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Almerzil 5mg Tablet

Prescription Required
SALT COMPOSITION
Storage
Store below 30°C

Product introduction

Almerzil 5mg Tablet is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness that gradually affects memory and thinking. It does not cure this illness but may help improve memory, awareness, and other symptoms.

Your doctor will explain how to take Almerzil 5mg Tablet. You may take it with food, preferably at night before going to bed. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. 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, diarrhea, insomnia, vomiting, muscle cramps, fatigue, weight loss (anorexia), headache, loss of appetite, common cold, urinary incontinence, and rash. Drink plenty of fluids to keep yourself hydrated. 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 Almerzil 5mg Tablet. If they are severe or will not go away, you should contact your doctor.

Before using Almerzil 5mg Tablet, you should tell your doctor if you have 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.

Uses of Almerzil Tablet

Benefits of Almerzil Tablet

In 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. Almerzil 5mg Tablet 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 medicine exactly as prescribed. It can take several weeks for your symptoms to improve; so keep using the medicine even if you do not think it is working.

Side effects of Almerzil Tablet

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 Almerzil

  • Common cold
  • Urinary incontinence
  • Rash
  • Nausea
  • Diarrhea
  • Insomnia (difficulty in sleeping)
  • Weight loss
  • Accidental injury

How to use Almerzil Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Almerzil 5mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Almerzil Tablet works

Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Almerzil 5mg Tablet 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.

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Almerzil 5mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Almerzil 5mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Almerzil 5mg Tablet 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
Almerzil 5mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Almerzil 5mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Almerzil 5mg Tablet may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Almerzil 5mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Almerzil 5mg Tablet may be needed. Please consult your doctor.

What if you forget to take Almerzil Tablet?

If you miss a dose of Almerzil 5mg Tablet, skip it and continue with your normal schedule. Do not double the dose.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Almerzil 5mg Tablet
₹13.4/Tablet
Donep 5 Tablet
Alkem Laboratories Ltd
₹13.55/tablet
1% costlier
₹13.3/tablet
1% cheaper
Donasure 5mg Tablet
Gentech Healthcare Pvt Ltd
₹9.39/tablet
30% cheaper
Aricep 5 Tablet
Eisai Pharmaceuticals India Pvt Ltd
₹10.3/tablet
23% cheaper
Alzil 5 Tablet
Intas Pharmaceuticals Ltd
₹13.4/tablet
same price

Quick tips

  • You have been prescribed Almerzil 5mg Tablet 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.
  • Take it with or without food, preferably at night before going to bed.
  • It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Almerzil 5mg Tablet.
  • Monitor your body weight regularly as both Almerzil 5mg Tablet and  Alzheimer's disease can cause weight loss.
  • Do not drive or do anything that requires mental focus until you know how Almerzil 5mg Tablet 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 develop muscle tremors, especially if you have Parkinson’s disease.
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.

Fact Box

Chemical Class
Carbamate Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Cholinesterase inhibitors - Alzheimer's disease

Patient concerns

arrow
Why the failure of Alzheimer's therapy now a days???
Dr. Vikas Sharma
Neurology
as the disese mechanisms are still not defined in absolute terms; still PATIENT is needed and is ongoing
Sir, My father ( an advocate) has developed symptoms of Alzheimer recently and sometimes he takes medicines on his own. He gets weak and unable to walk after taking tablets. Is there any test which can tell which medicines that he took? He takes Ayurved, Allopath, Homeopathy all and does not listen to me. Kindly help
Dr. Ila Jain Khandelwal
Pathology
Dear Sir Thank you for consulting with me. Alzheimer's disease is a difficult disease to handle since patient develops dementia or forgetfulness. There are no blood tests which can tell you which medicines he took. Please consult a neurologist/ Psychiatrist
arrow

FAQs

Why is Almerzil 5mg Tablet taken at night?

Almerzil 5mg Tablet is recommended to be taken before going to bed to reduce gastrointestinal side effects or nausea, which is commonly seen in some patients in the first few weeks of treatment.

Do the gastrointestinal side effects due to Almerzil 5mg Tablet persist for a long time?

