Rivastigmin Orion
This medicine helps manage symptoms of mild to moderate Alzheimer's disease and dementia caused by Parkinson's disease by increasing a brain chemical.
How to Use
Dosage
Treatment usually starts with a small dose, which your doctor will gradually increase based on how you respond.
Method
Take the capsules whole with liquid, twice a day (morning and evening) with food. Do not open or crush them.
The maximum dose is 6 mg, taken twice a day.
Possible Side Effects
- •Dizziness
- •Loss of appetite
- •Stomach problems (e.g., nausea, vomiting, diarrhea)
- •Anxiety
- •Sweating
- •Headache
- •Heartburn
- •Weight loss
- •Stomach ache
- •Agitation
- •Tiredness or weakness
- •General feeling unwell
- •Tremors or confusion
- •Nightmares
- •Fainting
- •Accidental falls
- •Restlessness
- •Slow heartbeat
- •Sleep problems
- •Increased saliva and dehydration
- •Abnormally slow or uncontrolled movements
- •Worsening Parkinson's symptoms (e.g., muscle stiffness, difficulty moving, muscle weakness)
- •Fever
- •Severe confusion
- •Urinary incontinence (inability to hold urine)
- •Depression
- •Changes in liver function (e.g., yellow skin/eyes, dark urine, unexplained nausea/vomiting, tiredness, loss of appetite)
- •Chest pain
- •Rash or itching
- •Seizures
- •Stomach or duodenal ulcer
- •High blood pressure
- •Urinary tract infection
- •Hallucinations (seeing things that are not real)
- •Heart rhythm problems (fast or slow heartbeat)
- •Bleeding in the stomach or intestines (blood in stool or vomit)
- •Pancreatitis (severe stomach pain, often with nausea or vomiting)
- •Severe vomiting that can tear the esophagus (food pipe)
- •Dehydration (loss of too much fluid from the body)
- •Aggression
- •Irregular heartbeat
- •Pisa syndrome (involuntary muscle contractions causing body or head to bend to one side)
- •Movement disorders
- •Hyperactivity (high activity, restlessness)
- •Allergic reaction at the patch site (e.g., blisters or skin inflammation), if using patches.
Important Warnings
- Do not take if you are allergic to rivastigmine or any other ingredient in this medicine.
- Do not take if you have had an allergic skin reaction to rivastigmine before.
- Talk to your doctor if you have or have had heart problems, like an irregular or slow heartbeat.
- Talk to your doctor if you have or have had stomach ulcers.
- Talk to your doctor if you have or have had trouble urinating.
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- Talk to your doctor if you have or have had seizures.
- Talk to your doctor if you have or have had asthma or severe breathing problems.
- Talk to your doctor if you have or have had kidney problems.
- Talk to your doctor if you have or have had liver problems.
- Talk to your doctor if you have tremors.
- Talk to your doctor if you are very underweight.
- Talk to your doctor if you have digestive issues like nausea, vomiting, or diarrhea that last a long time, as you might get dehydrated.
- If you have not taken Rivastigmin Orion for more than three days, do not take the next dose before talking to your doctor.
Use in Elderly Patients
Suitable for older adults, with specific precautions. Increases the risk of cardiac conduction disorders, such as bradycardia. May exacerbate existing COPD. Note adverse effects affecting the gastrointestinal tract with capsule preparations. Consider potential interactions. Avoid concomitant use of anticholinergic medicines. (updated 18.3.2024)