Why is Exelon prescribed?

Exelon, with generic name Rivastigmine, is used to manage symptoms of dementia and Alzheimer’s disease.

What does it do?

Rivastigmine belongs to a class of medications called Cholinesterase inhibitors which increases certain substances in the brain to improve mental functions and delay the progression of symptoms such as memory problems, inability to think clearly or learn new things, and difficulty in handling daily activities.

How should I take it?

Exelon is currently available as a 1.5mg, 3mg, and 4.5mg capsules taken whole (not split, chewed, or crushed) by mouth with or without food. Follow the instructions included in the prescription label regarding its dosage. Ask your pharmacist or doctor regarding its dosage.

The dosage strength and frequency depend on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only use this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if taken properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose, take it immediately and adjust the time of your next dose depending on your doctor’s advice. Never take two doses at the same time just to make up for your missed dose.

What are the special precautions before taking Exelon?

Inform your doctor about all the medications you are taking. Discuss your current and previous medical history and any allergic reactions to Exelon or any other ingredients included in the manufacture of this medication.

Inform your doctor if you had any form of surgery or if you are planning to get one.

For the drug label information of Exelon, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects may include:
• Nausea
• Vomiting
• Appetite changes
• Abdominal pain
• Fatigue
• Weight changes
• Flatulence
• Bowel movement changes
• Dizziness
• Headache
• Tremors
• Increased sweating
• Sleep disturbance
• Confusion

Serious side effects may include:
• Hives, itching, or rash
• Difficulty breathing or swallowing
• Bloody or black stools
• Bloody or coffee-ground vomitus
• Difficult or painful urination
• Seizures
• Mood changes
• Aggression
• Hallucinations
• Uncontrollable movements

Is it safe to take it with another drug?

Some drug interactions may cause life-threatening reactions when used with other medications. Immediately inform your doctor if you are using Exelon with any of the following medications:

• Abilify
• Asenapine
• Atropine
• Atropine ophthalmic
• Azithromycin
• Betaxolol
• Biaxin
• Bupropion
• Cardizem
• Celexa
• Ceritidine
• Cipro
• Coreg
• Diflucan
• Doxepin
• Doxepin tropical
• Dronedarone
• Erythromycin
• Esmolol
• Foscarnet
• Flagyl
• Gatifloxacin
• Geodon
• Gingko
• Haloperidol
• Iohexol
• Iopamidol
• Isoptin
• Lanoxin
• Lexapro
• Methadone
• Metrizamide
• Metrogel
• Nizoral
• Norvasc
• Ozanimod
• Quetiapine
• Ranexa
• Siponimod
• Sporanox
• Vfend

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Keep Exelon in its original packaging in a clean environment away from excessive heat and moisture. Keep out of reach of children.

What action should I take in case of overdose?

Immediately call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

Rivastigmine is acceptable for use in pregnant women, women trying to get pregnant, or lactating women only if the benefits outweigh the risks associated with the use of this medication. Hence, the potential risks and benefits of using Exelon in pregnant or breastfeeding infants should be carefully considered.

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