INTRODUCTION TO EXELON 4.5 MG
EXELON 4.5 MG contains Rivastigmine which belongs to the group of medicines called Cholinesterase inhibitors. It is used in adult patients for the treatment of mild to moderately severe Alzheimer’s dementia (progressive disease that destroys memory and other important mental functions). It can also be used for the treatment of mild to moderately severe dementia (group of thinking and social symptoms that interferes with daily functioning) in adult patients with Parkinson’s disease (a brain disorder that causes a gradual loss of muscle control).
EXELON 4.5 MG should be used with caution in patients with asthma, severe respiratory disease, impaired liver or kidney function and heart conditions such as irregular or slow heartbeat, heart attack or heart failure.
Before taking EXELON 4.5 MG inform you’re doctor if you had or have low levels of potassium or magnesium in the blood, active stomach ulcer, difficulty in passing urine, seizures and low body weight (below 50 kg). EXELON 4.5 MG should be used in pregnant women only if clearly advised by the doctor and it is not recommended for use in breastfeeding women.
EXELON 4.5 MG should be used with caution in elderly patients (aged 65 years and above). The most common side effects of taking EXELON 4.5 MG are dizziness, loss of appetite, stomach problems such as nausea or vomiting, diarrhoea, headache, heartburn, weight loss, stomach pain and difficulty in sleeping. Consult you’re doctor if any of the side effects worsen.
USES OF EXELON 4.5 MG
Used in adult patients to treat:
- Mild to moderately severe Alzheimer’s dementia
- Mild to moderately severe dementia with Parkinson’s disease
HOW EXELON 4.5 MG WORKS?
EXELON 4.5 MG works by blocking the enzymes that break down acetylcholine (such as acetylcholinesterase and butyrylcholinesterase). By blocking these enzymes, it allows levels of acetylcholine to be increased in the brain, which helps to reduce the symptoms of Alzheimer’s disease and dementia associated with Parkinson’s disease.
DIRECTIONS FOR USE
Take EXELON 4.5 MG as advised by you’re doctor. Swallow the medicine as a whole with a glass of water. Do not crush or chew the medicine. You’re doctor will decide the correct dose and duration of EXELON 4.5 MG for you depending upon you’re age, body weight and disease condition.
SIDE EFFECTS OF EXELON 4.5 MG
COMMON EFFECTS OF EXELON 4.5 MG
- Drowsiness, dizziness, headache
- Loss of appetite, heartburn
- Stomach problems such as nausea or vomiting, diarrhoea
- Anxiety
- Sweating
- Weight loss
- Stomach pain
- Feeling agitated, trembling or feeling confused
- Feeling tired or weak, generally feeling unwell
- Accidentally falling
- Feeling restless
- Slow heartbeat, high blood pressure
- Difficulty in sleeping
- Increased saliva secretion and dehydration
- Unusually slow movements or movements that cannot control
UNCOMMON EFFECTS OF EXELON 4.5 MG
- Changes in liver functions
- Poor control of movements
- Low blood pressure
RARE EFFECTS OF EXELON 4.5 MG
- Rash
Stop taking EXELON 4.5 MG and inform you’re doctor immediately if you experience any of the following side effects:
- Fits (seizures)
- Chest pain or uneven heartbeat
- Ulcers in the stomach or intestine
- Parkinson’s disease symptoms such as stiff muscles, difficulty in carrying out movements and muscle weakness
HOW TO MANAGE SIDE EFFECTS
Dizziness:
Lie down until dizziness is gone, then get up slowly. Move slowly and carefully, do not hurry. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol, and drugs. Consult you’re doctor if the symptom gets worse.
Nausea and vomiting:
Take EXELON 4.5 MG with or just after meals. Stick to simple meals. Avoid eating oily, fried or spicy foods. Do not lie down or sleep immediately after eating. Consult you’re doctor if the symptom does not improve.
Diarrhoea:
Drink a lot of fluids such as water or fruit juice to keep yourself hydrated. Avoid eating high-fat or spicy foods. Do not consume any medicine on you’re own to treat diarrhoea without consulting you’re doctor.
