Exelon 3mg Capsule

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Manufacturer Novartis
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  • FDA Approved
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Exelon 3mg Capsule is a prescription-only medicine (POM) that contains Rivastigmine 3mg (as rivastigmine hydrogen tartrate). It is supplied as a capsule and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Exelon 3mg Capsule is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Exelon 3mg Capsule capsules with food, in the morning and evening, to help reduce nausea and stomach upset. Swallow the capsule whole with a glass of water – do not open, chew, or crush it. Take your doses at about the same times each day.

Dosage

Exelon 3mg Capsule 3mg is typically the second dose step in the standard oral titration schedule, usually reached after your doctor has confirmed you are tolerating the starting 1.5mg dose well. Your doctor will start at a low dose and increase it gradually, generally not more often than every two weeks, based on how well you tolerate the medicine, up to the maximum dose that controls your symptoms. Never increase, decrease, or stop your dose yourself – dose changes must always be directed by your doctor.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or vomiting
  • Dizziness
  • Loss of appetite
  • Diarrhea
  • Tiredness
  • Abdominal pain
  • Weight loss
  • Headache

Contraindications

  • Known hypersensitivity to rivastigmine, other carbamate derivatives, or any ingredient in this product
  • Severe hepatic impairment (requires specialist assessment and caution)
  • Active peptic ulcer disease or a history of gastrointestinal bleeding (caution, as rivastigmine can increase stomach acid secretion)
  • Significant cardiac conduction disorders or a very slow heart rate (caution due to the risk of further slowing the heart rate)

Drug / Food Interactions

  • Other cholinergic medicines (e.g. bethanechol) may have additive effects and increase side effects
  • Anticholinergic medicines may reduce rivastigmine’s effectiveness
  • NSAIDs may add to the risk of stomach irritation or ulcers
  • Certain muscle relaxants used during anaesthesia (succinylcholine-type) may be prolonged – always tell your anaesthetist you are taking this medicine before any surgery

Quick Tips

  • Always take with food to reduce nausea and stomach upset
  • Never adjust your own dose – increases are done gradually and only by your doctor
  • If you miss several days of doses in a row, contact your doctor before restarting, as your dose may need to be restarted at a lower level
  • Tell any doctor, dentist, or anaesthetist that you are taking this medicine before any procedure or surgery
  • Caregivers should help supervise dosing, as memory difficulties can make it easy to miss or duplicate a dose

Ingredients / Active Ingredients

  • Rivastigmine 3mg (as rivastigmine hydrogen tartrate)

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandNovartis
ManufacturerNovartis
ClassificationPrescription medicine
Ingredients / Active IngredientsRivastigmine
Pack Size28s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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