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RIVASTIGMINE (Exelon®) helps treat the symptoms associated with Alzheimer's disease or dementia. It is not a cure for Alzheimer's disease but offers improvement in memory, attention, reason, language, and the ability to perform simple tasks. Benefits are greater in the early stages of the disease. Generic rivastigmine (Exelon®) capsules are not yet available.
What should my health care professional know before I take rivastigmine (Exelon®)?
They need to know if you have any of these conditions:
•asthma or other lung disease
•difficulty passing urine
•head injury
•heart disease, or irregular or slow heartbeat
•kidney disease
•liver disease
•low blood pressure
•Parkinson's disease
•seizures (convulsions)
•stomach or intestinal disease, ulcers, or stomach bleeding
•tobacco smoker
•an unusual or allergic reaction to rivastigmine (Exelon®), other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
How should I take this medicine?
Take rivastigmine (Exelon®) capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Rivastigmine (Exelon®) is usually administered twice daily with food, and is recommended to be taken with the morning and evening meals. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
If your doctor asks you to stop taking rivastigmine(Exelon®); do not restart this medicine until your doctor tells you to. Follow the special instructions given by your doctor for restarting this medicine. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What
if I miss a dose (Exelon®)?
If you miss a dose, take it as soon as you can. If it is almost time for your
next dose, take only that dose, Do not take double or extra doses.
What
drug(s) may interact with rivastigmine (Exelon®)?
•atropine
•benztropine
•dicyclomine
•digoxin
•donepezil
•galantamine
•glycopyrrolate
•hyoscyamine
•medications for motion sickness (examples: dimenhydrinate, scopolamine)
•medicines that relax your muscles for surgery
•non-steroidal antiinflammatory drugs (NSAIDs, such as ibuprofen)
•oxybutynin
•propantheline
•tacrine
Tell your doctor or health care professional about all other medicines you are
taking, including non-prescription medicines, nutritional supplements, or herbal
products. Also tell your doctor or health care professional if you are a
frequent user of drinks with caffeine or alcohol, if you smoke, or if you use
illegal drugs. These may affect the way your medicine works. Check with your
health care professional before stopping or starting any of your medicines.
What
side effects may I notice from taking rivastigmine
(Exelon®)?
Side effects that you should report to your doctor or health care professional
as soon as possible:
•changes in vision or balance
•diarrhea, if it is severe or does not stop
•dizziness, fainting spells, or falls
•increase in frequency of passing urine, or incontinence
•nervousness, agitation, or increased confusion
•redness, blistering, peeling or loosening of the skin, including inside the
mouth
•skin rash or hives
•slow heartbeat, or palpitations
•stomach pain
•sweating
•uncontrollable movements
•vomiting
•weight loss
Side effects that usually do not require medical attention (report to your
doctor or health care professional if they continue or are bothersome):
•mild diarrhea, especially when starting treatment
•indigestion or heartburn
•loss of appetite
•nausea
What should
I watch for while taking rivastigmine (Exelon®)
?
Visit your doctor or health care professional for regular checks on your
progress. Check with your doctor or health care professional if there is no
improvement in your symptoms or if they get worse. You may get dizzy or
feel faint. Do not drive, use machinery, or do anything that needs mental
alertness until you know how rivastigmine (Exelon®) affects you.
If you are going to have surgery tell your doctor or health care professional
that you are taking rivastigmine (Exelon®).
Where
can I keep my Exelon?
Keep out of reach of children in a container that small children cannot open.
Store at room temperature between 15 degrees and 30 degrees C (59 degrees and 86
degrees F). Throw away any unused medicine after the expiration date.
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