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Doctor insights on: Aricept And Exelon Together

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Should Aricept and exelon (rivastigmine) be taken together for maximum dementia treatment? Ty, mike

Should Aricept and exelon (rivastigmine) be taken together for maximum dementia treatment? Ty, mike

In general no: Cholinesterase inhibitors like Aricept and Exelon (rivastigmine) slow functional decline in early dementia but do not modify the overall decline seen with dementia. In moderate and late disease these medicines decrease anxiety, agitation and aggression. Combining the medications is unlikely to offer benefit clinically and may increase side effects.

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Dr. James Lin
75 Doctors shared insights

Donepezil (Definition)

Donepezil is a medication indicated for the treatment of alzheimer's disease that increases acetyl choline (a chemical involved in memory). While it does not cure the disease, it has potential for preserving the quality of life of a sufferer when compared to not treating. For instance, it has been showed to delay the time ...Read more


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Which is most effective in slowing down Alzheimer's: aricept, exelon, (rivastigmine) or reminyl?

Which is most effective in slowing down Alzheimer's: aricept, exelon, (rivastigmine) or reminyl?

No head2head study: So far, there are no head-to-head studies demonstrating that one medication is better than the other/rest. Aricept (donepezil), Exelon (rivastigmine) & Razadyne (nee Reminyl aka galantamine) are all acetylcholinesterase inhibitors (AChEI). Namenda (memantine) is an NMDA receptor antagonist which is often used in conjunction w/one of these AChEI to slow down progression of Alzheimer's disease.

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Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

No: No treatment is yet available for lewy body dementia. However, these might help alleviate some symptoms temporarily.

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My husband has Lewy body dementia. He is on Aricept 23 and namenda for many years. The new doctor advises trying exelon (rivastigmine). I am afraid to change. Is one better than the other?

Perhaps: The fda has approved Exelon (rivastigmine) for use in parkinsonian dementia, which is very similar to "lewy body dementia", and the difference is very subtle. Aricept has never shown significant benefit consistently in research studies on lewy body and is not my preferred agent either. Namenda has shown poor results for the most part also. Would definitely heed your doc's advice.

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Psychiatrist prescribed donezepil months ago. GP prescribed Exelon (rivastigmine) Patch. Are both used together?

Psychiatrist prescribed donezepil months ago. GP prescribed Exelon (rivastigmine) Patch. Are both used together?

No: I suggest you inform the doctors. Then get thee to a dementia specialist to get thing sorted out. There are 5 certified Behavioral Neurologists in Florida. 2 in Gainsville, 2 in Jacksonville, one in St Pete. Some Neurologists can be of help as well. (A behavioral Neurologist has additional training and certification in evaluating and treating memory disorders (Things like Alzheimer's disease

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My mom was diagnosed with ft dementia and is on Aricept and namenda (memantine). She is doing better, but do thesedrugs together slow down progression? There is conflicting information on the internet.

My mom was diagnosed with ft dementia and is on Aricept and namenda (memantine). She is doing better, but do thesedrugs together slow down progression? There is conflicting information on the internet.

Do not slow disease: Aricept and Namenda (memantine) can slow functional decline in early alzheimer's. There is some evidence that Namenda (memantine) can help some of the language difficulties in ft dementia. There is some evidence that Aricept can worsen behaviors in those with ft dementia. There are no known treatments that slow or stop brain death in alzheimer's or ft dementia. Namenda (memantine) can help decrease anxiety, agitation and aggressio.

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Please describe the medication: aricept (donepezil)?

Please describe the medication: aricept (donepezil)?

For dementia: Aricept or donepezil is a cholinesterase inhibitor. It increases the amount of acetylcholine that your brains sees. This can improve concentration in those who do not have enough. It can help slow functional decline in those wih early alzheimer's, lewy body and vascular dementias. Later in the illness, this medicine can decrease anxiety, agitation and aggression.

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Does Aricept (donepezil) cause any long term harm?

It can: It can cause GI bleeding, seizures, urinary retention. These are all uncommon.

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What side effects are associated with Aricept (donepezil)?

Various dep on dose: Common reactions include: nausea, diarrhea, headache, insomnia, dizziness, muscle cramps, vomiting, fatigue, loss of appetite, and weight loss. Less common but serious reactions can occur in some individuals, including: AV block, slowed heart rate, fainting, seizures, and GI bleeding. If you are taking or considering taking this medication, consult with your doctor and discuss your concerns.

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What side effects are associated with Exelon (rivastigmine)?

Exelon (rivastigmine): Some are Diarrhea, Nausea, Indigestion, Gases, Confusion, Dizziness, Hallucinations, Feeling sick. Less common are Anxiety, Depression, Insomnia, Sweating, Head pain, High blood pressure, UTI, Weight loss. Rare ones are Aggression, Anemia, Cataracts, Bloody urine, Heart failure, Kidney failure, Nosebleeds, Rash, Seizures, Stroke.

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Is Aricept (donepezil) as affective in advanced stages alzhimers?

Possibly less: I would first ask if Alzheimer's (DAT) is the correct diagnosis. DAT is not always the correct diagnosis in cases of neurocognitive disorders (dementia). Other conditions also cause trouble with memory and thinking in advanced age and are often missed. If DAT is the correct diagnosis, Aricept (donepezil) helps slow the functional decline but not the actual disease process. New medicines are in development.

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I take Aricept (donepezil) 1o mg and sinement 100 mg. I want to know how is best taken. Like with or without food?

I take Aricept (donepezil) 1o mg and sinement 100 mg. I want to know how is best taken. Like with or without food?

Without food: The sinemet (carbidopa and levodopa) might not be absorbed as well depending on the types and amounts of certain amino acids.

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How does Aricept (donepezil) work?

Enzyme Blocker: This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain.

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What is Exelon (rivastigmine) used for?

Exelon (rivastigmine): It is a reversable Cholinesterase inhibitor used mainly to treat mild to moderate dementia from Alzheimer's disease or Parkinson's disease.

Dr. Alan Ali Dr. Ali
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Who should not take Aricept (donepezil)?

Dr. Alan Ali Dr. Ali
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Who should not take Aricept (donepezil)?

Aricept (donepezil): Ones with hypersensitivity to Aricept, (donepezil) Heart disease, COPD, Asthma, Arrhythmias. Caution if seizures.

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Who should not take Exelon (rivastigmine)?

Exelon (rivastigmine): "EXELON is contraindicated in patients with: known hypersensitivity to rivastigmine, other carbamate derivatives or other components of the formulation. A previous history of application site reaction with rivastigmine transdermal patch suggestive of allergic contact dermatitis, in the absence of negative allergy testing." See: http://dailymed. Nlm. Nih. Gov/dailymed/drugInfo. Cfm? Setid=f1e28b44-389

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What is the generic form of Aricept (donepezil)?

Donepezil: The generic donepezil is available in 5 and 10 mg sizes, but the newer higher dose 23 mg is brand specific.

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Dr. Milroy Samuel
69 Doctors shared insights

Aricept (Definition)

Aricept is an anti-Alzheimer's agent which is a kind of reversible ...Read more