Exelon (Rivastigmine)
Complete patient guide for uses, dosage, side effects, and safety information
Quick Facts
What Is Exelon Used For?
Exelon is a medication that helps manage symptoms of Alzheimer's disease by increasing the levels of acetylcholine in the brain.
Primary Uses
Exelon is primarily used to treat Alzheimer's disease, which affects memory, thinking, and behavior.
How It Works
Exelon works as a cholinesterase inhibitor, enhancing the amount of acetylcholine, a neurotransmitter that aids in communication between nerve cells.
Good to know: Exelon is not considered addictive.
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How to Take Exelon
Exelon should be taken as prescribed by your doctor, typically with meals to enhance absorption.
Dosage Instructions
The usual starting dose is 1.5 mg taken twice daily. Your doctor may adjust the dose up to a maximum of 6 mg twice daily based on your response.
What If You Miss a Dose?
If you miss a dose, skip it and take your next dose at the scheduled time. Do not double up on doses.
Important: Never take a double dose to make up for a missed one.
Available Tablet Strengths
Side Effects
Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.
Common Side Effects
These side effects occur relatively frequently and usually don’t require emergency care:
- tiredness
- nausea
- vomiting
- dizziness
- headaches
- diarrhea
- weight loss
- nightmares
Seek immediate medical attention if you experience:
- trouble breathing
- wheezing
- severe skin reactions
- chest pain
- yellowing of skin or eyes
- confusion
- uncontrolled movements
- blood in stools or vomit
Important Warnings
There are several important considerations before taking Exelon.
Who Should Not Take Exelon
Do not take Exelon if you are allergic to rivastigmine, have liver conditions, or have had severe skin reactions to Exelon patches.
Medical Conditions to Discuss
Discuss any history of heart conditions, respiratory issues, seizures, or kidney problems with your doctor.
Pregnancy and Breastfeeding
Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as the effects on the baby are not fully known.
Elderly Patients With Dementia: Elderly patients with dementia may require special monitoring while taking Exelon.
Drug Interactions
Certain medications can interact with Exelon and affect its efficacy.
- Nicotine
- Metoclopramide
- Atenolol
- Bethanechol
- QT interval affecting medications (e.g., quinidine, amiodarone, citalopram)
Alcohol & Driving
Be cautious with alcohol consumption and operating machinery while on Exelon.
Alcohol
Alcohol may increase feelings of dizziness or tiredness associated with Exelon.
Driving and Operating Machinery
Exelon may cause dizziness or fatigue, so avoid driving or using machinery until you know how it affects you.
Storage
Store Exelon capsules in their original packaging at room temperature, below 25°C, in a cool, dry place away from moisture and sunlight.
Overdose Information
If you suspect an overdose, seek immediate medical attention. Symptoms may include severe nausea, vomiting, diarrhea, hallucinations, and fainting.
Frequently Asked Questions
Exelon may take several weeks to show noticeable effects in managing Alzheimer's symptoms.
Yes, Exelon should be taken with meals to enhance absorption.
No, Exelon is not considered addictive.
Do not stop taking Exelon suddenly without consulting your doctor, as it may lead to worsening symptoms.
Alcohol should be consumed with caution as it may increase dizziness and tiredness.
Weight loss is a common side effect of Exelon, not weight gain.
Elderly patients may require special monitoring while taking Exelon.
If you miss a dose, skip it and take your next dose at the scheduled time. Do not double up.
Important Disclaimer
This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
If you think you may have a medical emergency, call your doctor or emergency services immediately.