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compositionComposition:DONEPEZIL-10MG+MEMANTINE-10MG
prescription
Prescription Medicine
info
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Alzil M Forte Tablet is used to treat Alzheimer's disease (memory loss). It contains Donepezil and Memantine, which balance the levels of chemical messengers in the brain and help transmit nerve signals. It may cause side effects such as vomiting, weight loss, loss of appetite, dryness in the mouth, dizziness, nausea, diarrhoea, and headache. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

DONEPEZIL-10MG+MEMANTINE-10MG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Alzil M Forte Tablet

Alzil M Forte Tablet is an oral prescription medication used to treat moderate to severe dementia associated with Alzheimer's disease. It helps manage symptoms affecting memory, awareness, and the ability to perform daily activities by supporting communication between brain cells. While it is not a cure, it works to slow down the progression of these cognitive symptoms.

For the best results, you must take Alzil M Forte Tablet consistently every day, exactly as your doctor prescribes. You can take this medication with or without food, but taking it at the same time each day helps keep a stable level of the medicine in your body. Incorporating a structured daily routine, balanced nutrition, and gentle mental exercises can also help support the treatment's outcomes.

While taking Alzil M Forte Tablet , some people may experience mild side effects like nausea, diarrhoea, or temporary dizziness. However, you must watch for more serious signs and consult your doctor immediately if you or the patient experiences an unusually slow heart rate, fainting, or severe stomach pain.

Before starting Alzil M Forte Tablet , talk to your doctor if you have a history of heart rhythm problems, asthma, chronic lung disease, seizures, or stomach ulcers. Do not take this if you have a known allergy to any of the active ingredients in this medication.

Certain medications, particularly some pain relievers or other muscle relaxants, can interact with Alzil M Forte Tablet , so tell your healthcare provider about everything you take. Avoid drinking alcohol while using this medicine, as it can significantly worsen dizziness and confusion. Always consult your doctor if you are caring for an elderly patient, or if the patient is pregnant or breastfeeding.

Uses of Alzil M Forte Tablet

Alzil M Forte Tablet is used in the treatment of Alzheimer’s disease. The detailed uses of Alzil M Forte Tablet are as follows:

  • Moderate to severe Alzheimer's disease: Alzil M Forte Tablet is used to improve or maintain cognitive functions, such as thinking, memory, communication, and the ability to perform daily tasks in patients with advanced dementia.

Key Benefits

Alzil M Forte Tablet helps support daily functioning and cognitive health, making it easier for patients to maintain their independence for a longer period. By stabilising mood and improving memory, it greatly enhances the overall quality of life for both the patient and their caregivers.

Benefits may include:

