Nepzil 10mg 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 Nepzil 10mg 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 Nepzil 10mg Tablet. If they are severe or will not go away, you should contact your doctor.

Before using Nepzil 10mg 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 Nepzil Tablet

Alzheimer's disease

Benefits of Nepzil 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. Nepzil 10mg 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 Nepzil 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 Nepzil

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

How to use Nepzil 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. Nepzil 10mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Nepzil Tablet works

Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Nepzil 10mg 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 Nepzil 10mg Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Nepzil 10mg 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

Nepzil 10mg 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

Nepzil 10mg 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

Nepzil 10mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nepzil 10mg Tablet may not be needed in these patients. Please consult your doctor.

Liver

CAUTION

Nepzil 10mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Nepzil 10mg Tablet may be needed. Please consult your doctor.

What if you forget to take Nepzil Tablet?

If you miss a dose of Nepzil 10mg 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.

Nepzil 10mg Tablet

₹6.99/Tablet

Aricep 10 Tablet

Eisai Pharmaceuticals India Pvt Ltd

₹16.6/tablet

137% costlier

Donep 10 Tablet

Alkem Laboratories Ltd

₹18.93/tablet

171% costlier

Alzil 10 Tablet

Intas Pharmaceuticals Ltd

₹19/tablet

172% costlier

Lapezil 10 Tablet

La Renon Healthcare Pvt Ltd

₹18.6/tablet

166% costlier

Depzil 10mg Tablet

Psycormedies

₹16.5/tablet

136% costlier

View all substitutes

Quick tips

You have been prescribed Nepzil 10mg 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 Nepzil 10mg Tablet.
Monitor your body weight regularly as both Nepzil 10mg Tablet and Alzheimer's disease can cause weight loss.
Do not drive or do anything that requires mental focus until you know how Nepzil 10mg 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

Therapeutic Class

NEURO CNS

Action Class

Cholinesterase inhibitors - Alzheimer's disease

Patient concerns

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

I am suffering from alzehimer. I forget things like where I put key in morning. Some small things which makes me to suffer from condolence. What is the reason and how can I cure it ?

Dr. Ambrish Dharmadhikari

Psychiatry

Alzheimer's have many reasons which may be genetic, vitamins deficiency, hormonal problems, alcohol, other drugs, age related and others. We need to investigate you for finding cause. I strongly advice consultation with psychiatrist. If you are from Mumbai, see me.There is no cure to Alzheimer's, but we can suppress symptoms. Looking at your age, I am very much sure you are not suffering from Alzheimer's!!!!

Myself and wife started infertility treatment. My doctor has prescribed ubefit, carnimed plus and linearity for sperm count increase. Will these drugs improve my sperm count? When I checked the indication of these drugs in Google, it shows different indications like heart disease, cancer, Alzheimer's disease like that, hence I am afraid of taking these drugs. Kindly provide your valuable comments.

Dr. Sonu Balhara Ahlawat

Obstetrics and Gynaecology

It is not predictableBut benefit is less

User feedback

Patients taking Nepzil 10mg Tablet

Once A Day

100%

What are you using Nepzil Tablet for?

Others

50%

Alzheimer's d*

50%

*Alzheimer's disease

How much was the improvement?

Poor

67%

Average

33%

FAQs

Q. Why is Nepzil 10mg Tablet taken at night?

Nepzil 10mg 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.

Q. Do the gastrointestinal side effects due to Nepzil 10mg Tablet persist for a long time?

Gastrointestinal side effects may appear during the first few weeks of treatment with Nepzil 10mg Tablet. This can be minimized by taking Nepzil 10mg Tablet at bedtime and with food. Generally, these side effects are mild and disappear within a few weeks with continued treatment.

Q. How long does it take for Nepzil 10mg Tablet to start working?

Within the first month of treatment with Nepzil 10mg Tablet, you may experience improvement in thinking and remembering (cognitive effect). However, it may take about 12 weeks to see the full benefits.

Q. When should Nepzil 10mg Tablet be stopped?

Do not stop Nepzil 10mg 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.

Q. For how long does Nepzil 10mg Tablet stay in your system?

Nepzil 10mg Tablet gets removed from the body very slowly. It takes about two weeks or more for Nepzil 10mg Tablet to be completely removed from the system.

Q. Does Nepzil 10mg Tablet cause depression?

No, Nepzil 10mg Tablet does not cause depression. If you are experiencing symptoms, then it could be due to existing Alzheimer’s disease.

Q. What if I take more than the prescribed dose of Nepzil 10mg Tablet?

Taking more than the recommended dose of Nepzil 10mg 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.

Q. I have been taking indomethacin for arthritis. Can I take Nepzil 10mg Tablet?

Nepzil 10mg 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.

Q. Does Nepzil 10mg Tablet cause hallucinations?

Hallucinations are a common side effect of Nepzil 10mg Tablet, though not everyone is affected. Other common psychiatric side effects include agitation, aggressive behavior, nightmares, and abnormal dreams.

Q. Who should not take Nepzil 10mg Tablet?

Nepzil 10mg Tablet should not be taken by patients who have hypersensitivity to Nepzil 10mg Tablet hydrochloride, piperidine derivatives, or to any active ingredients used in the medicine. Also, it should not be used during pregnancy unless clearly necessary.

Q. Can it cause insomnia?

Yes, insomnia (sleeplessness) is a common side effect of Nepzil 10mg 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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Disclaimer:

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

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.
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.
Donepezil hydrochloride. Woodcliff Lake, New Jersey: Eisai Inc.; 1996 [revised Feb. 2012]. [Accessed 25 Jan. 2019] (online) Available from:
Donepezil. Hatfield, Hertfordshire: Eisai Ltd.; 1997 [revised 11 May 2018]. [Accessed 25 Jan. 2019] (online) Available from:
Donepezil hydrochloride. South Ruislip, UK: Aurobindo Pharma - Milpharm Ltd.; 2013 [revised 23 Nov. 2017] [Accessed 19 Jun. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
Donepezil hydrochloride [Prescribing Information]. Mahabubnagar, Telangana: Hetero Labs Limited; 2023. [Accessed 20 June 2023]. (online) Available from:
Donepezil Hydrochloride [Summary of Product Characteristics]. Dublin, Ireland: Pfizer Healthcare Ireland; 2023. [Accessed 20 June 2023]. (online) Available from:

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