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As a hospice nurse, I deal with dozens of elderly people with dementia and Alzheimer's disease. I have to admit that Namenda is very effective on the starting stages of the illnesses. But in the end stages of dementia and Alzheimer's no drug will do anything to control decline symptoms. My point therefore is that this drug is great if the disease is not too neglected or complicated. If you are I n two minds ask your doctor for samples.