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Rivastigmine

Uses

Rivastigmine is used in the treatment of Alzheimer's disease and dementia associated with Parkinson's disease.

How it Works

How Rivastigmine works Memory loss in Alzheimer’s disease occurs due to disturbances in signal transmission within the brain. Rivastigmine is a cholinesterase inhibitor that works by increasing the levels of a chemical messenger, acetylcholine, which is involved in the transmission of nerve signals. This enhancement improves memory and thinking.

Side Effects

Common side effects of Rivastigmine include loss of appetite, nausea, vomiting, and indigestion.

Expert Advice

  • You have been prescribed Rivastigmine to slow down the progression of Alzheimer's disease.
  • It does not cure Alzheimer's disease but may help improve brain function and the ability to perform daily activities.
  • Possible side effects include:
    • Diarrhea
    • Nausea
    • Vomiting
  • Drink plenty of fluids to maintain hydration while taking Rivastigmine.
  • Do not drive or engage in activities requiring mental focus until you understand how Rivastigmine affects you.
  • If you have a peptic ulcer, exercise caution while taking this medication, as it may cause:
    • Vomiting
    • Stomach bleeding
    • Stomach pain
    • Discomfort
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.
  • Take Rivastigmine with or without food, preferably at night before going to bed.
  • Monitor your body weight regularly, as both Rivastigmine and Alzheimer's disease can lead to weight loss.
  • Inform your doctor if you develop muscle tremors, especially if you have Parkinson’s disease.

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Frequently asked questions

Does Rivastigmine cause drowsiness?
Yes, Rivastigmine can cause drowsiness or sleepiness, particularly at the beginning of treatment or when the dose is increased. Avoid driving or operating machinery if you feel dizzy or sleepy, and consult your doctor if dizziness persists.
Is it safe to stop taking Rivastigmine?
Do not stop or alter the dose of Rivastigmine without consulting your doctor. If treatment is interrupted for more than 3 days, do not resume without medical advice. Your doctor will likely restart treatment at a lower dose and gradually increase it.
Can Rivastigmine lead to hallucinations?
Yes, Rivastigmine can cause hallucinations, though this side effect is rare. It may occur shortly after a dose change. If you experience any concerning symptoms, consult your doctor.
Can I take antacids while on Rivastigmine?
Yes, antacids can be taken with Rivastigmine, as they do not interfere with its effectiveness. In some patients, Rivastigmine may increase stomach acid secretion, and your doctor may prescribe an antacid for relief.
What is the proper way to take Rivastigmine?
Take Rivastigmine as prescribed by your doctor, typically twice daily with food. Swallow the entire capsule with water; do not open or crush it. If unsure, consult your doctor or pharmacist.
How long does Rivastigmine take to show effects?
Rivastigmine may take up to 12 weeks to begin showing effects, with individual responses varying. Regular assessments of clinical benefits are necessary, and if symptoms do not improve after 12 weeks, consult your doctor and consider stopping the medication.
What are the effects of taking too much Rivastigmine?
Taking more than the recommended dose of Rivastigmine may cause diarrhea, abdominal pain, dizziness, tremors, headaches, sleepiness, hallucinations, and malaise. Overdose may lead to confusion, increased sweating, and elevated blood pressure. Seek immediate medical attention if an overdose occurs.
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