Doctor insights on:
Exelon Patch Medication
My grandma has moderate Alzheimer's are memeska 10 mg and exelon (rivastigmine) patch 5 medications good also she has hypothyrodism with TSH 3.89 T3 1.8. T4 1.1?
Good treatment: Looks like your grandma is well treated. ...Read more
Should galantamine (galantamine hydrobromide) and exelon patch be used together. My mother went from walking to bed-ridden in less then 2 mos. After starting exelon patch.?
No: They work the same way. Use one or the other not both together. ...Read more
Would there be any drug interaction by taking exelon (rivastigmine) patch and phosphatidylserine (from soybeans)?
Yes: Phosphatidylserine increases levels of acetylcholine in the body. Exelon (rivastigmine) also increases levels of acetylcholine, so the combination of these might increase the side effects of the drugs. I would not recommend taking them together until you talk to your doctor first. ...Read more
Kindly inform me which vitamin and calcium should I give my 75 years old mother which is on crestor and exelon (rivastigmine) medication... Thank you?
Complicated: In reference to vitamins: a generic over the counter multivitamin (store brand is fine) will supply all the daily requirements. For advice regarding vitamin D and calcium, more information is necessary including renal function, bone density, fracture history, family history, liver function and co-morbid conditions - this is best determined by your mother's family doctor. ...Read more
Yes: Put it where it's most convenient!Get a more detailed answer ›
Yes: The patch can be applied anywhere on the skin, but the site should be rotated so that the adhesive does not irritate the skin as much. ...Read more
Is there a benefit in taking memantine with the exelon (rivastigmine) patch? Are there any side effects?
Alzheimer's disease: Memantine is indicated for the treatment of moderate and late stages of alzheimer's disease. The benefits may be subtle, mainly noticed by relatives in the form of better ability to communicate. It is designed to be used in combination with either exelon, (rivastigmine) razadyne or aricept. Side effects may include irritability, confusion, tremors and dizziness. Needs dose adjustment for impaired renal function. ...Read more
Nothing.: It is used to alleviate symptoms of dementia, not just Alzheimer's dementia but also vascular dementia due to several causes such as stroke, Parkinson's Disease, traumatic brain injury or multiple sclerosis. However, you might experience the side-effects such as confusion, depression or even an allergic response. It is similar to taking a headache medication without a headache. ...Read more
Are memska 10 mg and exelon (rivastigmine) patch 5 good for moderate alzheimer's disease do they make the case better?
Not a cure: Both Namenda and Exelon (rivastigmine) are approved for the treatment of alzheimers dementia. They help stabilize the disease and may slow progression. These drugs also help manage difficult behaviors associated with the disease. Newer drugs are coming out through clinical trials. Go to nih. Org for more information about trials in your area. ...Read more
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
Is there anything that can be applied to the skin or taken orally to minimize the local skin reaction (itching & erythema) from exelon (rivastigmine) patch.?
Tough situation: Do not use lotions or ointments underneath the patch as it makes things worse. Some pts have done well with Benadryl (diphenhydramine) or steroid cremes prior to use of patch, but this too is not often successful. Best approach, rotate frequently, wash site with water only, then dry thoroughly, wait a few seconds and apply. If all else fails, phone the company 800 line and ask to speak to a nurse. ...Read more
"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 ...Read more
Exelon (rivastigmine): Rivastigmine.Get a more detailed answer ›
Exelon (rivastigmine): Yes you do.Get a more detailed answer ›
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. ...Read more
Same as others. . .: Rivastigmine is probably as effective as galantamine (galantamine hydrobromide) & donepezil in treating Alzheimer's disease, which is to say, not very. While their FDA approvals required demonstrating better test scores, studies were contradictory as to clinical benefit. Best we can hope w/acetylcholinesterase inhibitor class is to slow down disease progression but there is no cure yet. Perhaps better if used w/memantine. ...Read more
Grandma is taking exelon (rivastigmine) & Paroxat 20mg, but she feels tired, sleepy and has body pain. Any recommendations?
Meeting with doctor: Make sure these symptoms are being relayed to the doctor. Sometimes the family is informed but the doctor is not. Once on a medication like Exelon (rivastigmine) it is hard to come off it without a profound decline in cognition. Localization of pain is helpful. Diffuse muscle pain in somebody on cholesterol medication would obviate a blood test (CPK enzyme) to see if a change in statin drug should be made. ...Read more
For Dementia: It would be unusual to prescribe Exelon (rivastigmine) for a p[regnant woman, as it is generally used for dementia, which would rarely afflict a woman of child bearing age. However, familial alzheimers disease can rarely afflict people as young as in the forties, so pregnancy may still occur. I would not recommend Exelon in a pregnant woman. ...Read more
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 more
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
My 75 years old mother takes Paroxat 20mg and exelon (rivastigmine)... I came to know that Paroxat has so many sides effects... Sleepness... Body pain. Forgetful?
The symptoms: May be due to other conditions. Make sure your mothers Doctor know about these symptoms. Set up a meeting to discuss the problems and make sure information is being exchanged. ...Read more
My 75 years old mom is on crestor 10mg and exelon (rivastigmine) what multi vitamins and calcium can give her?
Statins as a group deplete the liver of coQ10 levels.
CoQ10 is an ubiquitous substance which is crucial for any cellular function.
Get good quality CoQ10 like Qsorb- Vitamin shop or order from willner chemist online, you can talk to one of the holistic pharmacists who will help you pick the best one for you. Wilvite is one of the best multivitamin & calcium 500 mg daily. ...Read more
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. ...Read more
LOCAL STEROIDS: Steroid creams after evaluation by your doctor. ...Read more
I have been suffering from dark patches on my back and bug bites. Also my skin looks dull is there a medication to remove those patches?
Time: These patches usually fade away or lighten significantly with time as long as you are not irritating them. A bleaching cream containing several ingredients may also hasten the fading but it is not inexpensive. For even more expensive option, intense pulse light or laser may be considered. ...Read more
What oral medication can I take to go lighter. I am covered by vitiligo, two-thirds of my body. Want the patches not to look prominent. I am dark?
Vitiligo: There are no oral medications to bleach your skin. There are topical agents which can do this, but you would need to have a full and detailed conversation with a dermatologist about it as there are risks. A much safer alternative would be to dry using a blending agent for people with vitiligo called dermblend. If you have not seen a dermatologist for your condition, I suggest you do so. ...Read more