Exelon 4.5mg Capsule
Written By Dr. Swati Mishra, BDS
Reviewed By Dr. Khushbu Goel, DM, MD
Last updated on 11 Nov 2024 | 01:04 AM (IST)
Exelon 4.5mg Capsule is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness that gradually affects memory and thinking. It is also used for dementia-associated Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness, and other symptoms.
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Product introduction
Your doctor will explain how to take Exelon 4.5mg Capsule. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You may take it with food, preferably at night before going to bed. It can take up to a few weeks for symptoms to improve so keep taking your medicine regularly. You should not stop taking this medicine without consulting your doctor.
Some common side effects of this medicine include nausea, vomiting, weight loss, indigestion, and weakness. You may have side effects more often when you start your treatment or when your dose is increased. Usually, the side effects will slowly go away as your body gets used to the Exelon 4.5mg Capsule. If they are severe or will not go away, you should contact your doctor.
Before using Exelon 4.5mg Capsule, you should tell your doctor if you’ve ever had heart problems, stomach ulcers, epilepsy, or asthma. It may also affect, or be affected by, some other drugs you are using so let your doctor know what these are to be safe. During pregnancy, this medicine should only be taken if it is advised.
There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details.
Some common side effects of this medicine include nausea, vomiting, weight loss, indigestion, and weakness. You may have side effects more often when you start your treatment or when your dose is increased. Usually, the side effects will slowly go away as your body gets used to the Exelon 4.5mg Capsule. If they are severe or will not go away, you should contact your doctor.
Before using Exelon 4.5mg Capsule, you should tell your doctor if you’ve ever had heart problems, stomach ulcers, epilepsy, or asthma. It may also affect, or be affected by, some other drugs you are using so let your doctor know what these are to be safe. During pregnancy, this medicine should only be taken if it is advised.
There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details.
Uses of Exelon Capsule
Benefits of Exelon Capsule
Treatment of Dementia Associated with Parkinson's disease
Dementia in Parkinson’s disease refers to problems in memory and thinking that are advanced, interfering with daily activities and quality of life. Exelon 4.5mg Capsule helps in managing these symptoms in a safe manner that can be used for a long term. This will make it easier for you to carry out your daily activities and improve your quality of life.
Dementia in Parkinson’s disease refers to problems in memory and thinking that are advanced, interfering with daily activities and quality of life. Exelon 4.5mg Capsule helps in managing these symptoms in a safe manner that can be used for a long term. This will make it easier for you to carry out your daily activities and improve your quality of life.
Alzheimer's disease
In people with Alzheimer’s disease, certain nerve cells die in the brain. This results in lower levels of a chemical called acetylcholine which helps nerve cells to communicate with each other. This leads to symptoms of dementia such as memory loss, confusion, disorientation, problems with speech and language, and personality changes. Exelon 4.5mg Capsule increases the amount of acetylcholine and helps brain cells to communicate. It can, therefore, improve some of the symptoms such as memory, awareness, and the ability to carry out daily functions for a time. However, it is not a cure.
You should use the patches exactly as they have been prescribed and only use one at a time. Choose a different place on your body to wear the patch each time you put on a new one. It can take several weeks for your symptoms to improve; so keep applying the patches even if you do not think they are working.
In people with Alzheimer’s disease, certain nerve cells die in the brain. This results in lower levels of a chemical called acetylcholine which helps nerve cells to communicate with each other. This leads to symptoms of dementia such as memory loss, confusion, disorientation, problems with speech and language, and personality changes. Exelon 4.5mg Capsule increases the amount of acetylcholine and helps brain cells to communicate. It can, therefore, improve some of the symptoms such as memory, awareness, and the ability to carry out daily functions for a time. However, it is not a cure.
You should use the patches exactly as they have been prescribed and only use one at a time. Choose a different place on your body to wear the patch each time you put on a new one. It can take several weeks for your symptoms to improve; so keep applying the patches even if you do not think they are working.
Side effects of Exelon Capsule
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Exelon
- Loss of appetite
- Nausea
- Vomiting
- Indigestion
How to use Exelon Capsule
Take this medicine in the dose and duration as advised by your doctor. Exelon 4.5mg Capsule is to be taken with food.
How Exelon Capsule works
Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Exelon 4.5mg Capsule is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in transmmission of nerve signals. This improves memory and thinking.
All substitutes for Exelon 4.5mg Capsule
For information purposes only. Consult a doctor before taking any medicine.
Quick tips
- You have been prescribed Exelon 4.5mg Capsule to slow down the progression of Alzheimer's disease.
- 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 Exelon 4.5mg Capsule.
- Do not drive or do anything that requires mental focus until you know how Exelon 4.5mg 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.
- Inform your doctor if you experience seizures or convulsions while taking this medicine.
- You have been prescribed Exelon 4.5mg Capsule to slow down the progression of Alzheimer's disease.
- 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 Exelon 4.5mg Capsule.
- Do not drive or do anything that requires mental focus until you know how Exelon 4.5mg 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.
- Inform your doctor if you experience seizures or convulsions while taking this medicine.
Safety advice

Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Exelon 4.5mg Capsule. Please consult your doctor.

