Nicotine treatment of mild cognitive impairment: A 6-month double-blind pilot clinical trial

Newhouse P, Kellar K, Aisen P, White H, Wesnes K, Coderre E, Pfaff A, Wilkins H, Howard D, Levin ED (2012) Neurology

Key Takeaway

Six months of transdermal nicotine improved attention and memory in non-smoking adults with mild cognitive impairment, with no significant safety concerns.

Summary

This pilot clinical trial tested transdermal nicotine patches (15mg/day) in 67 non-smoking adults with mild cognitive impairment over 6 months. The nicotine group showed significant improvements in attention, memory, and psychomotor speed compared to placebo.

Notably, participants were non-smokers, demonstrating cognitive benefits independent of addiction. The treatment was well-tolerated with no significant adverse effects or dependency development at study end.

This is one of the few studies examining longer-term nicotine use in non-smokers, supporting its potential as a cognitive enhancer with an acceptable safety profile.

Methods

  • Double-blind, placebo-controlled RCT
  • 67 non-smoking adults with MCI
  • 6-month treatment duration
  • Transdermal nicotine 15mg/day

Key Results

  • Improved attention measures
  • Enhanced memory performance
  • Better psychomotor speed
  • No significant adverse effects
  • No dependency at study end

Limitations

  • Pilot study, relatively small sample
  • MCI population may differ from healthy adults
  • Single dose level tested
  • Long-term effects beyond 6 months unknown

Related Interventions

Source

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DOI: 10.1212/WNL.0b013e31823efcbb