Apo-Rivastigmine; Exelon; Med-Rivastigmine; Mint-Rivastigmine; Mylan-Rivastigmine; Novo-Rivastigmine; PMS-Rivastigmine; ratio-Rivastigmine; Sandoz-Rivastigmine
- It is used to treat dementia.
- It is used to treat Alzheimer’s disease.
- It is used to treat Parkinson’s disease.
- If you have an allergy to rivastigmine or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have had a skin reaction to this drug or another form of this drug in the past.
- If you are taking any of these drugs: Acebutolol, atenolol, betaxolol, bisoprolol, carvedilol, esmolol, labetalol, metoclopramide, metoprolol, nadolol, nebivolol, penbutolol, pindolol, propranolol, sotalol, or timolol.
- Tell dentists, surgeons, and other doctors that you use this drug.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you.
- Talk with your doctor before you drink alcohol.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- Avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your temperature may rise and cause too much drug to pass into your body.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
- Trouble controlling body movements, twitching, change in balance, trouble swallowing or speaking.
- Shakiness, trouble moving around, or stiffness.
- Very bad dizziness or passing out.
- Very loose stools (diarrhea).
- Very upset stomach or throwing up.
- A big weight loss.
- Change in thinking clearly and with logic.
- Black, tarry, or bloody stools.
- Throwing up blood or throw up that looks like coffee grounds.
- Feeling very tired or weak.
- Very bad belly pain.
- Skin irritation.
- Belly pain.
- Upset stomach or throwing up.
- Feeling tired or weak.
- Not hungry.
- Loose stools (diarrhea).
- Not able to sleep.
- Take as you have been told, even if you feel well.
- To gain the most benefit, do not miss doses.
All oral products:
- Take at breakfast and dinner.
- Take this drug at the same time of day.
- Swallow whole. Do not chew, break, or crush.
- Measure liquid doses carefully. Use the measuring device that comes with this drug.
- Take alone or mix with water, juice, or soda before drinking.
- Do not take this drug by mouth. Use on your skin only.
- Do not use patches that are cut or do not look right.
- Wash your hands before and after use.
- Put patch on clean, dry, healthy skin on the upper or lower back. If you are not able to do this, put on upper arm or chest.
- Put patch on a site without hair.
- Move the patch site with each new patch. Do not put on the same site for 14 days.
- If the patch falls off, put a new one on.
- Put patch on at the same time of day.
- Do not put on more than 1 patch at a time. Take off the old patch before you put a new one on. Wearing more than 1 patch at a time can lead to very bad and sometimes deadly overdose.
- Be careful to not knock loose the patch while bathing or showering.
- After you take off a skin patch, be sure to fold the sticky sides of the patch to each other.
All oral products:
- Take a missed dose as soon as you think about it, with a meal.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Put on a missed patch as soon as you think about it after taking off the old one.
- Do not put on 2 doses or extra doses.
- If you miss taking this drug for a few days in a row, call your doctor before you start taking it again.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- Do not freeze.
- Store patches in pouch until ready for use.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday through Friday from 9:00 am to 5:00 pm at ____________________. After 5:00 pm, during the weekend, and on holidays, please call____________________. If there’s no number listed, or you’re not sure, call 212-639-2000.