
By rejecting Public Citizen's petition to ban Aricept-23, the FDA has sided with Pfizer to allow a dangerous drug to remain on the market.
Lawsuit to prevent dangerous Alzheimer's treatment (HRG Publication #2068)
Public Citizen files suit to compel The Food and Drug Administration (FDA) to act on our petition calling on the agency to stop allowing the drug Aricept to be marketed at doses that can cause severe – and even fatal – side effects.
Petition to Ban 23 Milligram Dose of Donepezil (Aricept) (HRG Publication #1950)
The 23 milligram dose of donepezil (Aricept), which is used to treat moderate or severe cases of Alzheimer’s disease, should be removed from the market immediately because of its risk of serious adverse effects and its lack of effectiveness.