  • Makes it easier for patients to continue managing everyday tasks, such as eating, bathing, and dressing.
  • Enhances cognitive functions, allowing patients to engage more actively in conversations and social interactions.
  • Effectively reduces distressing behavioural symptoms like confusion, agitation, and anxiety.
  • By improving the patient's daily functioning and creating a calmer environment, it significantly eases the daily emotional and physical strain on caregivers.
Side effects of Alzil M Forte Tablet
Here's a comprehensive approach to managing medication-triggered fever:
  • Inform your doctor immediately if you experience a fever after starting a new medication.
  • Your doctor may adjust your medication regimen or dosage as needed to minimize fever symptoms.
  • Monitor your body temperature to monitor fever progression.
  • Drink plenty of fluids, such as water or electrolyte-rich beverages, to help your body regulate temperature.
  • Get plenty of rest and engage in relaxation techniques, such as deep breathing or meditation, to help manage fever symptoms.
  • Under the guidance of your doctor, consider taking medication, such as acetaminophen or ibuprofen, to help reduce fever.
  • If your fever is extremely high (over 103°F), or if you experience severe symptoms such as confusion, seizures, or difficulty breathing, seek immediate medical attention.
  • Take a step back and consider your response in tense moments.
  • Share your concerns clearly and respectfully when you are calm.
  • Engage in physical activity to reduce stress and prevent anger escalation.
  • Take short breaks during stressful moments to regain composure.
  • Focus on resolving the issue rather than dwelling on the cause of your anger.
  • Lighten the mood with humor, but avoid being sarcastic.
  • Use deep breathing, yoga, or other relaxation techniques to calm down.
  • Seek professional help if your anger is uncontrollable or harming your relationships.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Regularly exercise and have a balanced diet to maintain a healthy weight.
  • Eat lot of fruits and vegetables (minimum 5 servings/day).
  • Include vitamin K-rich foods for stable anticoagulation control.
  • Limit red and processed meats.
  • Avoid smoking and consumption of alcohol.
  • If you observe any new and unusual marks on your skin, discontine the drug and reach out to your doctor for advice.
  • If the cancer is in the early stage, your doctor may surgically remove the tumour.
  • Radiation, cancer medications, or targeted treatments may be recommended based on the severity of the cancer.
  • Consult a dietitian to make sure you are eating the right food and getting enough nutrition during cancer treatment.
  • Eat your meals in small amounts with a gap of 2-3 hours.
  • Do light physical activities to relieve tiredness and improve your overall well-being.
  • Discuss with your doctor the use of medications like antidiarrheals, laxatives, or stool bulking agents to control bowel movements.
  • Drink enough water to help loosen stool and ease bowel movements.
  • Consume foods high in fiber to encourage regular bowel movements and avoid constipation, such as spinach, bananas, berries, and brown rice.
  • Regular exercises improve bowel functionality and a healthy condition altogether.
  • Do Kegel exercises to strengthen pelvic floor muscles and bowel control.

Directions for Use

  • Take Alzil M Forte Tablet with or without food, or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Alzil M Forte Tablet Works

Alzil M Forte Tablet combines two active medicines, Donepezil and Memantine, that work in different but complementary ways in the brain to support cognitive function. • Donepezil: It is a cholinesterase inhibitor. It works by preventing the breakdown of a natural chemical messenger in the brain called acetylcholine. This messenger is vital for memory, learning, and overall thinking. By keeping acetylcholine levels higher, it helps brain cells communicate more effectively with one another. • Memantine: Memantine is an NMDA receptor antagonist. It works by regulating the activity of glutamate, another key chemical messenger in the brain. In Alzheimer's disease, damaged brain cells release too much glutamate, which can overstimulate and further damage healthy cells. By balancing glutamate activity, this medicine protects brain cells from harmful overstimulation and helps clear brain signals.
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Alcohol

Caution

Taking alcohol, along with Alzil M Forte Tablet , may increase its drowsiness effect and cause excessive sleepiness.

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Pregnancy

Caution

Alzil M Forte Tablet is a pregnancy category C drug. It is not known whether it will harm the baby. So, take only if prescribed by a doctor.

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Breast Feeding

Caution

It is not known whether Alzil M Forte Tablet passes through breast milk or not. So, caution should be exercised if you are breastfeeding.

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Driving

Unsafe

Alzil M Forte Tablet is known to cause drowsiness, so please do not drive a car or operate any machinery which requires mental alertness.

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Liver

Caution

Alzil M Forte Tablet to be taken with caution, especially if you have a history of liver disease. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Alzil M Forte Tablet to be taken with caution, especially if you have a history of kidney disease. The dose may have to be adjusted by your doctor.

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Children

Caution

The safety and efficacy of Alzil M Forte Tablet in children have not been established.

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Heart

Caution

Alzil M Forte Tablet should be taken with extreme caution in patients with heart disease. Please consult your physician.

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Geriatrics

Safe if prescribed

Alzil M Forte Tablet can be safely given in elderly patients if recommended by the physician.

What if I have taken an overdose of Alzil M Forte Tablet

If you suspect an overdose, seek immediate emergency medical attention. Symptoms of an overdose may include severe nausea, vomiting, drooling, heavy sweating, a very slow heart rate, shallow breathing, or fainting.

