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compositionComposition:DONEPEZIL-5MG+MEMANTINE-10MG
prescription
Prescription Medicine
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Donep-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-5MG+MEMANTINE-10MG

Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Donep-M Forte Tablet

Donep-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 Donep-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 Donep-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 Donep-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 Donep-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 Donep-M Forte Tablet

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

  • Moderate to severe Alzheimer's disease: Donep-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

Donep-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 Donep-M Forte Tablet
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.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • 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 Donep-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 Donep-M Forte Tablet Works

Donep-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 Donep-M Forte Tablet , may increase its drowsiness effect and cause excessive sleepiness.

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Pregnancy

Caution

Donep-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 Donep-M Forte Tablet passes through breast milk or not. So, caution should be exercised if you are breastfeeding.

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Driving

Unsafe

Donep-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

Donep-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

Donep-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 Donep-M Forte Tablet in children have not been established.

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Heart

Caution

Donep-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

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

What if I have taken an overdose of Donep-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.
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Have a query?

How Soon It Starts Working

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

What if you forget to take Donep-M Forte Tablet

If you miss a dose of Donep-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 Donep-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

verifiedApollotooltip

Drug-Drug Interaction:

  • NSAIDs (like ibuprofen or naproxen): May increase the risk of developing stomach ulcers and stomach bleeding when taken alongside Donep-M Forte Tablet .
  • Anticholinergic drugs (like certain allergy, bladder control, or cold medicines): May block the action of Donep-M Forte Tablet , making both medicines less effective.
  • Anaesthetics: Can interact with Donep-M Forte Tablet , potentially prolonging the effects of muscle relaxants used during surgical procedures.
  • Other cholinesterase inhibitors: Combining Donep-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 Donep-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 + MemantineMetrizamide
Severe
Donepezil + MemantineIohexol
Severe

Drug-Drug Interactions

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Donepezil + MemantineMetrizamide
Severe
How does the drug interact with Donep-M Forte Tablet:
The combined use of metrizamide and Donep-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 Donep-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 Donep-M Forte Tablet:
Coadministration of Iohexol and Donep-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 Donep-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 + MemantineBupropion
Severe
How does the drug interact with Donep-M Forte Tablet:
Taking Bupropion with Donep-M Forte Tablet may increase the levels and risk of Donep-M Forte Tablet side effects.

How to manage the interaction:
Co-administration of Bupropion with Donep-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 + MemantineIopamidol
Severe
How does the drug interact with Donep-M Forte Tablet:
The combined use of Iopamidol and Donep-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 Donep-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 Donep-M Forte Tablet:
Coadministration of Cyclopentolate with Donep-M Forte Tablet can reduce the levels and effects of Cyclopentolate.

How to manage the interaction:
Taking Cyclopentolate with Donep-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 + MemantineIomeprol
Severe
How does the drug interact with Donep-M Forte Tablet:
Co-administration of Iomeprol and Donep-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 Donep-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 + MemantineTramadol
Severe
How does the drug interact with Donep-M Forte Tablet:
Coadministration of Tramadol with Donep-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 Donep-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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Habit Forming

No

Therapeutic Class

[CENTRAL NERVOUS SYSTEM AGENTS]

FAQs

Donep-M Forte Tablet is used to treat Alzheimer's disease (memory loss), a progressive neurodegenerative disorder that affects the brain.
Donep-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 Donep-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 Donep-M Forte Tablet , as he might stop it 2 hours before undergoing surgery.
Yes, the use of Donep-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, Donep-M Forte Tablet is known to cause weight loss. So, while taking Donep-M Forte Tablet , you should constantly monitor your body weight to avoid major weight loss.
Taking Donep-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, Donep-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.
Donep-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 Donep-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 Donep-M Forte Tablet preferably just before bedtime or as advised by the doctor.
Donep-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.
Donep-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 Donep-M Forte Tablet to prevent any interactions/side effects.
Do not discontinue Donep-M Forte Tablet without consulting your doctor. To treat your condition effectively, keep taking Donep-M Forte Tablet for the prescribed duration.
Store Donep-M Forte Tablet at room temperature, in a dry place. Keep out of sight and reach of children.
Donep-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 Donep-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, Donep-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.
Donep-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, Donep-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

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - DON0096

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