This clinical trial was carried out in department of Neurology in Alzahra Hospital (Isfahan University of Medical Sciences) from March 5, 2008 to July 28, 2009 and was performed on AD patients in two groups of case and control, each consisting of 11 patients. The inclusion criterion was age between 50 and 80 years, and the exclusion criteria included history of stroke, nontreated hypertension, diabetes mellitus, smoking during the past 10 years, hypercholesterolemia and taking AchEI drugs one month prior to the study.
Methods: Out of 30 patients, 22 patients completed the study and included for the study.This clinical trial was performed on AD patients in two groups of case and control, each consisting of 11 patients. The case group who received Donepezil medication was examined by TCD before (baseline), after four weeks of oral treatment with 5mg per day Donepezil and a further four weeks of 10mg per day Donepezil, administered orally. The control group were AD patients who did not receive any medications effective on AD and were examined by TCD only once. Peak systolic (PSV), end-diastolic (EDV) and mean flow (MFV) velocities of posterior cerebral artery (PCA) and middle cerebral artery (MCA) were assessed by TCD. Also, mini-mental state examination (MMSE) was carried out.