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Exelon (Rivastigmine)

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Exelon is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in transmmission of nerve signals. This improves memory and thinking.

Other names for this medication:
Rivadem, Rivamer, Rivasmine, Rivastigmine, Srivasmine, Zeemine

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Also known as: Rivastigmine


Rivastigmine patch is used to treat dementia (memory loss) associated with mild, moderate, or severe Alzheimer's disease, or mild to moderate dementia associated with Parkinson's disease. Rivastigmine will not cure these diseases and it will not stop these diseases from getting worse. However, rivastigmine can improve thinking ability in some patients with these diseases.

In Alzheimer's disease, many chemical changes take place in the brain. One of the earliest and biggest changes is that there is a decrease in a chemical called acetylcholine (ACh). ACh helps the brain to work properly. Rivastigmine is an acetylcholinesterase inhibitor. It slows the breakdown of ACh, so it can build up and have a greater effect. However, as Alzheimer's disease gets worse, there will be less and less ACh, so rivastigmine may not work as well.

This medicine is available only with your doctor's prescription.


Usual Adult Dose for Alzheimer's Disease:

Mild to moderate Azheimer's disease: Oral: -Initial dose: 1.5 mg orally twice a day -Maintenance dose: After a minimum of 2 weeks of treatment, if the initial dosage is well tolerated, it can be increased to 3 mg twice a day; subsequent increases to 4.5 mg and 6 mg twice a day should be attempted only after a minimum of 2 weeks at the previous dosage.

Usual Adult Dose for Parkinson's Disease:

Mild to moderate Parkinson's disease dementia: Oral: Initial dose: 1.5 mg orally twice a day with morning and evening meals Maintenance dose: Subsequently, the dose can be increased to 3 mg orally twice a day and further to 4.5 mg twice a day and 6 mg twice a day (based on tolerability) with a minimum of 4 weeks at each dose.

Detailed Exelon dosage information


If you overdose Generic Exelon and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Exelon overdosage: vomiting, drooling, sweating, blurred vision, slow heartbeat, shallow breathing, muscle weakness, fainting, convulsions, severe nausea, feeling light-headed.


Store the patches at room temperature in a closed container, away from heat, moisture, and direct light.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Exelon dosage information

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of rivastigmine in the elderly.

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