Introduction
What RIVAMER 3MG is used for?
- RIVAMER 3MG is used for the treatment of adult patients with mild to moderately severe Alzheimer’s dementia, which is a progressive brain disorder that gradually affects memory, intellectual ability and behavior
Warning & Precautions
Talk to Doctor
Talk to your doctor before you take this medicine, if you:
- Are allergic to rivastigmine, or any of the other ingredients of this medicine
- Have or ever had irregular or slow heartbeat
- Have or ever had stomach ulcer
- Have or ever had asthma or severe respiratory disease
- Have or ever had difficulties in passing urine
- Have or ever had seizures(fits)
- Have gastro-intestinal reactions such as nausea, vomiting and diarrhoea
- Have a low body weight
- Suffer from trembling
- Have liver or kidney problems
- Are undergoing surgery
Pregnancy & Breast Feeding
- RIVAMER 3MG capsule should not be used during pregnancy unless clearly necessary
- You should not breast-feed during treatment with RIVAMER 3MG capsule
- Ask your doctor for advice before taking this medicine
Driving & Using Machines
- RIVAMER 3MG may cause dizziness and somnolence, mainly at the start of treatment or when increasing the dose
- If you feel dizzy or sleepy, do not drive or use machines
Interactions
Tell your doctor if you are taking,
- Anticholinergic medicines (used to relieve stomach cramps or spasms, to treat Parkinson’s disease or to prevent travel sickness)
- Beta-blockers (medicines such as atenolol used to treat hypertension, angina and other heart conditions
- Metoclopramide (a medicine used to relieve or prevent nausea and vomiting)
How to Use
- Always take this medicine exactly as your doctor has told you
- The highest dose that should be taken is 6.0 mg twice a day
- Take RIVAMER 3MG twice a day, in the morning and evening, with food
- Swallow the capsule whole with a drink of water
- Do not open or crush the capsule
- It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities.
- It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivamer 3 Capsule.
- Do not drive or do anything that requires mental focus until you know how Rivamer 3 Capsule affects you.
- Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort.
If you take more RIVAMER 3MG
- If you accidentally take more RIVAMER 3MG than you should, contact your doctor
- In case of overdose you may experience nausea, vomiting, diarrhoea, high blood pressure and hallucinations, slow heartbeat and fainting
If you forget to take RIVAMER 3MG
- If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue as usual
- Do not take a double dose to make up for a forgotten dose
If you stop taking RIVAMER 3MG
- Don’t stop taking RIVAMER 3MG without consulting your doctor
Side Effects
Like all medicines, this medicine can cause side effects, although not everybody gets them
Serious
- Heartburn
- Difficulty in sleeping
- Anxiety
- Stiff muscles, difficulty in carrying out movements and muscle weakness
- Slow and fast heartbeat
- Too much saliva and dehydration
- Sweating
- Headache
- Weight loss
- Trembling or feeling confused
- Feeling tired or weak
- Nightmares
- Stomach problems such as nausea, vomiting, diarrhoea
Common
- Depression
- Difficulty in sleeping
- Fainting or accidental fall
- Uneven heartbeat and poor control of movements
Uncommon
- Chest pain
- Rash, itching
- Fits (seizures)
- Ulcers in your stomach or intestine
Rare
- Blood in stools
- Urinary tract infection
- Inflammation of the pancreas marked by serious upper stomach pain, often with feeling sick (nausea) or being sick (vomiting)
- Problems with your heartbeat
- High blood pressure
- Seeing things that are not there (hallucinations)
- The signs of Parkinson’s disease get worse with symptoms such as stiff muscles, difficulty in carrying out movements
HOW TO COPE WITH SIDE EFFECTS?
The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.
Coping with Vomiting and Nausea
You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
More Information
Storage
- Keep this medicine out of reach of children
- Store at room temperature (15-25°C)
- Do not use this medicine after the expiry date
FAQs
Rivamer may take as long as 12 weeks to begin working. Response to the medicine differs from person to person. The clinical benefits of Rivamer should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, Rivamer should be stopped.
Q. How should Rivamer be taken?
Always take the medicine as directed by your doctor. Usually Rivamer is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water and do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Q. Is it okay to take antacids while taking Rivamer?
Yes, antacids can be taken while taking Rivamer as they do not interfere with the working of Rivamer. Moreover, Rivamer may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Q. What will happen if I take more than the recommended doses of Rivamer?
Taking more than the recommended doses of Rivamer may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations, and malaise. Higher doses may also cause confusion, increased sweating, and increase in blood pressure. In case you take an overdose of Rivamer, seek immediate medical attention.
Q. Does Rivamer cause drowsiness?
Yes, Rivamer can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention.
Q. Can I stop taking Rivamer?
You should not stop or change the dose of Rivamer without consulting your doctor. However, if treatment is interrupted for more than three days, then do not take the medicine and consult your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Q. Can Rivamer cause hallucinations?
Yes, Rivamer can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivamer, which means they occur in very few people. It may usually occur shortly after dose increase.
Disclaimer:The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.
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