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At a glance

Donepezil Hydrochloride is a centrally-acting anticholinesterase agent used for the symptomatic treatment of mild to moderate dementia of Alzheimer's type.

Indications
  • Mild to moderate dementia of Alzheimer's type
Pharmacology

Donepezil Hydrochloride is a centrally acting anticholinesterase agent. It binds reversibly with acetylcholinesterase and inactivates it, thus inhibiting hydrolysis of acetylcholine. As a result the concentration of acetylcholine increases at cholinergic synapses in the brain.

Dosage

Adults and Elderly: Initially 5 mg once daily at bedtime; increase to 10 mg once daily after 4-6 weeks if needed.
Hepatic/Renal impairment: Similar dose schedule can be followed.

Side effects

Common: Nausea, vomiting, diarrhea.
Other: Insomnia, fatigue, anorexia, muscle cramps, generalized seizure.

Use in pregnancy

Pregnancy Category C. Donepezil may be unsafe during pregnancy. Animal studies have shown harmful effects on the developing baby.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

May affect driving ability (drowsiness, dizziness, blurred vision). Caution in sick sinus syndrome, risk of peptic ulcers, asthma, obstructive airway disease. Caution in peptic ulcer (may cause vomiting, stomach bleeding).

Overdose effects

Overdose may cause nausea, vomiting, salivation; very high doses may cause cholinergic crisis (severe nausea, bradycardia, hypotension, muscle weakness, respiratory depression, collapse, convulsions). Hospitalization is required.

Storage conditions

Keep below 30°C temperature, away from light & moisture.

Donepezil Hydrochloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.