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Exelon (Rivastigmine) is a cholinesterase inhibitor used to treat loss of memory and thinking ability associated with Alzheimer's Disease.
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About Exelon (Rivastigmine):
Product Type: Other
Brand name: Exelon
Generic name: Rivastigmine
What is the most important information I should know about Exelon?
• Use caution when driving operating machinery or performing other hazardous activities. Exelon may cause dizziness or drowsiness. If you experience dizziness or drowsiness avoid these activities.
What is Exelon?
• Exelon is used to treat Alzheimer's disease. Alzheimer's disease is associated with low levels of a chemical called acetylcholine (ah see til KOH leen) in your brain. The exact way that Exelon works is unknown. However it is believed that Exelon prevents the breakdown of acetylcholine in your brain.
• Exelon is used to improve thinking and memory in patients with Alzheimer's disease.
• Exelon may also be used for purposes other than those listed in this medication guide.
Who should not take Exelon?
• Before taking Exelon tell your doctor if you:
have significant nausea vomiting lack of appetite or weight loss;
have difficulty urinating;
have heart disease such as a slow or irregular heartbeat;
have a history of stomach ulcers;
have seizures or a history of seizures;
have a history of asthma or obstructive pulmonary disease; or
need to have surgery.
• You may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Exelon is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take Exelon without first talking to your doctor if you are pregnant.
• It is also not known whether Exelon will harm a nursing infant. Do not take Exelon without first talking to your doctor if you are breast-feeding a baby.
How should I take Exelon?
• Take Exelon exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you.
• Exelon is usually taken twice a day in the morning and evening. Follow your doctor's directions.
• Take Exelon with food.
• If you are taking Exelon capsules take each dose with a full glass of water.
• To use the Exelon oral solution:
Remove the oral dosing syringe from its protective case. Push down and twist the child resistant closure to open bottle.
Insert the tip of the syringe into opening of the white stopper.
While holding the syringe pull the plunger up to the level (see markings on side of syringe) that equals the dose prescribed by your doctor.
Before removing the syringe containing the prescribed dose from the bottle push out any large bubbles by moving the plunger up and down a few times. After the large bubbles are gone pull the plunger again to the level that equals the dose prescribed by your doctor. Do not worry about a few tiny bubbles this will not affect your dose. Remove the syringe from the bottle.
You may swallow the solution directly from the syringe or mix it with a small glass of water cold fruit juice or soda. Do not mix it with other liquids. If mixing with water juice or soda be sure to stir completely and to drink the entire mixture. Drink the mixture within 4 hours.
After use wipe the outside of the syringe with a clean tissue and put it back into its case. Close the bottle using the child resistant closure.
• Do not use a regular table spoon to measure a dose of Exelon liquid. Use the syringe provided.
• If you stop taking Exelon for any reason talk to your doctor before restarting the medication. You may need to restart treatment with a lower dose.
• Store Exelon at room temperature away from moisture and heat in an upright position.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. However if it is almost time for your next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.
What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of a Exelon overdose include severe nausea vomiting watering mouth sweating slow heartbeat slow breathing prolonged or severe dizziness fainting blurred vision seizures and collapse.
What should I avoid while taking Exelon?
• Use caution when driving operating machinery or performing other hazardous activities. Exelon may cause dizziness or drowsiness. If you experience dizziness or drowsiness avoid these activities.
What are the possible side effects of Exelon?
• Stop taking Exelon and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives).
• Other less serious side effects may also occur. Continue to take Exelon and talk to your doctor if you experience
drowsiness or dizziness;
nausea vomiting or decreased appetite;
diarrhea;
weight loss;
abdominal pain or diarrhea;
headache;
weakness or a feeling of general discomfort; or
tremor.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Exelon?
• Exelon can interact with many other medicines. Before taking Exelon tell your doctor and pharmacist about all medicines you are taking including over-the-counter preparations so that your therapy can be monitored for interactions.
Generic Exelon (Rivastigmine)
Rivamer
1.5mg 180 caps 1.5mg 270 caps 3mg 120 caps 1.5mg 360 caps 3mg 180 caps 1.5mg 720 caps 3mg 240 caps 1.5mg 90 caps 3mg 480 caps 3mg 60 caps
Rivastigmine Exelon

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"With 26 percent of its adult population, or more than 200,000 people infected, Swaziland ranks as the most AIDS-affected country," Reuters writes (Cropley, (9/9). In related news, a new report from Swaziland's government "has found that more than half of [30,000 Swazis, mostly women, working] in Swaziland's garment industry are living with HIV, and officials are realizing that the once-hailed promise of manufacturing employment has become a financial and medical nightmare for tens of thousands of Swazi women," PlusNews reports (8/11).
This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
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