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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Exelon 1.5 mg Capsule is used to treat mild to moderate dementia caused by Alzheimer's or Parkinson's disease. It contains Rivastigmine, which improves mental function, such as memory and thinking. It may cause common side effects such as nausea, vomiting, upset stomach, dizziness, drowsiness, shakiness (tremor), weakness and loss of appetite.
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Composition :

RIVASTIGMINE-1.5MG

Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Exelon 1.5 mg Capsule

Exelon 1.5 mg Capsule  used to treat mild to moderate dementia caused by Alzheimer's or Parkinson's disease. Alzheimer's disease is a neurological disorder which causes dementia (memory loss) and slowly destroys the ability to think, learn, communicate and handle daily activities. Parkinson's disease is a central nervous system disorder that affects movement, leading to shaking, stiffness and difficulty with walking, balance and coordination.

Exelon 1.5 mg Capsule contains 'Rivastigmine' that belongs to the class of 'Acetylcholinesterase Inhibitors'. Rivastigmine increases acetylcholine (a brain chemical) levels, allowing the nerve cells to communicate. It restores the balance of neurotransmitters and improves mental function, such as memory and thinking. Neurotransmitters are chemical messengers that transmit the message from one nerve cell to another nerve cell, muscle cell or gland cell.

Your doctor will decide the dose and duration based on the severity of your disease. Common side effects of Exelon 1.5 mg Capsule include nausea, vomiting, upset stomach, dizziness, drowsiness, shakiness (tremor), weakness and loss of appetite. These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor.

Let your doctor know if you use any prescription and non-prescription medications you are taking, including other vitamins, before starting Exelon 1.5 mg Capsule . Please tell your doctor if you are allergic to any medicines. Inform your doctor beforehand if you have a history of liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems or enlarged prostate. It is essential to let your doctor know if you are pregnant, planning to conceive or a breastfeeding mother. Avoid consuming alcohol along with Exelon 1.5 mg Capsule as it can make you dizzy or drowsy.

Uses of Exelon 1.5 mg Capsule

Treatment of Dementia in Alzheimer's and Parkinson's diseases.

Directions for Use

Swallow the medicine as a whole with a glass of water; do not chew, crush or break it.

Medicinal Benefits

Exelon 1.5 mg Capsule treats mild to moderate dementia caused by Alzheimer's and Parkinson's diseases. It contains 'Rivastigmine', an acetylcholinesterase inhibitor. Rivastigmine increases acetylcholine (a brain chemical) levels in the central nervous system involved in transmitting nerve signals that play an essential role in memory. Exelon 1.5 mg Capsule is not a cure for Alzheimer's and Parkinson's diseases, but it improves memory, thinking, awareness and the ability to perform daily functions.

How Exelon 1.5 mg Capsule Works

Exelon 1.5 mg Capsule contains 'Rivastigmine' that belongs to the class of 'Acetylcholinesterase Inhibitors'. Rivastigmine increases acetylcholine (a brain chemical) levels, allowing the nerve cells to communicate. It restores the balance of neurotransmitters and improves mental function, such as memory and thinking.

Storage

Store in a cool and dry place away from sunlight
Side effects of Exelon 1.5 mg Capsule
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.
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.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
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.
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.
  • 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.
  • Weight loss without physical activity needs immediate medical attention.
  • Get a physical examination and blood tests done to identify factors causing weight loss that could be related to metabolism and thyroid function.
  • Avoid smoking and alcohol intake as it can alter your liver condition and increase your weight loss.
  • Practice meditation and yoga to avoid anxiety, which can be one of the leading causes of weight loss.
  • Talk to your dietician and consume food which can maintain ideal weight.