Pregnancy
CONSULT YOUR DOCTOR
Exelon 4.5mg Capsule is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding
CONSULT YOUR DOCTOR
Exelon 4.5mg Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving
UNSAFE
Exelon 4.5mg Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney
SAFE IF PRESCRIBED
Exelon 4.5mg Capsule is safe to use in patients with kidney disease. No dose adjustment of Exelon 4.5mg Capsule is recommended.
However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine.
However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine.

Liver
SAFE IF PRESCRIBED
Exelon 4.5mg Capsule is safe to use in patients with liver disease. No dose adjustment of Exelon 4.5mg Capsule is recommended.
However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.
However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.
Frequently asked questions
Exelon 4.5mg Capsule may take as long as 12 weeks to begin working. Response to the medicine differs from person to person. The clinical benefits of Exelon 4.5mg Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, Exelon 4.5mg Capsule should be stopped.
Always take the medicine as directed by your doctor. Usually, Exelon 4.5mg Capsule 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.
Yes, antacids can be taken while taking Exelon 4.5mg Capsule as they do not interfere with the working of Exelon 4.5mg Capsule. Moreover, Exelon 4.5mg Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Taking more than the recommended doses of Exelon 4.5mg Capsule may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations, and malaise. Higher doses may also cause confusion, increased sweating, and an increase in blood pressure. In case you take an overdose of Exelon 4.5mg Capsule, seek immediate medical attention.
Yes, Exelon 4.5mg Capsule 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.
You should not stop or change the dose of Exelon 4.5mg Capsule 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.
Yes, Exelon 4.5mg Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Exelon 4.5mg Capsule, which means they occur in very few people. It may usually occur shortly after dose increase.
Exelon 4.5mg Capsule may take as long as 12 weeks to start showing its effect. The effect of the medicine on each individual may differ. The clinical benefits of Exelon 4.5mg Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, stop the medication and consult your doctor.
Always take the medicine as directed by your doctor. Usually Exelon 4.5mg Capsule is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water; do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Yes, antacids can be taken while taking Exelon 4.5mg Capsule as they do not interfere with the working of Exelon 4.5mg Capsule. Moreover, Exelon 4.5mg Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Taking more than the recommended doses of Exelon 4.5mg Capsule may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations and malaise. An overdose may also cause confusion, increased sweating and increase in blood pressure. In case you take an overdose of Exelon 4.5mg Capsule or if you experience any such symptoms, seek immediate medical attention.
Yes, Exelon 4.5mg Capsule 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. If dizziness continues and bothers you, consult your doctor.
You should not stop or change the dose of Exelon 4.5mg Capsule without consulting your doctor. However, if treatment is interrupted for more than 3 days, do not continue the medicine without consulting 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.
Yes, Exelon 4.5mg Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Exelon 4.5mg Capsule, which means they occur in very few people. It may usually occur shortly after dose modification. If you do not feel well, consult your doctor.
Fact Box
Chemical Class
Carbamate Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Cholinesterase inhibitors - Alzheimer's disease
References
- Stahl SM, editor. Rivastigmine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 603-607.
- Katzung BG. Special Aspects of Geriatric Pharmacology. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 1041.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1229.
- Rivastigmine tartrate. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2015]. [Accessed 24 Jan. 2019] (online) Available from:
- Rivastigmine. Camberley, Surrey: Sandoz Limited; 2014 [revised Aug. 2016]. [Accessed 22 Mar. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
- Müller T. Rivastigmine in the treatment of patients with Alzheimer's disease. Neuropsychiatr Dis Treat. 2007 Apr;3(2):211-8. [Accessed 20 Feb. 2024] (online) Available from:
- Rivastigmine transdermal system [Patient Information Leaflet]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 20 Feb. 2024] (online) Available from:
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Patient concerns
Parkinson's disease tremors ,Insomnia.
Dr. Ravi Shankar M.
Ayurveda
Use Dhanadanayanadi kashayam 15ml twice a day with 15 ml water before food and Zandopa 10 grams twice a day witk milk after food and Tab Dhanvantari Vati 1-0-1 after food for 2 months
Parkinson's disease for 25 yrs. Taking allopathy Suggestions needed
Dr. Deepak Kumar Soni
Ayurveda
Kindly consult to any good Ayuvedic Panchkarma center. Panchkarma therapy will give you some result .
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Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Vendor Details
Country of origin: India
A licensed vendor partner from your nearest location will deliver Exelon 4.5mg Capsule. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
A licensed vendor partner from your nearest location will deliver Exelon 4.5mg Capsule. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
In case of any issues, contact us
Email ID: [email protected]Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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