An 80-year-old woman presents to your clinic accompanied
by her daughter, who no longer feels comfortable leaving her mother alone because of her mother's ""increasing forgetfulness."" The patient's medical historyis significant for type 2 diabetes, hypertension, coronary artery disease, congestive heart failure, and OA. She takes the following medications: acetaminophen
650 mg every 6 hours as needed for pain, lisinopril 20
mg daily, furosemide 20 mg daily, potassium chloride
20 mEq daily, carvedilol 12.5 mg twice daily, and glipizide
5 mg daily. Her MMSE score is 18/30. Blood tests obtained last week showed a normal basic metabolic panel, except for a fasting plasma glucose reading of 65 mg/dL. Her hemoglobin A1C (A1C) is 5.6%. A urinalysis is negative. No nutritional deficiencies are noted. The patient's blood pressure is 130/80 mm Hg and heart rate is 60 beats/minute. She receives a diagnosis of AD.
Which initial intervention would be most appropriate
to help with this patient's cognitive function?
A. Donepezil 10 mg daily.
B. Galantamine extended release (ER) 24 mg
daily.
C. Memantine 10 mg twice daily.
D. Rivastigmine patch 4.6 mg daily.