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Exelon

CLASS and MECHANISM of Action

Generic "Exelon" which is a type of medicine called an acetylcholinesterase inhibitor. It works by slowing the breakdown of a compound in the brain called acetylcholine. Acetylcholine is a natural compound known as a neurotransmitter. Generic "Exelon" increases the level of acetylcholine in the brain. It does this by preventing the action of acetylcholinesterase, the compound which normally breaks it down. This slows the breakdown of acetylcholine that is released from remaining undamaged nerve cells in the brain. The result of this is increased activity of acetylcholine in the brain. This improves the cognitive processes of thinking, learning and memory, and improves the symptoms of dementia and daily functioning in Alzheimer's disease.

Active Ingredients: Rivastigmine
Inactive Ingredients: gelatin, titanium dioxide and red and/or yellow iron oxides.

What is Generic "Exelon" PRESCRIBED For?

Generic "Exelon" is a drug that is primarily used in treating Alzheimer's disease, which is linked with low levels of acetylcholine in the brain. This drug is known to prevent the breakdown of acetylcholine in the brain.
Generic "Exelon" is primarily used in improving the thinking and memory of patients who suffer from Alzheimer's disease. This drug may also be used for purposes other than those indicated here.

How Should I Take Generic "Exelon"?

The starting dose of Generic "Exelon" is 1.5 mg twice a day. If this dose is well tolerated, after a minimum of 2 weeks of treatment, the dose may be increased to 3 mg twice a day. Subsequent increases to 4.5 mg twice a day and 6 mg twice a day should be attempted after a minimum of 2 weeks at the previous dose. If adverse effects (e.g., nausea, vomiting, abdominal pain, loss of appetite) cause intolerance during treatment, the patient should be instructed to discontinue treatment for several doses and then restart at the same or next lower dose level. If treatment is interrupted for longer than several days, treatment should be reinitiated with the lowest daily dose and titrated as described above. The maximum dose is 6 mg twice a day (12 mg/day).

What are the CONTRAINDICATIONS for taking Generic "Exelon"?

    This drug may not be advisable if you any of the following conditions: Significant nausea
  • Vomiting
  • lack of appetite
  • weight loss
  • difficulty in urinating
  • heart disease
  • history of stomach ulcers
  • history of seizures
  • history of asthma or obstructive pulmonary disease
  • in need of surgery
This drug belongs to the FDA pregnancy category B, which means that it is not known to harm an unborn child. Still, do not take this drug without your doctor's consent if you are pregnant or planning to be pregnant during treatment. It is unknown whether this drug could potentially harm an infant. Do not take this drug without your doctor's permission if you are nursing an infant.

What Happens if I MISS A DOSE?

Doses of Generic "Exelon" should not be missed. If a dose is missed, however, take it as soon as remembered. If it is almost time for the next dose, skip the missed one and take the subsequent dose according to your normal dosing schedule. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I OVERDOSE?

Symptoms of overdose of this drug include the following: severe nausea; vomiting; watering mouth; sweating; slow heartbeat; slow breathing; prolonged or severe dizziness; fainting; blurred vision; seizures; collapse

What are the possible SIDE EFFECTS of Generic "Exelon"?

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
  • Disturbances of the gut such as nausea, vomiting, diarrhoea, indigestion or abdominal pain
  • Decreased appetite and weight loss
  • Dizziness
  • Increased sweating
  • Fatigue
  • Weakness or loss of strength (asthenia)
  • Agitation
  • Headache
  • Sleepiness (somnolence)
  • Shaking, usually of the hands (tremor)
  • Confusion
  • Difficulty in sleeping (insomnia)
  • Depression
  • Fainting (syncope)
  • Ulceration of the stomach or intestine
  • Seizures
  • Rash
  • False perceptions of things that are not really there (hallucinations)
  • Worsening of Parkinson's symptoms

What other drugs can INTERACT with Generic "Exelon"?

It is important to tell your doctor or pharmacist what medicines the patient is already taking, including those bought without a prescription and herbal medicines, before they start treatment with this medicine.
    This medicine should not be taken with other medicines that increase the activity of acetylcholine, as this may increase the risk of side effects. These medicines include:
  • medicines for myaesthenia gravis, eg neostigmine, edrophonium chloride, distigmine bromide, pyridostigmine bromide
  • other medicines for Alzheimer's disease, eg galantamine, donepezil
  • certain medicines for urinary retention, eg carbachol, bethanechol chloride
  • pilocarpine.
  • anticholinergic medicines for Parkinson's disease, eg procyclidine, benzatropine, orphenadrine
  • ipratropium bromide for asthma
  • antispasmodics for gut disorders, eg hyoscine, atropine, propantheline
  • medicines for urinary incontinence, eg oxybutinin, flavoxate, tolterodine, propiverine, trospium.
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