Doctor insights on:
Aricept And Exelon Together
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. ...Read moreSee 2 more doctor answers
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
Does taking celexa along with Aricept (donepezil) lessen the effectiveness of the aricept (donepezil)?
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 ...Read more
Does seroquel or escitalipram interfere with stalevo (carbidopa and levodopa and entacapone) and/or requip?
Worsening: Back to a baseline, significantly lower level of functioning is the most common phenomenon, which is seen by family/staff as a sudden worsening of the dementia (depending on the stage), it may consist of forgetting names, inability to execute simple tasks, not recognizing people/places, incontinence, etc. ...Read moreSee 1 more doctor answer
Yes: Thank combination of medications is safe to be taken together. ...Read more
Is the risk of psychoses greater with adding 1mg requip or 125mg stalevo (carbidopa and levodopa and entacapone)?
Stalevo (carbidopa and levodopa and entacapone): It has much more dopamine.Get a more detailed answer ›
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. ...Read more
What is the difference between Parkinson's drug sinemet and stalevo (carbidopa and levodopa and entacapone)?
COMT inhibitor: Entacaptone is a selective catecholamine-o methyl transferase (comt) inhibitor that increases the bioavailabilty of dopamine. Like Carbidopa in sinemet it does not cross the blood brain barrier. Stalevo (carbidopa and levodopa and entacapone) is a combination of l dopa, Carbidopa and entacaptone. Sinemet is a combination of Carbidopa and l-dopa. ...Read more
Is it safe to take ritalin and strattera and Zoloft and wellbutrin (bupropion) and omega 3 with ginko biloba together ?
Polypharmacy: Two stimulants + two antidepressants + two supplements is a lot of chemical! A physician and/or pharmacist should review this regimen and the doses. Ginko can enhance the effects of some antidepressants so dose modification may be in order. Many of these products are metabolized by the liver, so monitoring of your liver functions would be wise. ...Read moreSee 1 more doctor answer
Hi, for the Alzheimer's disease.How to choose btween galantamine (galantamine hydrobromide) 4mg bd or memantine 5mg?
Not equivalent: Galantamine (galantamine (galantamine hydrobromide) hydrobromide) is in a different class of medicines than memantine so they are not equivalent. The combination of memantine and a cholinesterase inhibitor such as galantamine (galantamine hydrobromide) is used in moderate to severe dementia to decrease behavioral symptoms. The combination appears to work better than either alone. ...Read moreSee 1 more doctor answer
Early vs later stage: Both relieve symptoms of the disease & focus on neurotransmitters key to memory and learning. Aricept focuses on acetycholine in an attempt to slow its loss because of alzheimer's. Namenda (memantine) focuses on glutamate, blocking the excess produced as a part of the disease. Namenda (memantine) is better suited to moderate to advanced stages of alzheimer's, while Aricept is for early onset through advanced stages. ...Read moreSee 1 more doctor answer
Can i take the neupro (rotigotine) patch for RLS if i take aspirin, prilosec, pravastatin, zonegran, cymbalta, and wellbutrin?
I ran the whole list.: Cautions came up with bupropion and duloxetine increasing the risk of seizures, Aspirin and duloxetine increasing the risk of bleeding, zonisamide and duloxetine increasing the risk of bleeding, zonisamide and duloxetine increasing effects such as dizziness drowsiness and difficulty concentrating and the same warnings were presents for Neupro (rotigotine) with zonisamide and new pro with duloxetine. So it appears that adding the new medication does stand a chance of increasing your risk of dizziness drowsiness and difficulty concentrating. I included the others just for your general information. Best wishes.It would seem to me that Horizant might be a better option for you. ...Read more
Campral/Cymbalta: Yes, as prescribed.Get a more detailed answer ›