Generic Name: Rivastigmine
Brand name: Exelon

Why is Exelon prescribed?
Exelon is used for the treatment of Alzheimer's disease. Exelon is in a class of medications called cholinesterase inhibitors. It improves mental function by increasing the amount of a certain natural substance in the brain.

How should Exelon be used?
Exelon comes as a capsule to take by mouth. It is usually taken twice a day with meals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Exelon exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Your doctor will start you on a low dose of Exelon and gradually increase your dose, not more than once every 2 weeks. If you have severe stomach side effects such as upset stomach and vomiting, you may need to stop taking Exelon for a few doses and then start taking it again at the same dose or a lower dose. If you stop taking Exelon for more than a few days, talk to your doctor before starting to take it again. You will probably have to restart taking it at the lowest dose.

What special precautions should I follow?
Before taking exelon,

• tell your doctor and pharmacist if you are allergic to Exelon, neostigmine (Prostigmin), physostigmine (Antilirium, Isopto Eserine), pyridostigmine (Mestinon, Regonol), or any other medications.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory medications (NSAIDS) such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); bethanechol (Duvoid, Urabeth, Urecholine); ipratropium (Atrovent); and medications for Alzheimer's disease, glaucoma, irritable bowel disease, motion sickness, myasthenia gravis, Parkinson's disease, ulcers, or urinary problems. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• tell your doctor if you have or have ever had ulcers, heart disease, an enlarged prostate (benign prostatic hypertrophy), asthma, or other lung disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Exelon, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Rivastigmine tartrate.
  you should know that Exelon may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
• remember that alcohol can add to the drowsiness caused by Rivastigmine tartrate.

What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

If you miss taking Exelon for more than a few days, talk to your doctor before starting to take it again. You will probably have to restart taking it at the lowest dose.

What side effects can Exelon cause?
Exelon may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• upset stomach
• vomiting
• loss of appetite
• stomach pain
• weight loss
• diarrhea
• weakness
• dizziness
• headache
• extreme tiredness
• lack of energy
• tremor
• constipation
• increased sweating
• difficulty falling asleep or staying asleep
• confusion
• runny nose

• fainting
• black and tarry stools
• red blood in stools
• bloody vomit
• vomiting material that looks like coffee grounds
• difficulty urinating
• seizures
• depression
• anxiety
• hearing voices or seeing things that do not exist (hallucinating)

What storage conditions are needed for Exelon?
Keep Rivastigmine tartrate in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

What other information should I know?
Keep all appointments with your doctor.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.