What if I have taken an overdose of Exelon 1.5 mg Capsule

Do not take more than the prescribed dose of Exelon 1.5 mg Capsule as it may cause overdose. The symptoms of overdose include vomiting, nausea, sweating, salivation, weak or shallow breathing, slow heartbeat, fainting or fits. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Let your doctor know if you use any other medicines or supplements before using Exelon 1.5 mg Capsule . Brief your medical history if you have any liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems and enlarged prostate. Please consult your doctor know if you are pregnant, planning to conceive or a breastfeeding mother. Avoid consuming alcohol along with Exelon 1.5 mg Capsule as it might lead to increased side effects. Do not drive or operate machinery as this medicine may cause dizziness and sleepiness. Exelon 1.5 mg Capsule is not recommended for children below 18 years as safety and effectiveness have not been established. Store this medicine below 25°C away from direct sunlight.

Drug-Drug Interactions

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RivastigminePropranolol
Severe
RivastigmineBupropion
Severe

Drug-Drug Interactions

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RivastigminePropranolol
Severe
How does the drug interact with Exelon 1.5 mg Capsule:
Coadministration of Exelon 1.5 mg Capsule with propranolol can cause an abnormally slow heart rate and low blood pressure.

How to manage the interaction:
Although taking Propranolol together with Exelon 1.5 mg Capsule can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult your doctor if you experience lightheadedness, dizziness, fainting, or irregular heartbeat. Do not discontinue any medicine without consulting a doctor.
RivastigmineBupropion
Severe
How does the drug interact with Exelon 1.5 mg Capsule:
Talking bupropion and Exelon 1.5 mg Capsule together can increase risk of having seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Exelon 1.5 mg Capsule can lead to an interaction, it can be taken if recommended by a doctor. In case you experience any symptoms like muscle spasms or movements, lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, consult a doctor. Do not discontinue any medications without consulting a doctor.
RivastigmineMetrizamide
Severe
How does the drug interact with Exelon 1.5 mg Capsule:
Taking Exelon 1.5 mg Capsule and Metrizamide together may increase the risk of developing seizures (fits).

How to manage the interaction:
Although taking Exelon 1.5 mg Capsule and Metrizamide together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any unusual symptoms like muscle spasms, lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
RivastigmineTramadol
Severe
How does the drug interact with Exelon 1.5 mg Capsule:
Taking Tramadol with Exelon 1.5 mg Capsule can significantly increase the risk of seizures (fits).

How to manage the interaction:
Taking Exelon 1.5 mg Capsule with tramadol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any symptoms such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
RivastigmineBisoprolol
Moderate
How does the drug interact with Exelon 1.5 mg Capsule:
Exelon 1.5 mg Capsule may occasionally cause excessively slow heart rate and low blood pressure, and using it with bisoprolol may increase that risk.

How to manage the interaction:
Although there may be an interaction, bisoprolol can be taken with Exelon 1.5 mg Capsule if prescribed by the doctor. Consult the prescriber if you develop headache, dizziness, lightheadedness, fainting, or irregular heart rate.

Drug-Food Interactions

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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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Diet & Lifestyle Advise

  • Maintain proper weight by following a healthy diet.

  • Exercise regularly as it helps in less cognitive decline and brain volume loss.

  • Avoid smoking and alcohol consumption.

  • Try to avoid stress by practising meditation or yoga.

  • Include fruits and vegetables in your diet as they contain anti-oxidants.

  • Eat nutritious food as it helps in cognitive stimulation.

  • Limit foods with high cholesterol and saturated fats.

  • Cut down on sugar, salt and processed foods.

  • Drink plenty of water.

  • Follow a healthy lifestyle as it helps in improving overall health and possibly protects the brain.

Habit Forming

No

Therapeutic Class

ANTI- ALZHEIMER'S AGENTS

Exelon 1.5 mg Capsule Substitute

Substitutes safety advice
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Alcohol

Caution

It is advised to limit alcohol consumption while taking Exelon 1.5 mg Capsule . Alcohol intake, along with Exelon 1.5 mg Capsule , may cause increased dizziness and drowsiness. Please consult your doctor for more information.

