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Doctor insights on: Rivastigmine

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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. ...Read more

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My cousin is taking 4.5 mg of Rivastigmine in the morn for dementia. At night he takes 50 mg quetiapine for schizophrenia which causes disorientation?

My cousin is taking 4.5 mg of Rivastigmine in the morn for dementia.  At night he takes 50 mg quetiapine for schizophrenia which causes disorientation?

The dementia: Rivastigmine provides limited benefit for dementia (no real effective treatment ) and quetiapine (Seroquel) is use for agitation and insomnia associated with dementia. Neither prevent the progression of the disease (although rivastigmine may slow for about 6-12 months). Disorientation in dementia can be caused by other meds, sleep apnea, urinary tract infection, any other medical illness etc. ...Read more

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Aricept (donepezil hcl) useful for dementia Lewy body?

Aricept (donepezil hcl) useful for dementia Lewy body?

Seems to be: As it increases acetylcholine in the brain and that can improve attention deficits and cognitive fluctuations. ...Read more

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Which alzheimer's drug is most effective: Aricept or namenda (memantine)?

Which alzheimer's drug is most effective: Aricept or namenda (memantine)?

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 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. ...Read more

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Side effects of namenda (memantine)?

Side effects of namenda (memantine)?

Dizziness: The main side-effect (3%) compared to placebo in fda trials was dizziness. However a small percentage of demented patients may have varying symptoms including aggressiveness, apathy, depression. Behavioral changes happen within the first few weeks as a rule but are reversible with discontinuation. ...Read more

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Can namenda (memantine) stop progression of alzheimer's?

Can namenda (memantine) stop progression of alzheimer's?

No: It slows down the progression but it does not stop. Unfortunately, at the present time, there are no fda approved medications that have shown to cure or to stop the progression of alzheimer's disease. There are ongoing studies to find ways to cure... ...Read more

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Dr. Alvin Lin Dr. Lin
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How effective is rivastigmine (Exelon) for treating Alzheimer's disease?

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
How effective is rivastigmine (Exelon) for treating Alzheimer's disease?

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

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Expert opinions? Which alzheimer's drug is more effective: Aricept or namenda (memantine)?

Expert opinions? Which alzheimer's drug is more effective: Aricept or namenda (memantine)?

Yes: They both have advantages and disadvantages. To learn about the risks and benefits to make a decision you should consult your doctor. ...Read more

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What is Namenda (memantine) used for?

What is Namenda (memantine) used for?

Alzheimer's dementia: Most commonly this medication is prescribed for this disorder. ...Read more

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Is selegiline effective as azilect (rasagiline) for parkinsons?

Is selegiline effective as azilect (rasagiline) for parkinsons?

MAO-B inhibitors: Both selegiline (eldepryl) and Rasagiline (azilect) are mao-b inhibitors, with a couple important differences. Azilect (rasagiline) is much more specific for mao-b, meaning no risk of serotonergic crisis when used alongside ssri antidepressants (celexa, lexapro, etc). Azilect (rasagiline) is also the only neuroprotective drug for parkinson's. Take care! ...Read more

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Hi, for the Alzheimer's disease.How to choose btween galantamine (galantamine hydrobromide) 4mg bd or memantine 5mg?

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 more

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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. ...Read more

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Dr. Alan Ali Dr. Ali
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What side effects are associated with Exelon (rivastigmine)?

Dr. Alan Ali Dr. Ali
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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

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Please describe the medication: namenda (memantine)?

Please describe the medication: namenda (memantine)?

Alzheimer's: Indicated for moderate to severe alzheimer's dementia, and used best in combination with anticholinergic drugs. Seems to slow memory loss, improve behavior, especially agitation, and maybe very useful in nursing homes, where has been noted to improve tv watching. Actually very safe, but only modestly effective. ...Read more

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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 ...Read more

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Can exelon (rivastigmine) patch be applied anywhere on body?

Can exelon (rivastigmine) patch be applied anywhere on body?

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

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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What side effects are associated with Exelon (rivastigmine)?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

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

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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

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
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How effective is rivastigmine (Exelon) for treating Alzheimer's disease?

Dr. Alvin Lin Dr. Lin
3 doctors agreed:

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

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What to do if I do not have alzheimer's, what happens if I put on an exelon (rivastigmine) patch?

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

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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

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Are memska 10 mg and exelon (rivastigmine) patch 5 good for moderate alzheimer's disease do they make the case better?

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

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Is it safe to take exelon (rivastigmine) while pregnant or nursing?

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

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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 ...Read more