A method for treating and/or preventing a disease or condition associated with the accumulation and/or aggregation of Aβ peptide in neural tissue, or for treating and/or preventing a disorder or condition associated with Down's syndrome, or for treating and/or preventing a post-traumatic stress disorder or condition, said method comprising administering an effective amount of cotinine, or a composition comprising cotinine, or an isomer or racemate thereof, or a pharmaceutically acceptable salt thereof, to a person or animal so as to treat and/or prevent a disease or condition associated with the accumulation and/or aggregation of Aβ peptide in neural tissue, treat and/or prevent a disorder or condition associated with Down's syndrome, or treat and/or prevent a post-traumatic stress disorder or condition, wherein cotinine inhibits formation of soluble Aβ oligomer from Aβ monomers and protects neuron from Aβ toxicity associated with soluble Aβ oligomer and/or enhances the extinction of fear memory in a person or animal in need of treatment.