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|US Brand Name||Exelon|
Rivamer 4.5 mg is a prescription medicine used to treat mild to moderate dementia of the Alzheimer's type. It contains the active ingredient Rivastigmine and is prescribed for the symptomatic treatment of patients with idiopathic Parkinson's disease and mild to moderate dementia of the Alzheimer's type. The medicine should not be given for longer than six months. It is important to use it under the supervision of a doctor. The capsules should only be prescribed by a clinician who is experienced in diagnosing and managing dementia. A dosing regimen in patients above 85 years of age should proceed with caution. There is no sufficient data related to the use of medicine in children. Therefore, the medicine is not recommended in children under 18 years of age.
People with Alzheimer's disease have low acetylcholine levels, a chemical substance found in the brain and is thought to play a crucial role in memory and other mental functions. Rivastigmine, the active ingredient, acts by inhibiting acetylcholinesterase which breaks down acetylcholine. This ultimately increases the level of acetylcholinesterase in the brain. Rivamer treats the symptoms, not a cure of the disease. Most patients who have Alzheimer's disease notice improved mental functions for up to six months.
The medicine is used to treat the condition. Rivastigmine is a cholinesterase inhibitor that is effective in treating a variety of patients. The medicine is effective from mild to moderate-severe Alzheimer's disease.
You must take Rivamer twice daily, once with your breakfast and once with the evening meal. Your doctor will advise you regarding the correct dosage you need to take, starting with a low dose and gradually increasing depending on your condition and response to treatment.
Swallow the capsules whole with a drink of water without opening or crushing them.
- Before taking Rivamer capsules, it is important that you take care of the following points and if any one of them applies to you, discuss with your doctor.
- It is contraindicated in patients with known hypersensitivity to Rivastigmine, other components of the formulation.
- Do not take Rivamer 4.5 mg if you are allergic to Rivastigmine or any other ingredients of the medicine.
- Avoid taking this medicine if you are allergic to carbamate derivatives such as neostigmine prescribed in the treatment of myasthenia gravis.
- If you have used Rivastigmine and got a skin reaction, inform your doctor.
- Let your doctor know before taking this medicine if you have irregular heartbeat, heart failure, heart attack, an active stomach ulcer, impaired kidney function, liver disease, seizures, difficulties passing urine, active stomach ulcer, asthma, severe respiratory disease, low levels of potassium and magnesium in the blood.
The most reported adverse effects are gastrointestinal, including nausea and vomiting. Female patients in clinical reports were found to be more susceptible to gastrointestinal effects and weight loss.