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Rivastigmine (By mouth)

Rivastigmine (riv-a-STIG-meen)

Treats dementia.

Brand Name(s):

Exelon

There may be other brand names for this medicine.

When This Medicine Should Not Be Used:

This medicine is not right for everyone. Do not use it if you had an allergic reaction to rivastigmine or other carbamate derivatives, or if you have a history of skin reactions with rivastigmine skin patch.

How to Use This Medicine:

Capsule, Liquid

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
  • It is best to take this medicine with food or milk.
  • Capsule: Swallow the capsule whole. Do not crush, break, or chew it.
  • Oral liquid: Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. You may swallow directly from the syringe or you may mix the medicine with a small glass of water, soda, or cold fruit juice. Stir the mixture well and drink all of it. The mixture can be safely stored at room temperature for up to 4 hours.
  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
  • Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Call your doctor right away if you miss your dose for more than 3 days in a row. You may need to go back to a lower dose.
  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Some medicines can affect how rivastigmine works. Tell your doctor about all other medicines you use, especially an NSAID pain or arthritis medicine (aspirin, diclofenac, ibuprofen, naproxen, celecoxib).

Warnings While Using This Medicine:

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, heart rhythm problems, or a history of stomach bleeding or ulcers, seizures, asthma or other breathing problems.
  • This medicine may cause serious skin reactions or stomach, bowel, or urination problems.
  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
  • Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Blistering, peeling, or red skin rash
  • Bloody or black, tarry stools, or vomiting of blood or material that looks like coffee grounds
  • Change in how much or how often you urinate, difficult or painful urination
  • Seizures, tremors, twitching, or muscle movements you cannot control
  • Slow or uneven heartbeat

If you notice these less serious side effects, talk with your doctor:

  • Dizziness
  • Headache
  • Nausea, vomiting, diarrhea
  • Tiredness or weakness
  • Weight loss or loss of appetite

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088


Last Updated: 7/4/2014


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