Diet & Lifestyle Advise

  • Provide a brain-healthy diet: Serve meals rich in antioxidants, leafy green vegetables, berries, whole grains, and healthy fats like olive oil and fish to support overall physical and brain health.
  • Prioritise hydration: Encourage the patient to drink water regularly throughout the day, as even mild dehydration can worsen confusion and cognitive symptoms.
  • Create a structured daily routine: Keeping consistent times for waking up, eating, and sleeping helps reduce confusion, anxiety, and agitation in patients with dementia.
  • Encourage physical activity: Simple, supervised physical activities like short daily walks can help maintain mobility, improve sleep quality, and boost mood.
  • Engage in gentle brain exercises: Activities like listening to familiar music, looking through photo albums, or doing simple puzzles can help keep the mind active and engaged.
health query

Have a query?

How Soon It Starts Working

  • The time required for Alzil M Forte Tablet to start to work: The time required for Alzil M Forte Tablet to show its action is not clinically established.
  • The time for which the effects of Alzil M Forte Tablet last: The duration of action for Alzil M Forte Tablet is clinically established.

What if you forget to take Alzil M Forte Tablet

If you miss a dose of Alzil M Forte Tablet , skip the missed dose and take your next scheduled dose at your normal time. Do not take two doses at once to make up for a missed one. If you miss taking this medication for several days in a row, talk to your doctor or pharmacist before starting to take it again.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Monitor heart rhythm: Monitor the patient's heart rate regularly, especially if they have a history of heart conditions, as this medication can cause a slow heart rate.
  • Coordinate medical procedures: If the patient is scheduled for any surgery or dental procedure, inform the surgeon or dentist that they take Alzil M Forte Tablet , as it can interact with certain muscle relaxants used during anaesthesia.
  • Watch for stomach irritation: Look closely for signs of stomach irritation or bleeding, especially if the patient regularly takes pain relievers like ibuprofen or naproxen.
  • Limit hazardous activities: Do not let the patient drive or operate machinery if they experience dizziness, confusion, or sleepiness while taking this medicine.
  • Avoid stopping abruptly: Never stop giving this medication without consulting your healthcare provider first, as stopping suddenly can cause cognitive symptoms to worsen quickly.

Drug-Drug Interactions

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Drug-Drug Interaction:

  • NSAIDs (like ibuprofen or naproxen): May increase the risk of developing stomach ulcers and stomach bleeding when taken alongside Alzil M Forte Tablet .
  • Anticholinergic drugs (like certain allergy, bladder control, or cold medicines): May block the action of Alzil M Forte Tablet , making both medicines less effective.
  • Anaesthetics: Can interact with Alzil M Forte Tablet , potentially prolonging the effects of muscle relaxants used during surgical procedures.
  • Other cholinesterase inhibitors: Combining Alzil M Forte Tablet with similar medicines can increase the risk of side effects like severe nausea, vomiting, or a slow heart rate.

Drug-Food Interaction:

  • There are no major established drug-food interactions with Alzil M Forte Tablet . It can be taken safely with or without food.

Drug-Disease Interaction:

  • Heart conditions (like sick sinus syndrome): May increase the risk of a dangerously slow heart rate or fainting.
  • Stomach ulcers or bleeding history: May increase the risk of developing new stomach irritation or bleeding.
  • Asthma or COPD: Can worsen breathing difficulties or trigger airway tightening.
  • Seizures: May increase the susceptibility to experiencing a seizure.
  • Urinary tract obstruction: Can make passing urine more difficult.
Donepezil + MemantineBupropion
Severe
Donepezil + MemantineIomeprol
Severe

Drug-Drug Interactions

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Donepezil + MemantineBupropion
Severe
How does the drug interact with Alzil M Forte Tablet:
Taking Bupropion with Alzil M Forte Tablet may increase the levels and risk of Alzil M Forte Tablet side effects.

How to manage the interaction:
Co-administration of Bupropion with Alzil M Forte Tablet can lead to an interaction, it can be taken when adviced by a doctor. If you experience sudden dizziness, shortness of breath, or rapid heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Donepezil + MemantineIomeprol
Severe
How does the drug interact with Alzil M Forte Tablet:
Co-administration of Iomeprol and Alzil M Forte Tablet can increase the risk of developing seizures. The risk increases in patients with a history of seizure or head injury.

