The present invention relates to methods of preventing or slowing the progression of
cognitive impairment or preventing the development of
cognitive decline or reducing the rate of
cognitive decline in a subject exhibiting or exhibiting cognitive performance within a
normal range of age of the subject. The method comprises administering to the subject one or more
levetiracetam, briracetam, or cetriracetam, or a pharmaceutically acceptable salt thereof, a pharmaceutical composition comprising
levetiracetam, briracetam, or cetriracetam, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, the invention relates to a GABAA alpha 5
receptor agonist or a pharmaceutically acceptable salt, a
hydrate, a solvate, an isomer or a polymorph of the GABAA alpha 5
receptor agonist, and a pharmaceutical composition containing the GABAA alpha 5
receptor agonist or the pharmaceutically acceptable salt, the
hydrate, the solvate, the isomer or the polymorph of the GABAA alpha 5 receptor agonist and a pharmaceutically acceptable carrier. Or a combination or composition comprising
levetiracetam, briracetam or setriracetam, or a pharmaceutically acceptable salt thereof, and a GABAA alpha5 receptor agonist, or a pharmaceutically acceptable salt,
hydrate, solvate, isomer or polymorphic substance thereof. In some embodiments, the subject has one or more risk factors that are predicted or related to the onset or progression of
cognitive impairment or decline.