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Generic Name: rivastigmine (ri va STIG mean)
Brand Names: Exelon

Exelon : Important Information

  • Use caution when driving, operating machinery, or performing other hazardous activities. May cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

What is Exelon

  • Used to treat Alzheimer's disease. Alzheimer's disease is associated with low levels of a chemical called acetylcholine (ah see til KOH leen) in your brain. The exact way that this medication works is unknown. However, it is believed that it prevents the breakdown of acetylcholine in your brain.
  • Used to improve thinking and memory in patients with Alzheimer's disease.

What to Discuss before Using

  • Before taking this medication, tell your doctor if you:
    • have significant nausea, vomiting, lack of appetite, or weight loss
    • have difficulty urinating
    • have heart disease such as a slow or irregular heartbeat
    • have a history of stomach ulcers
    • have seizures or a history of seizures
    • have a history of asthma or obstructive pulmonary disease
    • need to have surgery
  • You may not be able to take this medication, or you may require a special dosage or monitoring during therapy if you have any of the conditions listed above.
  • In the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
  • It is also not known whether medicine will harm a nursing infant. Do not take without first talking to your doctor if you are breast-feeding a baby.

Exelon Dosage Method

  • Take exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Usually taken twice a day, in the morning and evening. Follow your doctor's directions.
  • Take with food.
  • If you are taking capsules, take each dose with a full glass of water.
  • To use the oral solution:
    • Remove the oral dosing syringe from its protective case. Push down and twist the child resistant closure to open bottle.
    • Insert the tip of the syringe into opening of the white stopper.
    • While holding the syringe, pull the plunger up to the level (see markings on side of syringe) that equals the dose prescribed by your doctor.
    • Before removing the syringe containing the prescribed dose from the bottle, push out any large bubbles by moving the plunger up and down a few times. After the large bubbles are gone, pull the plunger again to the level that equals the dose prescribed by your doctor. Do not worry about a few tiny bubbles, this will not affect your dose. Remove the syringe from the bottle.
    • You may swallow the solution directly from the syringe or mix it with a small glass of water, cold fruit juice, or soda. Do not mix it with other liquids. If mixing with water, juice, or soda, be sure to stir completely and to drink the entire mixture. Drink the mixture within 4 hours.
    • After use, wipe the outside of the syringe with a clean tissue and put it back into its case. Close the bottle using the child resistant closure.
  • Do not use a regular table spoon to measure a dose. Use the syringe provided.
  • If you stop taking medication for any reason, talk to your doctor before restarting the medication. You may need to restart treatment with a lower dose.
  • Store at room temperature away from moisture and heat in an upright position.

Miss a dose: Problems?

Take the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

Exelon Overdose?

  • Seek emergency medical attention.
  • Symptoms of an overdose include severe nausea, vomiting, watering mouth, sweating, slow heartbeat, slow breathing, prolonged or severe dizziness, fainting, blurred vision, seizures, and collapse.

Avoid During Treatment

  • Use caution when driving, operating machinery, or performing other hazardous activities. May cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Exelon Side Effects

  • Stop taking medication and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
  • Other, less serious side effects may also occur. Continue to take medication and talk to your doctor if you experience:
    • drowsiness or dizziness
    • nausea, vomiting, or decreased appetite
    • diarrhea
    • weight loss
    • abdominal pain or diarrhea
    • headache
    • weakness or a feeling of general discomfort
    • tremor
  • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs to avoid while undergoing treatment

  • Can interact with many other medicines. Before taking this medication, tell your doctor and pharmacist about all medicines you are taking, including over-the-counter preparations, so that your therapy can be monitored for interactions.

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