How to manage the interaction:
Co-administration of Iomeprol and Alzil M Forte Tablet can result in an interaction, it can be taken if your doctor has advised it. Contact your doctor if you experience shortness of breath, papitations, or problems with movement and memory. Do not discontinue any medications without first consulting your doctor.
Donepezil + MemantineMetrizamide
Severe
How does the drug interact with Alzil M Forte Tablet:
The combined use of metrizamide and Alzil M Forte Tablet can increase the risk of developing seizures. If you have a history of seizures or a head injury, contact your doctor immediately.

How to manage the interaction:
Although metrizamide and Alzil M Forte Tablet can result in an interaction, it can be taken if prescribed by a doctor. Do not stop using any medications without first talking to your doctor.
Donepezil + MemantineIohexol
Severe
How does the drug interact with Alzil M Forte Tablet:
Coadministration of Iohexol and Alzil M Forte Tablet can increase the risk of developing seizures. The risk increases in patients with a history of seizure or head injury.

How to manage the interaction:
Although Iohexol and Alzil M Forte Tablet can result in an interaction, it can be taken if your doctor has adviced it. Do not stop using any medications without first talking to your doctor.
Donepezil + MemantineIopamidol
Severe
How does the drug interact with Alzil M Forte Tablet:
The combined use of Iopamidol and Alzil M Forte Tablet can increase the risk of developing seizures. The risk increases in patients with a history of seizures or head injury.

How to manage the interaction:
Taking Iopamidol and Alzil M Forte Tablet can result in an interaction, it can be taken if your doctor has advised it. Contact your doctor if you experience shortness of breath, palpitations, or involuntary movements. Do not stop using any medications without a doctor's advice.
Donepezil + MemantineCyclopentolate
Severe
How does the drug interact with Alzil M Forte Tablet:
Coadministration of Cyclopentolate with Alzil M Forte Tablet can reduce the levels and effects of Cyclopentolate.

How to manage the interaction:
Taking Cyclopentolate with Alzil M Forte Tablet can result in an interaction, it can be taken when adviced by a doctor. If you experience sudden dizziness, shortness of breath, or rapid heartbeat consult your doctor immediately. Do not stop using any medications without talking to your doctor.
Donepezil + MemantineTramadol
Severe
How does the drug interact with Alzil M Forte Tablet:
Coadministration of Tramadol with Alzil M Forte Tablet can increase the risk of developing seizures. The risk increases in patients with a history of seizure or head injury.

How to manage the interaction:
Taking Tramadol with Alzil M Forte Tablet can result in an interaction, it can be taken if a doctor has advised it. However, if you experience palpitations, blurred vision, stomach cramps, vomiting, or diarrhea, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[CENTRAL NERVOUS SYSTEM AGENTS]