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Pregnancy

Caution

Exelon 1.5 mg Capsule should be used during pregnancy only if the benefit outweighs the risk. Please consult your doctor before taking Exelon 1.5 mg Capsule if you are pregnant or planning to conceive.

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Breast Feeding

Caution

It is not known if Exelon 1.5 mg Capsule is excreted into the breast milk. Please consult your doctor before taking Exelon 1.5 mg Capsule if you are a breastfeeding mother.

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Driving

Caution

Exelon 1.5 mg Capsule may make you feel dizzy or drowsy. Do not drive if you experience any symptoms that affect your ability to drive or operate machinery.

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Liver

Caution

Please consult your doctor before using Exelon 1.5 mg Capsule if you suffer from any liver impairment/liver disease.

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Kidney

Caution

Please consult your doctor before using Exelon 1.5 mg Capsule if you suffer from any kidney impairment/kidney disease.

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Children

Unsafe

Exelon 1.5 mg Capsule is not recommended in people below 18 years of age.

FAQs

Exelon 1.5 mg Capsule is used to treat mild to moderate dementia caused by Alzheimer's or Parkinson's disease.

Exelon 1.5 mg Capsule contains 'Rivastigmine', an acetylcholinesterase inhibitor. It treats dementia in Alzheimer's and Parkinson's diseases by increasing acetylcholine levels in the central nervous system and enhancing the neurotransmission process. Thus, Exelon 1.5 mg Capsule improves memory, thinking and awareness.

Exelon 1.5 mg Capsule should be used with caution in the medical history of liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems and enlarged prostate. Please let your doctor know if you have any other medical problems before starting Exelon 1.5 mg Capsule .

It is advised to take Exelon 1.5 mg Capsule with food to avoid any stomach upset. Please consult your doctor for more information.

Take the medicine as soon as possible. However, if it is time for the next dose, skip the missed dose and return to your regular dosing schedule.

Exelon 1.5 mg Capsule may cause side effects such as nausea, vomiting, dizziness, drowsiness, stomach upset, weakness, loss of appetite, tremor or slow heartbeat. If these side effects persist or worsen, please consult your doctor.

Exelon 1.5 mg Capsule may take up to 12 weeks to start working. Each person reacts differently to the medicine. The clinical benefits of Exelon 1.5 mg Capsule should be evaluated regularly. If the symptoms do not improve after 12 weeks of treatment, Exelon 1.5 mg Capsule should be stopped.

Exelon 1.5 mg Capsule should be taken as advised by the doctor. Usually, Exelon 1.5 mg Capsule is prescribed to be taken two times a day, in the morning and evening, with food. Swallow it as whole with a glass of water. Do not open, crush or chew it.

Yes, antacids can be taken with Exelon 1.5 mg Capsule as they do not interfere with the working of Exelon 1.5 mg Capsule . Additionally, some patients may experience increased acid secretion in the stomach. Therefore, your doctor may prescribe an antacid to relieve this acidity.

If you take more than the recommended doses of Exelon 1.5 mg Capsule , it may cause stomach pain, diarrhea, dizziness, headache, tremor, hallucinations, sleepiness, and malaise. Higher doses may also cause increased sweating, confusion, and an increase in blood pressure. In case you take an overdose of Exelon 1.5 mg Capsule , seek medical attention immediately.

Yes, Exelon 1.5 mg Capsule can cause drowsiness or sleepiness, especially at the beginning of treatment or when increasing the dose. If you feel dizzy or sleepy, avoid driving or using machines or performing any tasks that require your attention.

No, do not stop taking Exelon 1.5 mg Capsule without consulting your doctor. However, if treatment is stopped for more than three days, do not take Exelon 1.5 mg Capsule and consult your doctor. The doctor will restart the treatment with a low dosage twice daily. Then, the dose can be increased gradually as was done previously.

Yes, Exelon 1.5 mg Capsule can cause hallucinations. However, hallucinations are reported in very few people. Usually, it may occur shortly after dose increase.

Country of origin

Switzerland

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - EXE0003

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