Rivamer 6mg Capsule is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness that gradually affects memory and thinking. It is also used for dementia-associated Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness, and other symptoms.
Your doctor will explain how to take Rivamer 6mg Capsule. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You may take it with food, preferably at night before going to bed. 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, vomiting, weight loss, indigestion, and weakness. 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 Rivamer 6mg Capsule. If they are severe or will not go away, you should contact your doctor.
Before using Rivamer 6mg Capsule, you should tell your doctor if you’ve 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.
In Treatment of Dementia Associated with Parkinson's disease
Dementia in Parkinson’s disease refers to problems in memory and thinking that are advanced, interfering with daily activities and quality of life. Rivamer 6mg Capsule helps in managing these symptoms in a safe manner that can be used for a long term. This will make it easier for you to carry out your daily activities and improve your quality of life.
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. Rivamer 6mg Capsule 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 patches exactly as they have been prescribed and only use one at a time. Choose a different place on your body to wear the patch each time you put on a new one. It can take several weeks for your symptoms to improve; so keep applying the patches even if you do not think they are working.
Side effects of Rivamer Capsule
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 Rivamer
Loss of appetite
Nausea
Vomiting
Indigestion
How to use Rivamer Capsule
Take this medicine in the dose and duration as advised by your doctor. Rivamer 6mg Capsule is to be taken with food.
How Rivamer Capsule works
Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Rivamer 6mg Capsule 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
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Rivamer 6mg Capsule. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Rivamer 6mg Capsule is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Rivamer 6mg Capsule 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
Rivamer 6mg Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Rivamer 6mg Capsule is safe to use in patients with kidney disease. No dose adjustment of Rivamer 6mg Capsule is recommended. However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine.
Liver
SAFE IF PRESCRIBED
Rivamer 6mg Capsule is safe to use in patients with liver disease. No dose adjustment of Rivamer 6mg Capsule is recommended. However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.
What if you forget to take Rivamer Capsule?
If you miss a dose of Rivamer 6mg Capsule, skip it and continue with your normal schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
You have been prescribed Rivamer 6mg Capsule 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.
It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivamer 6mg Capsule.
Do not drive or do anything that requires mental focus until you know how Rivamer 6mg Capsule 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 experience seizures or convulsions while taking this medicine.
You have been prescribed Rivamer 6mg Capsule 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.
It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivamer 6mg Capsule.
Do not drive or do anything that requires mental focus until you know how Rivamer 6mg Capsule 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 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
Parkinson's disease tremors ,Insomnia.
Dr. Ravi Shankar M.
Ayurveda
Use Dhanadanayanadi kashayam 15ml twice a day with 15 ml water before food and Zandopa 10 grams twice a day witk milk after food and Tab Dhanvantari Vati 1-0-1 after food for 2 months
At times my fingers shiver when I hold cup, paper etc it's subconscious as in I do not notice it person Accompanying me notices I have no other health issues. Does this indicate Parkinson's disease? How is it diagnosed?
My father has parkinson's disease from last 12 year. In last 2012 he got severe pneumonia and has been admitted in AIIMS .He was treated with various antibiotics.he came out but got bed ridden after that.From last few year he just sit on his own. he is currently taking bexol 1mg three times, syndopa 125 plus 3 times, ropark XL 3 times.now from few year he got hallucination and cound not sleep in night and constantly talking in night(Some Nights not always).During his stay in AIIMS Dr. prescribed quetiapine 12.5 mg which he is not currently taking.please advice some medicien so that he atleast can sleep at night.
I am suffering from neck pain last month and I am also a patient of Parkinson's disease and I am taking syndopa plus and pacitane last 1 year but not feeling well please tell me advise please sir thanks
Rivamer 6mg Capsule may take as long as 12 weeks to begin working. Response to the medicine differs from person to person. The clinical benefits of Rivamer 6mg Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, Rivamer 6mg Capsule should be stopped.
How should Rivamer 6mg Capsule be taken?
Always take the medicine as directed by your doctor. Usually, Rivamer 6mg Capsule is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water and do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Is it okay to take antacids while taking Rivamer 6mg Capsule?
Yes, antacids can be taken while taking Rivamer 6mg Capsule as they do not interfere with the working of Rivamer 6mg Capsule. Moreover, Rivamer 6mg Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
What will happen if I take more than the recommended doses of Rivamer 6mg Capsule?
Taking more than the recommended doses of Rivamer 6mg Capsule may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations, and malaise. Higher doses may also cause confusion, increased sweating, and an increase in blood pressure. In case you take an overdose of Rivamer 6mg Capsule, seek immediate medical attention.
Does Rivamer 6mg Capsule cause drowsiness?
Yes, Rivamer 6mg Capsule can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention.
Can I stop taking Rivamer 6mg Capsule?
You should not stop or change the dose of Rivamer 6mg Capsule without consulting your doctor. However, if treatment is interrupted for more than three days, then do not take the medicine and consult your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Can Rivamer 6mg Capsule cause hallucinations?
Yes, Rivamer 6mg Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivamer 6mg Capsule, which means they occur in very few people. It may usually occur shortly after dose increase.
How long does Rivamer 6mg Capsule take to work?
Rivamer 6mg Capsule may take as long as 12 weeks to start showing its effect. The effect of the medicine on each individual may differ. The clinical benefits of Rivamer 6mg Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, stop the medication and consult your doctor.
How should Rivamer 6mg Capsule be taken?
Always take the medicine as directed by your doctor. Usually Rivamer 6mg Capsule is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water; do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Is it okay to take antacids while taking Rivamer 6mg Capsule?
Yes, antacids can be taken while taking Rivamer 6mg Capsule as they do not interfere with the working of Rivamer 6mg Capsule. Moreover, Rivamer 6mg Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
What will happen if I take more than the recommended doses of Rivamer 6mg Capsule?
Taking more than the recommended doses of Rivamer 6mg Capsule may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations and malaise. An overdose may also cause confusion, increased sweating and increase in blood pressure. In case you take an overdose of Rivamer 6mg Capsule or if you experience any such symptoms, seek immediate medical attention.
Does Rivamer 6mg Capsule cause drowsiness?
Yes, Rivamer 6mg Capsule can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention. If dizziness continues and bothers you, consult your doctor.
Can I stop taking Rivamer 6mg Capsule?
You should not stop or change the dose of Rivamer 6mg Capsule without consulting your doctor. However, if treatment is interrupted for more than 3 days, do not continue the medicine without consulting your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Can Rivamer 6mg Capsule cause hallucinations?
Yes, Rivamer 6mg Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivamer 6mg Capsule, which means they occur in very few people. It may usually occur shortly after dose modification. If you do not feel well, consult your doctor.
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. Rivastigmine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 603-607.
Katzung BG. Special Aspects of Geriatric Pharmacology. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 1041.
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. p. 1229.
Rivastigmine tartrate. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2015]. [Accessed 24 Jan. 2019] (online) Available from:
Rivastigmine. Camberley, Surrey: Sandoz Limited; 2014 [revised Aug. 2016]. [Accessed 22 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
Müller T. Rivastigmine in the treatment of patients with Alzheimer's disease. Neuropsychiatr Dis Treat. 2007 Apr;3(2):211-8. [Accessed 20 Feb. 2024] (online) Available from:
Rivastigmine transdermal system [Patient Information Leaflet]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 20 Feb. 2024] (online) Available from:
Marketer details
Name: Sun Pharmaceutical Industries Ltd
Address: Plot no 107/108,Namli block , Ranipool, East Sikkim 737135
Country of origin: India
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.