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Exelon 9.5 mg Patch

Manufactured byEMCURE PHARMACEUTICALS LTD
ContainsRivastigmine
CURRENTLY UNAVAILABLE

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Description

Exelon 9.5 mg Patch is used to treat mild-to-moderate dementia (a brain disease characterized by memory loss, personality changes, inability to perform everyday activities, etc.) associated with Alzheimer's disease and Parkinson's disease. This medicine does not cure Parkinson's or Alzheimer's but it may slow the loss of or improve the patient's awareness of surroundings, ability to perform daily functions, and the ability to think and remember.

Substitutes

List of substitutes for Exelon 9.5 mg Patch

Side effects

Major & minor side effects for Exelon 9.5 mg Patch

Headache

Seizures

Diarrhea

Weight loss

Shaking and trembling of arms and feet

Anxiety

Dizziness

Urinary retention/incontinence

Skin rash, hives, or itching

Uses of Exelon 9.5 mg Patch

What is it prescribed for?

Dementia

This medicine is used for the treatment of mild to moderate dementia associated with Parkinson's (a progressive disease of the nervous system that affects the movement) and Alzheimer's disease (a progressive brain disorder characterized by memory loss and difficulty in thinking).
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?

    The amount of time required for this medicine to show its action is not clinically established.
  • How long do the effects of this medicine last?

    The effect of this medicine lasts for an average duration of 24 hours after a transdermal patch is applied.
  • Is it safe to consume alcohol while taking this medicine?

    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?

    No habit forming tendency has been reported.
  • Can this medicine be taken during pregnancy?

    This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before using this medicine.
  • Can this medicine be taken while breast-feeding?

    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the medicine or to discontinue breastfeeding based on your clinical condition.

Allergy

This medicine is not recommended for use in patients with a known allergy to rivastigmine, other cholinesterase inhibitors, or any other inactive ingredients present along with the formulation.

Transdermal patch site reactions

This medicine is not recommended for use in patients with a history of application site reactions suggestive of allergic contact dermatitis with a rivastigmine transdermal patch.

Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before using this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the medicine or to discontinue breastfeeding based on your clinical condition.

General warnings

Driving and operating machinery

The use of this medicine may cause dizziness, fainting, visual disturbances, and drowsiness in some patients. Hence, it is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating heavy machinery during treatment with this medicine.

Gastrointestinal bleeding

This medicine should be used with caution due to an increase in the risk of gastrointestinal bleeding. This risk is especially higher in patients with a history of gastrointestinal disorders. Report any unusual symptoms such as blood in the stool, heartburn, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Patients with low body weight

This medicine should be used with extreme caution in patients with low body weight (less than 50 kg) due to the increased risk of severe adverse effects. Appropriate dose adjustments may be necessary based on the clinical condition.

Extrapyrimadal symptoms

This medicine may exacerbate or induce extrapyramidal symptoms such as tremors in some patients. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.

Skin application site reactions

This medicine may cause skin application site reactions in some patients. This may potentially lead to allergic contact dermatitis in some cases. Allergic contact dermatitis should be suspected if the reactions spread beyond the patch size or if symptoms do not improve within 48 hours after patch removal. In such cases, treatment should be discontinued. In patients who develop application site reactions with this medicine, treatment should be switched to oral form only after negative allergy testing and under close medical supervision.

Missed Dose

Apply the missed dose as soon as possible. If it is almost time for the next scheduled dose, skip the missed dose. Do not apply a double dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor immediately in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Interaction with Medicine

Metoprolol

Quetiapine

Tramadol

Bupropion

Citalopram

Hydroxyzine

Disease interactions

Bradycardia

This medicine should be used with extreme caution in patients with preexisting bradycardia or underlying cardiac conduction abnormalities since it may worsen the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Peptic ulcer disease

This medicine should be used with extreme caution in patients with peptic ulcer disease since it may worsen the patient's condition. Report any unusual side effects to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Seizures

This medicine should be used with caution in patients with a known history of seizures since it may worsen the patients' condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Respiratory Disorders

This medicine should be used with caution in patients with respiratory disorders such as asthma, chronic obstructive pulmonary disease, etc. since it may worsen the patient's condition. Close monitoring of respiratory function, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.

Food interactions

Information not available.

Lab interactions

Information not available.
Before you apply a patch, make sure that your skin is clean, dry and hairless, free of any powder, oil, moisturizer or lotion that could keep the patch from sticking to your skin properly, free of cuts, rashes or irritations. Follow all the instructions given by your doctor. Inform the doctor if you have a known allergy to this medicine. Report all your current medicines as well as your medical conditions to the doctor before receiving this medicine.

Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

May cause sleepiness

How it works

This medicine works by restoring the balance of certain natural substances in the brain to improve the function of the nerve cells in the brain.

Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Cholinesterase inhibitors

Schedule

Schedule H

Rivastigmine - DrugBank [Internet]. Drugbank.ca. 2020 [cited 13 June 2020]. Available from:

https://www.drugbank.ca/drugs/DB00989

Rivastigmine Transdermal Patch: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 13 June 2020]. Available from:

https://medlineplus.gov/druginfo/meds/a607078.html

Exelon 4.6 mg/24h transdermal patch - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2020 [cited 13 June 2020]. Available from:

https://www.medicines.org.uk/emc/product/1185/smpc

DailyMed - Rivastigmine Transdermal System patch, extended release [Internet]. Dailymed.nlm.nih.gov. 2020 [cited 16 June 2020]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=11d4ef03-33d2-359e-2053-4102630b27ba

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Information on this page was last updated on 16 Jun 2020

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.