Definition
Acetylcholine (ACh) is a neurotransmitter key in an individual’s ability to adapt to his/her environment and surrounding stimuli. ASD patients show many deficits in ACh production and receptor function. Acetylcholinesterase is an enzyme involved in the degradation of acetylcholine. Anticholinesterase inhibitors, or acetylcholinesterase inhibitors (AChE-inhibitors), seek to block the action of this enzyme, thus increasing ACh levels and action durations. Examples that have been tested and shown beneficial effects in ASD patients include rivastigmine, donepezil, and galantamine. Improvements in expressive speech are consistent across the drugs. Reports also include improvements in irritability, hyperactivity, receptive language, social withdrawal, inattention, and anger management. Side-effect profiles include diarrhea, nausea, and vomiting. Currently AChE-inhibitors are some of the most promising class of drugs in...
This is a preview of subscription content, log in via an institution.
References and Readings
Hardan, A. Y., & Handen, B. L. (2002). A retrospective open trial of adjunctive donepezil in children and adolescents with autistic disorder. Journal of Child and Adolescent Psychopharmacology, 12(3), 237–241.
Nicolson, R., Craven-Thuss, B., & Smith, J. (2006). A prospective, open-label trial of galantamine in autistic disorder. Journal of Child and Adolescent Psychopharmacology, 16(5), 621–629.
Niederhofer, H. (2003). Acetylcholinesterase-inhibitors in the treatment of autistic disorders. Expert Review of Neurotherapeutics, 3(4), 409–412.
Rossignol, D. A. (2009). Novel and emerging treatments for autism spectrum disorders: A systematic review. Annals of Clinical Psychiatry, 21(4), 213–236.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this entry
Cite this entry
Ardhanareeswaran, K. (2015). Anticholinesterase Inhibitors. In: Volkmar, F. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6435-8_102056-1
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6435-8_102056-1
Received:
Accepted:
Published:
Publisher Name: Springer, New York, NY
Online ISBN: 978-1-4614-6435-8
eBook Packages: Springer Reference Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences