This invention describes the administration of multiple therapeutic agents with
insulin in conjunction with
bexarotene,
ketamine,
monoclonal antibodies
Etanercept, IGF-1, and
acetylcholine esterase inhibitors physostigmine, for treatment of Alzheimer's
disease and other neurodegenerative diseases.
Insulin, improves memory; also augments and amplifies the effects of the
adjuvant therapeutic agents (paracrine and
intracrine effects) and consequently reduces the β
amyloid, its soluble precursors, prevents damage to the neuronal skeletal network (taupathy), and blocks glutamate
excitotoxicity, reduces brain
inflammation, prevents
apoptosis, and increases the
acetylcholine levels in the neurons and synapses; by using a combination of
insulin,
bexarotene,
ketamine,
Etanercept, IGF-1, and physostigmine therapeutic agents. The results are achieved by using the specially designed
Iontophoresis incorporated olfactory mucosal delivery (ORE)
catheter device located at the olfactory nerves, sphenoid sinus, and adjacent structures described here, to transport the large molecules of therapeutic agents to treat AD delivered to the CNS bypassing BBB from ORE.