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Cognitive Enhancers
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Methylphenidate
Used in ADHD and narcolepsy; increases dopamine and norepinephrine in the brain by blocking their reuptake.
Modafinil
Used for narcolepsy, shift work sleep disorder, and obstructive sleep apnea; mechanism is unclear but may include dopamine reuptake inhibition.
Donepezil
Used for Alzheimer's Disease; inhibits acetylcholinesterase, which increases levels of acetylcholine in the brain.
Rivastigmine
Used for Alzheimer’s disease and Parkinson’s disease dementia; inhibits acetylcholinesterase and butyrylcholinesterase.
Galantamine
Used for mild to moderate Alzheimer’s disease; inhibits acetylcholinesterase and modulates nicotinic receptors.
Memantine
Used for moderate to severe Alzheimer's Disease; acts as an NMDA receptor antagonist to reduce glutamate excitotoxicity.
Amphetamine
Used in ADHD and narcolepsy; increases release of dopamine and norepinephrine in the brain.
Atomoxetine
Used for ADHD; acts as a selective norepinephrine reuptake inhibitor.
Guanfacine
Used for ADHD; acts as an alpha-2A adrenergic receptor agonist.
Clonidine
Used for ADHD, often in conjunction with stimulant medications; acts as an alpha-2 adrenergic receptor agonist.
Piracetam
Used off-label for cognitive enhancement; it modulates AMPA receptors, but the full mechanism is unclear.
Noopept
Used off-label for cognitive enhancement; increases expression of NGF and BDNF in the hippocampus.
Aniracetam
Used off-label for cognitive enhancement; modulates AMPA receptors and increases release of serotonin and dopamine.
Phenylpiracetam
Used off-label for cognitive enhancement; increases dopamine, norepinephrine, and has a stimulant-like effect.
Bacopa monnieri
Used for cognitive enhancement; enhances synaptic communication via modulation of neurotransmitters and protein synthesis related to learning and memory.
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