oshudhkosh

Rivaren 3

Rx
Generic:
Rivastigmine
Dosage form:
Tablet
Pack size:
Strip (6 Tablet)

৳ 40/unit

Pack: ৳ 240

At a glance

Rivastigmine — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Rivastigmine is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness which gradually affects memory and thinking. It is also used to treat Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness and other symptoms. Your doctor will explain how to take Rivastigmine and give you the one most suitable for you. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You may take it with food, preferably at night before going to bed. It can take up to few weeks for symptoms to improve so keep taking your medicine regularly. You should not stop taking this medicine without consulting your doctor. Some common side effects of this medicine include nausea, vomiting and indigestion. Some people may experience dizziness, restlessness and anxious. You may have side effects more often when you start your treatment or when your dose is increased. Usually, the side effects will slowly go away as your body gets used to the Rivastigmine. If they are severe or will not go away, you should contact your doctor. Before using Rivastigmine, you should tell your doctor if you've ever had heart problems, stomach ulcer, epilepsy or asthma. It may also affect, or be affected by, some other drugs you are using so let your doctor know what these are to be safe. During pregnancy this medicine should only be taken if it is advised. Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Rivastigmine is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in transmmission of nerve signals. This improves memory and thinking.

Indications

• Alzheimer's disease

Mechanism of action

Rivastigmine reversibly inhibits hydrolysis of acetylcholine by cholinesterases thus increasing acetylcholine present in the CNS. It is selective for the CNS and is used for the symptomatic treatment of dementia in Alzheimer's disease and idiopathic Parkinson's disease.

Dosage

Adult Dose: Alzheimer Dementia Oral Indicated for mild-to-moderate dementia of the Alzheimer's type Initial: 1.5 mg PO q12hr Increase by 1.5 mg/dose q2Weeks; not to exceed 6 mg PO q12hr Maintenance: 3-6 mg PO q12hr (higher end may be more beneficial) Transdermal Indicated for mild, moderate, and severe dementia of the Alzheimer's type Initial: Apply 4.6 mg q24hr Dose titration: May increase dose to 9.5 mg q24hr after a minimum 4 weeks if well tolerated; after an additional 4 weeks, may further increase to 13.3 mg patch if needed Mild-to-moderate Alzheimer disease: Effective dosage range is 9.5-13.3 mg/24 hr Moderate-to-severe Alzheimer disease: Effective dose is 13.3 mg/24 hr Replace with new patch q24hr Parkinson Dementia Oral Initial: 1.5 mg PO q12hr Increase by 1.5 mg/dose q4Weeks; not to exceed 6 mg PO q12hr Maintenance: 1.5-6 mg PO q12hr Transdermal Initial: Apply 4.6 mg q24hr May increase dose to 9.5 mg q24hr after a minimum 4 weeks if well tolerated; after an additional 4 weeks, may further increase to 13.3 mg patch if needed Transdermal Mild-to-moderate hepatic impairment: Not to exceed 4.6 mg q24hr Renal Dose: Transdermal Renal impairment: No dosage adjustment required

Administration

Take this medicine in the dose and duration as advised by your doctor. Do not chew, crush or break it. Rivastigmine is to be taken with food.

Missed dose

If you miss a dose of Rivastigmine, skip it and continue with your normal schedule. Do not double the dose.

Side effects

Common: • Vomiting • Nausea • Indigestion

Precautions & warnings

[UNSAFE] Rivastigmine may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. You have been prescribed Rivastigmine to slow down the progression of Alzheimer's disease. It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities. It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivastigmine. Do not drive or do anything that requires mental focus until you know how Rivastigmine affects you. Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort. Inform your doctor if you experience seizures or convulsions while taking this medicine.

Contraindications

Hypersensitivity to other carbamate derivatives. Severe hepatic impairment.

Drug interactions

Not to be used with other cholinomimetic drugs that might interfere with the activity of anticholinergic medications. May exaggerate the effects of succinylcholine-type muscle relaxants during anaesthesia. Tobacco smoking may increase its clearance.

Food interactions

[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Rivastigmine. Please consult your doctor.

Use in pregnancy

[SAFE IF PRESCRIBED] Rivastigmine is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Use in lactation

[CONSULT YOUR DOCTOR] Rivastigmine is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Renal / hepatic impairment

[SAFE IF PRESCRIBED] Rivastigmine is safe to use in patients with kidney disease. No dose adjustment of Rivastigmine is recommended. However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine. [SAFE IF PRESCRIBED] Rivastigmine is safe to use in patients with liver disease. No dose adjustment of Rivastigmine is recommended. However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.

Common questions

Why the failure of Alzheimer's therapy now a days??? as the disese mechanisms are still not defined in absolute terms; still PATIENT is needed and is ongoing Sir, My father ( an advocate) has developed symptoms of Alzheimer recently and sometimes he takes medicines on his own. He gets weak and unable to walk after taking tablets. Is there any test which can tell which medicines that he took? He takes Ayurved, Allopath, Homeopathy all and does not listen to me. Kindly help Dear Sir Thank you for consulting with me. Alzheimer's disease is a difficult disease to handle since patient develops dementia or forgetfulness. There are no blood tests which can tell you which medicines he took. Please consult a neurologist/ Psychiatrist I am suffering from alzehimer. I forget things like where I put key in morning. Some small things which makes me to suffer from condolence. What is the reason and how can I cure it ? Alzheimer's have many reasons which may be genetic, vitamins deficiency, hormonal problems, alcohol, other drugs, age related and others. We need to investigate you for finding cause. I strongly advice consultation with psychiatrist. If you are from Mumbai, see me.There is no cure to Alzheimer's, but we can suppress symptoms. Looking at your age, I am very much sure you are not suffering from Alzheimer's!!!! Fatty liver disease with enlarged liver Take cytozen capsule twice, lavanbhasksr churan half spoon twice Excessive hunger short temper,frequent,obese problem no thyroid disease Can I use ashw wagandha https://www.1mg.com/otc/stresscom-capsule-otc139026One ? one capsule morning & evening with water daily after taking food , use at least 1-2 months Ild lungs disease from past 3 year Case has to be seen in person Plz suggest any effective omega 3 capsule in a low or medium range price search on 1mg app Myself and wife started infertility treatment. My doctor has prescribed ubefit, carnimed plus and linearity for sperm count increase. Will these drugs improve my sperm count? When I checked the indication of these drugs in Google, it shows different indications like heart disease, cancer, Alzheimer's disease like that, hence I am afraid of taking these drugs. Kindly provide your valuable comments. It is not predictableBut benefit is less

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.