Prescription onlyNo lower cost generic available

Exelon

(Rivastigmine)

Prescription onlyNo lower cost generic available
  • Pill
  • Liquid
  • Patch
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Treats dementia.

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Our bottom line

Exelon (Rivastigmine) works for all stages of dementia caused by Alzheimer's, and the oral version is cheaper than the patch.

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Upsides

  • Can be used to treat dementia caused by all stages of Alzheimer's disease.
  • Exelon (Rivastigmine) slows the progression of Alzheimer's, including the person's cognitive function and ability to perform the usual daily living activities.
  • It also improves behavior disorders related to Alzheimer's.
  • Exelon (Rivastigmine) is available as a patch. This form causes fewer stomach problems (like nausea or vomiting).
  • The oral capsules are available as a generic medication.

Downsides

  • Like other medications for dementia, it only slows down the progression of the disease, but it doesn't stop or reverse it.
  • You need to take the oral capsules twice a day.
  • The patches are brand name only, so they can be expensive.

What to expect when you take Exelon (Rivastigmine) for Dementia

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Risks and Warnings for Exelon (Rivastigmine)

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  • People on Exelon (Rivastigmine) have reported nausea and vomiting, decreased appetite and weight loss. This usually happens when the medication is first started and when there are changes in the dose. Talk to your doctor if this is a concern, especially if you have to stop taking the medication for more than 3 days.

Common concerns from people taking Exelon (Rivastigmine)

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Pregnancy
Food
  • If using the oral solution, take it after meals to prevent an upset stomach. It can be mixed with cold water, juice, or soda.
Weight
  • People on Exelon (Rivastigmine) have reported nausea and vomiting, decreased appetite and weight loss. This usually happens when the medication is first started and when there are changes in the dose. Talk to your doctor if this is a concern, especially if you have to stop taking the medication for more than 3 days.