FAQs

Alzil M Forte Tablet is used to treat Alzheimer's disease (memory loss), a progressive neurodegenerative disorder that affects the brain.
Alzil M Forte Tablet is a combination medication containing Donepezil and Memantine, which treat Alzheimer's disease. Donepezil works by improving the function of nerve cells in the brain by preventing the breakdown of the chemical acetylcholine. Memantine works by lowering the level of chemicals in the brain which is responsible for causing symptoms of Alzheimer's disease. Together, they balance the levels of chemical messengers in the brain and help transmit nerve signals.
No, it is recommended not to take Alzil M Forte Tablet before surgery as it contains Donepezil, which is a cholinesterase inhibitor and is likely to exaggerate muscle relaxation during anaesthesia. So, please inform your doctor before surgery if you are taking Alzil M Forte Tablet , as he might stop it 2 hours before undergoing surgery.
Yes, the use of Alzil M Forte Tablet can cause diarrhoea. In some cases, the patient may experience diarrhoea. So, please increase the intake of fluids to avoid dehydration. And also do not take any other medicines without speaking to a doctor.
Yes, Alzil M Forte Tablet is known to cause weight loss. So, while taking Alzil M Forte Tablet , you should constantly monitor your body weight to avoid major weight loss.
Taking Alzil M Forte Tablet in more than the recommended dose can cause unpleasant side effects such as dizziness, tremor, agitation, convulsion, coma, nausea, vomiting, changes in heart rhythm, decreased blood pressure, and changes in body fluid/salt balance.
Yes, Alzheimer's disease (memory loss) generally occurs in people who are elderly and aged. So, Alzil M Forte Tablet is safe for the elderly population, but the dose should be given by a doctor depending upon any underlying disease condition you are suffering from. Also, never self-medicate.
Alzil M Forte Tablet may cause side effects like vomiting, weight loss, loss of appetite, dryness in the mouth, dizziness, nausea, diarrhoea, and headache. Most of these side effects of Alzil M Forte Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Alzheimer's disease is a progressive neurodegenerative disorder that affects the brain. It causes the brain to shrink (atrophy) and brain cells to die. One of the very common causes of Alzheimer's disease is dementia (memory loss), which affects the person's ability to function independently.
Take Alzil M Forte Tablet preferably just before bedtime or as advised by the doctor.
Alzil M Forte Tablet should be taken for as long as it has been prescribed by the doctor. The doctor will determine the duration of the treatment based on your condition.
Alzil M Forte Tablet can be taken along with my other regular medicines if advised by the doctor. Please consult the doctor before taking other medicines with Alzil M Forte Tablet to prevent any interactions/side effects.
Do not discontinue Alzil M Forte Tablet without consulting your doctor. To treat your condition effectively, keep taking Alzil M Forte Tablet for the prescribed duration.
Store Alzil M Forte Tablet at room temperature, in a dry place. Keep out of sight and reach of children.
Alzil M Forte Tablet is contraindicated if you are allergic to any of its components.
Inform your doctor if you have ever had heart problems, stomach ulcers, epilepsy, or asthma.
Taking more than the recommended dose of Alzil M Forte Tablet may cause an overdose. The symptoms of overdose include slow heart rate, severe dizziness, drowsiness, vomiting, sweating, weakness, trouble walking, agitation, confusion, unusual thoughts or behaviour, hallucinations, fainting, fits, and shallow or weak breathing. If you suspect the patient has taken an overdose or notice signs of overdose, please consult a doctor immediately.
No, Alzil M Forte Tablet does not cure Alzheimer's disease. Instead, it is designed to manage the symptoms of moderate to severe dementia by helping improve memory, awareness, and daily function. Talk to your doctor to understand what to expect during treatment.
Alzil M Forte Tablet is typically taken once a day, often in the evening or at bedtime. However, you should always follow the specific dosing schedule recommended by your healthcare provider. Talk to your doctor if you have questions about the timing.
No, you should swallow the tablet whole with water. Crushing, chewing, or breaking the tablet can alter how the medicine is absorbed, which can increase the risk of side effects. Talk to your doctor or pharmacist if swallowing tablets is difficult.
Dizziness can occur, especially when first starting the medicine or during a gradually increasing dose. Ensure the patient stands up slowly and avoids sudden movements. If the dizziness is severe, causes fainting, or does not improve, talk to your doctor immediately.
No, it is highly recommended to avoid alcohol while taking this medicine. Alcohol can increase side effects like confusion, dizziness, and drowsiness, making dementia symptoms harder to manage. Talk to your doctor if you have concerns.
Yes, Alzil M Forte Tablet can sometimes cause a slow heart rate (bradycardia) or fainting, particularly in patients who already have heart conditions. If you notice a very slow pulse, dizziness, or lightheadedness, seek medical help right away and talk to your doctor.
If several daily doses are missed, do not double the next dose to catch up. Contact your doctor before restarting the medicine, as they may advise resuming treatment at a lower dose to avoid side effects. Talk to your doctor for specific guidance.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - ALZ0089

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