DrugPharmacologic actionsDosageTarget dosage*Minimum therapeutic dosageCost
Donepezil (Aricept)5 Acetylcholinesterase inhibitorStart at 5 mg once daily, taken at bedtime; after 6 weeks, increase to 10 mg once daily.10 mg once daily5 mg daily$142
Rivastigmine (Exelon)6 Acetylcholinesterase inhibitor
Butyrylcholinesterase inhibitor
Start at 1.5 mg twice daily, taken with food; at 2-week intervals, increase each dose by 1.5 mg, up to a dosage of 6 mg twice daily.6 mg twice daily3 mg twice daily$134
Galantamine (Reminyl)7 Acetylcholinesterase inhibitor
Nicotinic receptor actions
Start at 4 mg twice daily with food; at 4-week intervals, increase each dose by 4 mg, up to a dosage of 12 mg twice daily.12 mg twice daily8 mg twice daily§$130