Headache:
Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to be relaxed and stress-free. Apply pain relieving balm on you’re forehead if necessary. Consult you’re doctor if the symptom does not improve.
Stomach Pain:
Try to rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heating pad on you’re stomach. If the symptom does not improve, consult you’re doctor.
WARNING & PRECAUTIONS
PREGNANCY
EXELON 4.5 MG is not recommended for use in pregnant women unless considered clearly necessary. Consult you’re doctor before taking it.
BREASTFEEDING
EXELON 4.5 MG is not recommended for use in breastfeeding women. Consult you’re doctor before taking it.
DRIVING AND USING MACHINES
Do not drive or operate any machines if you feel dizziness or somnolence (feeling sleepy) after taking EXELON 4.5 MG.
KIDNEY
EXELON 4.5 MG should be used with caution in patients with impaired kidney function. Consult you’re doctor before taking EXELON 4.5 MG.
LIVER
EXELON 4.5 MG should be used with caution in patients having impaired liver function. Consult you’re doctor before taking EXELON 4.5 MG.
ALLERGY
Do not take EXELON 4.5 MG if you are allergic to rivastigmine or neostigmine or darunavir or any of the other ingredients of this medicine.
LUNGS
EXELON 4.5 MG should be used with caution in patients with asthma or severe respiratory disease. Consult you’re doctor before taking EXELON 4.5 MG.
HEART DISEASE
EXELON 4.5 MG should be used with caution in patients with heart disease such as irregular or slow heartbeat, heart attack or heart failure. Consult you’re doctor before taking EXELON 4.5 MG.
OTHERS
Before taking EXELON 4.5 MG inform you’re doctor if you:
- Had or have low levels of potassium or magnesium in the blood
- Had or have an active stomach ulcer
- Had or have difficulty in passing urine
- Had or have seizures
- Have low body weight (below 50 kg)
Use in pediatrics:
There is no proper information regarding the use of this medicine in children. Consult the child’s doctor for advice to select suitable alternative therapy.
 Use in geriatrics:
EXELON 4.5 MG should be used with caution in elderly patients (aged 65 years and above). Consult you’re doctor before taking EXELON 4.5 MG.
INTERACTIONS
A. Drug – Drug Interactions:
Before taking EXELON 4.5 MG inform you’re doctor if you are taking any of the following medicines:
- Anticholinergic medicines such as oxybutynin, tolterodine (used to treat overactive bladder), dicyclomine (used to relieve stomach cramps or spasms) and trihexyphenidyl (used to treat Parkinson’s disease)
- Beta blockers such as atenolol (used to treat high blood pressure, angina, and other heart conditions)
- Timolol (used to treat glaucoma)
- Diltiazem, sotalol, digoxin, pilocarpine (used to treat heart conditions)
- Chlorpromazine, levomepromazine, sulpiride, sultopride, amisulpride, tiapride, veralipride, pimozide, haloperidol, droperidol (used to treat some mental health conditions)
- Cisapride (used to treat stomach and gut problems)
- Citalopram (used to treat depression)
- Diphemanil (used to treat peptic ulcer and gastric hyperacidity)
- Antibiotics such as erythromycin IV, moxifloxacin (used to treat bacterial infections)
- Halofantrine (used to treat malaria)
- Mizolastine (used to treat allergies)
- Methadone (used to treat pain and heroin addiction)
- Pentamidine (used to treat pneumonia)
Overdosage:
If you or anyone else accidentally take too much of EXELON 4.5 MG, consult you’re doctor immediately or visit the nearby hospital. The symptoms of overdosage are decrease in the size of the pupils, flushing, stomach pain, difficulty in breathing, increase in phlegm, increased sweating, loss of control of bowel movements, incontinence, increased production of saliva or tear, changes in blood pressure, nausea, vomiting, diarrhoea, and hearing, seeing and feeling things that are not there (hallucination), slow heartbeat and fainting, muscular weakness, twitching, fits, dizziness, shaking, headache, excessive sleepiness, confusion and a general feeling of discomfort.
MORE INFORMATION
- Keep EXELON 4.5 MG out of reach of children
- Store at room temperature
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