Rivastigmin Orion

Rivastigmin Orion helps with symptoms of dementia caused by Alzheimer's or Parkinson's disease.

Form
kapseli, kova
Strength
4.5 mg
Active Ingredient
Rivastigmine hydrogen tartrate
Manufacturer
Orion Corporation

How to Use

Dosage

Your doctor will tell you your starting dose, which is usually small, and will increase it gradually.

Method

Swallow the capsules whole with liquid. Do not open or crush them. Take twice a day, in the morning and evening, with food.

Important

The maximum dose is 6 mg twice a day.

Possible Side Effects

COMMON
  • Dizziness
  • Loss of appetite
  • Stomach problems (nausea, vomiting, diarrhea)
  • Anxiety
  • Sweating
  • Headache
  • Heartburn
  • Weight loss
  • Stomach pain
  • Agitation / Restlessness
  • Tiredness or weakness
  • General feeling of being unwell
  • Tremor or confusion
  • Nightmares
  • Slow heartbeat
  • Sleep problems
  • Increased saliva and dehydration
  • Abnormally slow or uncontrolled movements
  • Worsening of Parkinson's symptoms (e.g., muscle stiffness, difficulty moving, muscle weakness)
  • Fever
  • Severe confusion
  • Inability to control urination
RARE
  • Depression
  • Fainting or falling
  • Changes in liver function tests
  • Irregular heartbeat and movement disorders
  • Hyperactivity
  • Chest pain
  • Rash, itching
  • Seizures
  • Stomach or duodenal ulcer
  • High blood pressure
  • Urinary tract infection
  • Hallucinations
  • Heart rhythm problems (fast or slow heartbeat)
  • Bleeding from the digestive system (bloody stools or vomit)
  • Inflammation of the pancreas (severe upper stomach pain, nausea, vomiting)
  • Severe vomiting that can damage the esophagus
  • Dehydration
  • Liver problems (yellow skin/eyes, dark urine, unexplained nausea/vomiting, tiredness, loss of appetite)
  • Aggression
  • Pisa syndrome (unwilling muscle contractions, body and head lean to one side)
  • Allergic skin reaction (blisters, skin inflammation)

Important Warnings

  • Do not take if you are allergic to rivastigmine or any other ingredient in this medicine.
  • Do not take if you have previously had an allergic skin reaction to rivastigmine.
  • If you have not taken the capsules for more than three days, talk to your doctor before taking the next dose.
  • Talk to your doctor if you have heart problems, such as an irregular or slow heartbeat.
  • Talk to your doctor if you have or have had stomach ulcers.
Show 9 more warnings
  • Talk to your doctor if you have or have had trouble urinating.
  • 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 stomach problems like nausea, vomiting, or diarrhea, especially if they last a long time, as you could become dehydrated.
  • This medicine can make you feel dizzy or sleepy, especially when you start taking it or when your dose is increased. Do not drive or operate machines if you feel dizzy or sleepy.

Use in Elderly Patients

Category C

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)