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Indirectly acting cholinomimetic agents - Increase of synthesis

The diet of an adult supplies approximately 0,5 to 1 g of choline per day in free and esterified form. Attempts to increase acetylcholine synthesis by choline administration, in Alzheimer disease for example, did not give convincing results. Choline acts as a methyl donor and its absence in diet induces hepatic steatosis. Choline is present in many multi-ingredient proprietary medical preparations.

Other compounds, involved directly or indirectly in acetylcholine synthesis are: betaine, phosphorylcholine, phosphatidylcholine and cytidine diphosphocholine, called citicoline or CDP-choline. The latter has been proposed in the treatment of strokes and cranial traumatisms.

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  Last update : June 19, 2005  
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