donepezil

Brand: Aricept

Prototype Drug
Drug Class: cholinesterase inhibitor
Drug Family: antidementia
Subclass: reversible acetylcholinesterase inhibitor / piperidine
Organ Systems: cns

Mechanism of Action

Reversibly inhibits acetylcholinesterase in the CNS, increasing synaptic acetylcholine concentrations; preferentially inhibits central over peripheral AChE; does not alter disease progression but modestly improves or stabilizes cognition, behavior, and ADL function in Alzheimer's disease.

acetylcholinesterase (AChE)

Indications

  • Alzheimer's disease (mild, moderate, severe)
  • dementia associated with Parkinson's disease (off-label)
  • vascular dementia (off-label)

Contraindications

  • hypersensitivity to donepezil or piperidine derivatives

Adverse Effects

Common

  • nausea
  • diarrhea
  • insomnia
  • vivid dreams/nightmares
  • muscle cramps
  • anorexia
  • bradycardia

Serious

  • peptic ulcer disease exacerbation/GI bleeding (cholinergic effect)
  • bradycardia and syncope (vagotonic effect)
  • seizures (cholinergic)
  • bladder outflow obstruction worsening
  • pulmonary effects in asthma/COPD patients

Pharmacokinetics (ADME)

Absorption ~100% bioavailability; not affected by food
Distribution Protein binding ~96%; Vd ~12 L/kg; crosses BBB
Metabolism CYP2D6 and CYP3A4 to active 6-O-desmethyl donepezil and inactive metabolites
Excretion Renal (~57%) and fecal (~15%); hepatic impairment may require monitoring
Half-life 70–80 hours (allows once-daily dosing)
Onset Weeks for measurable effect
Peak 3–4 hours
Duration 24 hours
Protein Binding 96%
Vd ~12 L/kg

Drug Interactions

Drug / Agent Mechanism Severity
anticholinergic drugs pharmacodynamic antagonism — reduces donepezil's cholinergic benefit moderate
NSAIDs additive GI irritation; cholinergic stimulation already increases GI acid moderate
succinylcholine AChE inhibition prolongs succinylcholine's neuromuscular blockade major

Nursing Considerations

  1. Administer at bedtime to minimize GI side effects; 23 mg tablet must be taken with food due to higher peak levels and GI irritation
  2. Monitor heart rate at each visit; donepezil's vagotonic (bradycardic) effect can be clinically significant — hold and notify prescriber if pulse <50 bpm
  3. Monitor for GI side effects (nausea, diarrhea, anorexia); weight loss in already-thin dementia patients is a significant safety concern
  4. Counsel caregivers: donepezil does not reverse or halt Alzheimer's disease progression; realistic expectations include modest improvement or slower decline over 6–12 months

Clinical Pearls

  • Donepezil has the longest half-life (~72 hours) of the cholinesterase inhibitors (rivastigmine: 1–2 hours; galantamine: 7 hours), enabling once-daily dosing with high adherence rates
  • Cholinesterase inhibitors are the only FDA-approved treatments for Alzheimer's disease cognition and are entirely symptomatic — they modestly improve cognitive test scores and delay nursing home placement but do not modify the underlying amyloid/tau pathology

Safety Profile

Pregnancy use-with-caution
Lactation use-with-caution
Renal Adjustment Not required
Hepatic Adjustment Not required
TDM Not required