Gastrointestinal side effects may appear during the first few weeks of treatment with Almerzil 5mg Tablet. This can be minimized by taking Almerzil 5mg Tablet at bedtime and with food. Generally, these side effects are mild and disappear within a few weeks with continued treatment.

How long does it take for Almerzil 5mg Tablet to start working?

Within the first month of treatment with Almerzil 5mg Tablet, you may experience improvement in thinking and remembering (cognitive effect). However, it may take about 12 weeks to see the full benefits.

When should Almerzil 5mg Tablet be stopped?

Do not stop Almerzil 5mg Tablet without consulting your doctor. This medicine only helps to control your condition but does not cure it. Therefore, it may take several weeks to show benefits, so do not be discouraged if you do not see an improvement straight away. But, in case your condition starts worsening and you feel that it is no longer helping you, then you should consult a doctor before stopping it.

For how long does Almerzil 5mg Tablet stay in your system?

Almerzil 5mg Tablet gets removed from the body very slowly. It takes about two weeks or more for Almerzil 5mg Tablet to be completely removed from the system.

Does Almerzil 5mg Tablet cause depression?

No, Almerzil 5mg Tablet does not cause depression. If you are experiencing symptoms, then it could be due to existing Alzheimer’s disease.

What if I take more than the prescribed dose of Almerzil 5mg Tablet?

Taking more than the recommended dose of Almerzil 5mg Tablet may cause vomiting, increased sweating or saliva production, slow heartbeat, dizziness, difficulty in breathing, seizures or fits, weakness, low blood pressure, convulsions, and inability to control your bowel motions or passing of urine (incontinence). You should seek immediate help from a doctor or emergency service of a nearby hospital.

I have been taking indomethacin for arthritis. Can I take Almerzil 5mg Tablet?

Almerzil 5mg Tablet does not interfere with the working of indomethacin, but indomethacin individually increases the risk of stomach bleeding when taken for a long time. Therefore, if you experience any symptoms of stomach bleeding, consult your doctor immediately.

Does Almerzil 5mg Tablet cause hallucinations?

Hallucinations are a common side effect of Almerzil 5mg Tablet, though not everyone is affected. Other common psychiatric side effects include agitation, aggressive behavior, nightmares, and abnormal dreams.

Who should not take Almerzil 5mg Tablet?

Almerzil 5mg Tablet should not be taken by patients who have hypersensitivity to Almerzil 5mg Tablet hydrochloride, piperidine derivatives, or to any active ingredients used in the medicine. Also, it should not be used during pregnancy unless clearly necessary.

Can it cause insomnia?

Yes, insomnia (sleeplessness) is a common side effect of Almerzil 5mg Tablet. Dizziness and fainting can also be seen as common side effects. Though these side effects are common, they do not occur in everyone.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Stahl SM, editor. Donepezil. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 199-202.
  2. 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. pp. 426-27.
  3. Donepezil hydrochloride. Woodcliff Lake, New Jersey: Eisai Inc.; 1996 [revised Feb. 2012]. [Accessed 25 Jan. 2019] (online) Available from:External Link
  4. Donepezil. Hatfield, Hertfordshire: Eisai Ltd.; 1997 [revised 11 May 2018]. [Accessed 25 Jan. 2019] (online) Available from:External Link
  5. Donepezil hydrochloride. South Ruislip, UK: Aurobindo Pharma - Milpharm Ltd.; 2013 [revised 23 Nov. 2017] [Accessed 19 Jun. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
  7. Donepezil hydrochloride [Prescribing Information]. Mahabubnagar, Telangana: Hetero Labs Limited; 2023. [Accessed 20 June 2023]. (online) Available from:External Link
  8. Donepezil Hydrochloride [Summary of Product Characteristics]. Dublin, Ireland: Pfizer Healthcare Ireland; 2023. [Accessed 20 June 2023]. (online) Available from:External Link

Marketer details

Name: East West Pharma
Address: No. 10, 2nd Cross, Maravaneri, Salem - 636007, Tamil Nadu.


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