The number of people taking donepezil worldwide is substantial but not precisely fixed in public data; however, it can be estimated based on the prevalence of Alzheimer’s disease and dementia, the primary conditions for which donepezil is prescribed. Donepezil is a widely used medication for managing symptoms of Alzheimer’s disease, which accounts for 60-80% of dementia cases globally.
Globally, around 57 million people were living with dementia as of recent estimates, with projections rising to over 150 million by 2050. Since Alzheimer’s disease is the most common form of dementia, affecting approximately 60-70% of dementia patients, this implies that tens of millions of people worldwide could be candidates for donepezil treatment. Donepezil is one of the leading drugs prescribed for Alzheimer’s, so a significant portion of these patients are likely on donepezil or similar cholinesterase inhibitors.
The donepezil market size, which reflects demand and usage, was valued at about $1 billion in 2024 and is expected to grow steadily, reaching around $1.24 billion by 2029. This growth is driven by an aging global population, increasing Alzheimer’s diagnoses, and improved awareness and healthcare infrastructure. The market expansion suggests a rising number of patients receiving donepezil treatment worldwide.
In specific healthcare systems, large patient cohorts are documented. For example, in Germany alone, retrospective studies have shown hundreds of thousands of patients receiving antidementia therapies, including donepezil. Given that Alzheimer’s disease affects millions globally, and donepezil is a first-line treatment, it is reasonable to infer that **tens of millions of people worldwide are currently taking donepezil**.
Factors influencing the number of donepezil users include:
– **Increasing prevalence of Alzheimer’s disease**: With aging populations, especially in developed countries, the number of diagnosed cases is rising.
– **Early diagnosis and treatment initiatives**: More patients are being diagnosed earlier, leading to earlier and more widespread use of donepezil.
– **Availability of generic donepezil**: This has made the drug more accessible and affordable worldwide.
– **Healthcare infrastructure and awareness**: Improved healthcare systems and public awareness campaigns contribute to more patients receiving treatment.
Donepezil is typically prescribed to patients in mild to moderate stages of Alzheimer’s disease to help manage symptoms such as memory loss and cognitive decline. While it does not cure the disease, it can improve quality of life and slow symptom progression, making it a cornerstone of Alzheimer’s treatment globally.
In summary, while exact patient numbers are not publicly detailed, the combination of global dementia prevalence, Alzheimer’s disease incidence, and donepezil market data strongly indicates that **millions to tens of millions of people worldwide are taking donepezil** as part of their Alzheimer’s disease management. This number is expected to grow in the coming years due to demographic trends and advances in diagnosis and treatment.





