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Why you may need to use this drug

Exelon (rivastigmine) is medicine used for the treatment of mild to moderate dementia. Alzheimer's and Parkinson's disease most often cause this condition. Exelon works by preventing the breakdown of a specific chemical called acetylcholine. Your doctor may also prescribe this medicine for the treatment of other conditions he thinks it is likely to be efficient for. You will need to follow all the directions to make sure you benefit from the treatment.

Before you start taking this medicine

Before you start the treatment, make sure you tell your health care provider if there are any medical conditions that you think will affect the success of your treatment. The following ones are known to do that and will therefore need to be reported: heart rhythm disorder, asthma, obstructive pulmonary disease, seizure disorder, urination problems, and an enlarged prostate. Additional tests may be required if you have certain medical conditions likely to affect your treatment in any way. Make sure you report the ones you think are important, even if they are not on the list.

Using Exelon right

You will need to take Exelon as prescribed in order to benefit from the treatment as much as possible. Taking more of this medicine or using it more often is unlikely to help you benefit more from the treatment and needs to be avoided. Your dose may need to be changed occasionally to make sure your treatment is efficient and does not cause any unpleasant effects you would rather avoid. Exelon is usually taken twice daily, in the morning and in the evening, although your doctor may provide different directions, and you will need to follow them exactly. It's best to take Exelon with some food. If you have a planned surgery, make sure you let your surgeon know you are using Exelon, as this may be important for deciding which drugs to use during the operation. If you had to stop the treatment for any reason, it's best to talk to your doctor before resuming it. If the treatment was interrupted for a long period, you may need to start it again with a lower dose.

Possible side effects of Exelon

Some of the side effects Exelon causes may impair your thinking and reactions. If you have to be driving or performing some activity that requires all your alertness and concentration, it's best to make sure this medicine is not affecting you in any particular way. The following side effects are considered serious and will need to be reported to your health care provider as soon as you notice them: black, bloody or tarry stools, nausea and vomiting, agitation, fainting, confusion, coughing up blood, loss of appetite, pain when you urinate, chest pain, feeling light-headed, and stomach pain. In most cases, you will just get a few mild side effects of Exelon that there is no need to report, as they are unlikely to bother you for too long. The following side effects are considered mild and tend to be short-lived: sleep problems, weight loss, swelling in your hands or feet, diarrhea, headache, joint pain, dizziness, runny or stuffy nose, upset stomach, and weakness.

In case of taking too much of Exelon

If you used too much of this medicine, make sure you seek emergency medical help and report any overdose symptoms that are possible. The following are possible overdose symptoms that you will have to report: severe nausea, fainting, seizure, vomiting, feeling light-headed, shallow breathing, slow heartbeat, sweating, drooling, blurred vision, and muscle weakness. You will need to now the difference between mild and more serious side effects of Exelon.

Is Exelon likely to harm an unborn child?

Exelon is FDA pregnancy category B: it is not expected to harm your unborn child, but it is not known exactly whether this medicine is likely to harm a nursing infant. Therefore, you will need to make sure you always tell your doctor if you are breastfeeding a baby at the moment of starting the treatment, and report a pregnancy just to be safe.

In case you are taking other medications

Some drugs you are taking may affect your Exelon treatment negatively and reduce its efficiency, or add to the side effects experienced. To avoid that, you will need to discuss the treatment with a qualified health care professional. The following medications will need to be reported: scopolamine, methscopolamine, methantheline, dicyclomine, propantheline, belladonna, clidinium, glycopyrrolate, mepenzolate, atropine, and hyoscyamine.

Missing a dose

If you missed a dose, take it as soon as possible unless the next one is supposed to be used soon. In that case, it's best to skip the dose missed. If you missed or skipped several consecutive doses, talk to you doctor to see if you can simply resume the treatment or will need to start from a lower dose again.