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compositionComposition:RIVASTIGMINE-4.50MG
prescriptionPrescription Medicine
Exelon 4.5mg Capsule 14's
Exelon 4.5mg Capsule 14's
Exelon 4.5mg Capsule 14's
Exelon 4.5mg Capsule 14's
Exelon 4.5mg Capsule 14's

Exelon 4.5mg Capsule used to treat mild to moderate dementia (memory loss) associated with Alzheimer's and Parkinson's disease. It increases the levels of a brain chemical called acetylcholine, which helps nerve cells to communicate more easily. It slows cognitive decline and improves cognitive functions, including memory, cognition, and awareness. It also helps patients perform daily activities more easily and improve their overall quality of life.

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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 :

RIVASTIGMINE-4.50MG

Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Exelon 4.5mg Capsule

Exelon 4.5mg Capsule used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease (a brain disorder that slowly destroys memory and thinking) and Parkinson's disease (a movement disorder that causes tremors and stiffness).

Exelon 4.5mg Capsule contains Rivastigmine, which increases the levels of a brain chemical called acetylcholine by blocking the enzyme responsible for its breakdown. This helps nerve cells to communicate more easily, supporting clearer thinking and better memory.

Take Exelon 4.5mg Capsule exactly as prescribed by your doctor. Swallow it whole with a glass of water, and do not crush or chew it. Exelon 4.5mg Capsule may cause common side effects such as nausea, vomiting, upset stomach, dizziness, drowsiness, shakiness (tremor), weakness and loss of appetite. Please consult your doctor if these side effects persist or worsen.

Tell your doctor if you are allergic to any ingredients in Exelon 4.5mg Capsule or to other medications. Inform your doctor beforehand if you have breathing problems (asthma or COPD), stomach ulcers or bleeding, seizures, urination problems, or heart, liver, or kidney disease. Consult your doctor before taking Exelon 4.5mg Capsule if you are pregnant, planning to become pregnant, or breastfeeding. Exelon 4.5mg Capsule is not recommended for children below 18 years of age.

Uses of Exelon 4.5mg Capsule

Exelon 4.5mg Capsule is used in the treatment of mild to moderate dementia (memory loss) caused by Alzheimer's and Parkinson's disease. The detailed uses of Exelon 4.5mg Capsule are as follows:

  • Management of Alzheimer's disease dementia: Exelon 4.5mg Capsule is used to improve cognitive functions, such as memory, thinking, and awareness, in patients with Alzheimer's disease.
  • Management of Parkinson's disease dementia: Exelon 4.5mg Capsule is used to treat memory loss and mental changes in patients with Parkinson's disease.

Have a query?

Directions for Use

  • Take Exelon 4.5mg Capsule with food to avoid any stomach upset.
  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Swallow it as a whole with a glass of water.
  • Do not crush, chew, or break it.

Key Benefits

Exelon 4.5mg Capsule offers the following medicinal benefits:

  • Effectively treats mild to moderate dementia (memory loss) in patients with Alzheimer's and Parkinson's disease.
  • Slow down the progression of memory loss and cognitive decline.
  • Improves focus, thinking, and problem-solving skills.
  • Makes daily activities easier and more manageable.
  • Reduces confusion and helps patients stay more aware of their surroundings.
  • May reduce behavioural problems like agitation or restlessness.
  • May improve gait stability in patients with Parkinson's disease and reduce the risk of falls.

How Exelon 4.5mg Capsule Works

Exelon 4.5mg Capsule contains Rivastigmine, which increases the levels of a brain chemical called acetylcholine by blocking the enzyme responsible for its breakdown. This helps nerve cells to communicate more easily, supporting clearer thinking and better memory.

Storage

Store in a cool and dry place away from sunlight
Side effects of Exelon 4.5mg 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.

What if I have taken an overdose of Exelon 4.5mg Capsule

Do not take more than the prescribed dose of Exelon 4.5mg Capsule , as it may cause adverse effects. If you suspect you have taken an overdose or notice any unusual symptoms, please consult a doctor immediately.

Drug Warnings

  • Do not take Exelon 4.5mg Capsule if you are allergic to any of its ingredients.
  • Inform your doctor beforehand if you have breathing problems (asthma or COPD), stomach ulcers or bleeding, seizures, urination problems, an enlarged prostate, or heart, liver, or kidney disease.
  • Consult your doctor before taking Exelon 4.5mg Capsule if you are pregnant, planning to become pregnant, or breastfeeding.
  • Exelon 4.5mg Capsule is not recommended for children below 18 years of age, as its safety and effectiveness have not been established.
  • Inform your doctor if you are taking any prescription or nonprescription medications, including vitamins or herbal products, to avoid potential side effects or interactions.
  • Do not drive or operate machinery after taking Exelon 4.5mg Capsule , as it may cause dizziness and sleepiness.

Drug-Drug Interactions

verifiedApollotooltip
RivastigmineBupropion
Severe
RivastigmineMetrizamide
Severe

Drug-Drug Interactions

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RivastigmineBupropion
Severe
How does the drug interact with Exelon 4.5mg Capsule:
Talking bupropion and Exelon 4.5mg Capsule together can increase risk of having seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Exelon 4.5mg 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 4.5mg Capsule:
Taking Exelon 4.5mg Capsule and Metrizamide together may increase the risk of developing seizures (fits).

