What do systematic reviews say?

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

Discontinuing cholinesterase inhibitor showed no clear difference in dropout due to lack of efficacy of trial medication or deterioration… compared with continued cholinesterase inhibitor (low certainty).

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  OR 1.53 [0.84, 2.76]
  4 studies · 583 participants
  Low

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

Discontinuing cholinesterase inhibitor showed no clear difference in adverse events (any) compared with continued cholinesterase inhibitor (low certainty).

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  OR 0.85 [0.57, 1.27]
  4 studies · 446 participants
  Low

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

Discontinuing cholinesterase inhibitor showed no clear difference in serious adverse events (SAEs) compared with continued cholinesterase inhibitor (low certainty).

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  OR 0.8 [0.46, 1.39]
  4 studies · 390 participants
  Low

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

Discontinuing cholinesterase inhibitor showed no clear difference in deaths compared with continued cholinesterase inhibitor (low certainty).

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  OR 0.75 [0.36, 1.55]
  5 studies · 598 participants
  Low

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 108 participants
  Moderate

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 109 participants
  Moderate

Discontinuing cholinesterase inhibitor vs continued cholinesterase inhibitor

• Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 108 participants
  Moderate