Exelon 3mg Capsule

Exelon 3mg Capsule contains rivastigmine 3mg, a cholinesterase inhibitor used to treat mild-to-moderate dementia of the Alzheimer’s type, and in some patients, mild-to-moderate dementia associated with Parkinson’s disease. It does not cure the underlying disease but can help improve or stabilise memory, thinking, and everyday functioning for a period of time.

Rivastigmine works by reversibly blocking two enzymes (acetylcholinesterase and butyrylcholinesterase) that normally break down acetylcholine, a chemical messenger in the brain important for memory and learning. By slowing this breakdown, rivastigmine increases acetylcholine levels at nerve junctions, supporting nerve cell communication in areas of the brain affected by dementia.

By inhibiting acetylcholinesterase and butyrylcholinesterase, rivastigmine reduces the breakdown of acetylcholine in the brain, increasing the amount available to support communication between nerve cells in regions affected by Alzheimer’s or Parkinson’s disease dementia. This can temporarily improve symptoms, although it does not stop the underlying disease from progressing.

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.

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.

Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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

• 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)

• 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

• 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