How to manage the interaction:
Although taking Exelon 4.5mg 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.
RivastigminePropranolol
Severe
How does the drug interact with Exelon 4.5mg Capsule:
Coadministration of Exelon 4.5mg 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 4.5mg 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.
RivastigmineTramadol
Severe
How does the drug interact with Exelon 4.5mg Capsule:
Taking Tramadol with Exelon 4.5mg Capsule can significantly increase the risk of seizures (fits).

How to manage the interaction:
Taking Exelon 4.5mg 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 4.5mg Capsule:
Exelon 4.5mg 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 4.5mg Capsule if prescribed by the doctor. Consult the prescriber if you develop headache, dizziness, lightheadedness, fainting, or irregular heart rate.

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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Diet & Lifestyle Advise

Dietary recommendations:

  • Include fruits and vegetables rich in antioxidants and omega-3 fatty acids in your diet.
  • Eat berries, leafy greens, nuts, fish, whole grains, and olive oil in your meals.
  • Avoid processed foods, sugary drinks, fried snacks, and high-sodium foods.
  • Limit foods with high cholesterol and saturated fats.
  • Drink plenty of water.

Physical activity:

  • Maintain a healthy weight by following a healthy diet and exercising.
  • Doing aerobic exercises such as swimming or walking can help improve blood flow and memory.
  • Try to avoid stress by practising meditation or yoga.

Mental well-being:

  • Engage in mentally stimulating activities such as puzzles and reading.
  • Stay connected with family and friends to improve cognitive health.

Habit Forming

No

Therapeutic Class

[ANTI- ALZHEIMER'S AGENTS]

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Alcohol

Caution

It is advised to limit alcohol consumption while taking Exelon 4.5mg Capsule . Alcohol intake, along with Exelon 4.5mg Capsule , may cause increased dizziness and drowsiness. Please consult your doctor for more information.

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Pregnancy

Caution

Exelon 4.5mg Capsule should be used during pregnancy only if the benefit outweighs the risk. Please consult your doctor before taking Exelon 4.5mg Capsule if you are pregnant or planning to conceive.

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Breast Feeding

Caution

It is not known if Exelon 4.5mg Capsule is excreted into the breast milk. Please consult your doctor before taking Exelon 4.5mg Capsule if you are a breastfeeding mother.

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Driving

Caution

Exelon 4.5mg Capsule may cause dizziness or drowsiness. 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 4.5mg Capsule if you suffer from any liver impairment.

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Kidney

Caution

Please consult your doctor before using Exelon 4.5mg Capsule if you suffer from any kidney impairment.

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Children

Unsafe

Exelon 4.5mg Capsule is not recommended for people under 18.

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Heart

Caution

Exelon 4.5mg Capsule should be used with caution in patients with cardiovascular disease. Please inform your doctor about any existing heart problems before using Exelon 4.5mg Capsule .

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Geriatrics

Safe if prescribed

Exelon 4.5mg Capsule is safe for use in elderly patients if prescribed by the physician.

FAQs

Exelon 4.5mg Capsule used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease (a brain disorder that slowly destroys memory and thinking) and Parkinson's disease (a movement disorder that causes tremors and stiffness).

Exelon 4.5mg Capsule contains Rivastigmine, which increases the levels of a brain chemical called acetylcholine by blocking the enzyme responsible for its breakdown. This helps nerve cells to communicate more easily, supporting clearer thinking and better memory.

Exelon 4.5mg Capsule should be used with caution in the medical history of liver or kidney diseases, breathing problems (asthma and COPD), stomach/intestinal problems (ulcers and 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 4.5mg Capsule .

It is advised to take Exelon 4.5mg 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 4.5mg 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 4.5mg Capsule may take up to 12 weeks to start working. Each person reacts differently to the medicine. The clinical benefits of Exelon 4.5mg Capsule should be evaluated regularly. If the symptoms do not improve after 12 weeks of treatment, Exelon 4.5mg Capsule should be stopped.

Exelon 4.5mg Capsule should be taken as advised by the doctor. Usually, Exelon 4.5mg Capsule is prescribed for twice-daily administration, in the morning and evening, with food. Swallow it as a whole with a glass of water. Do not open, crush or chew it.

Yes, antacids can be taken with Exelon 4.5mg Capsule as they do not interfere with the working of Exelon 4.5mg 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 4.5mg Capsule , it may cause stomach pain, diarrhoea, dizziness, headache, tremor, hallucinations, sleepiness, and malaise. Higher doses may also cause increased sweating, confusion, and elevated blood pressure. In case you take an overdose of Exelon 4.5mg Capsule , seek medical attention immediately.

Yes, Exelon 4.5mg 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 discontinue Exelon 4.5mg Capsule without consulting your physician. However, if treatment is stopped for more than three days, do not take Exelon 4.5mg Capsule and consult your doctor. The physician will restart the treatment at a low dose twice daily. Subsequently, the dose can be increased gradually, as previously done.

Yes, Exelon 4.5mg Capsule can cause hallucinations. However, hallucinations are reported in very few people. It typically occurs shortly after a dose increase.

Country of origin

Switzerland

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - EXE0063

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