Medication Review

During a clinic visit, patients undergoing an evaluation by our providers may be seen by a pharmacist. If you or a loved one has questions about Alzheimer's disease medications and would like to get information on obtaining a medication review, please call (813) 974-4355.

Several prescription drugs are currently approved by the U.S. Food and Drug Administration (FDA) to treat people who have been diagnosed with Alzheimer's disease. Treating the symptoms of AD can provide patients with comfort, dignity, and independence for a longer period of time and can encourage and assist caregivers as well. It is important to understand that none of these medications stops the disease itself.

Medications for Alzheimer's Disease

 

Aricept

Razadyne and

Razadyne ER

(Extended Release)

Exelon

Namenda

 Type of Drug

These three drugs are Cholinesterase inhibitors.

This drug is an NMDA receptor antagonist.

 Generic name

Donepezil HCI

Galantamine

Rivastigmine

Memantine HCI

 Pharmaceutical

 Company

Pfizer

Ortho McNeil

Novartis

Forest

 Initial dose

5 mg once daily

4mg twice daily

or

ER-8 mg once daily

1.5 mg twice daily

or

4.6 mg/24hr patch

5 mg daily

 Maximum dose

10mg once

daily

12 mg twice daily

or

ER-24 mg once daily

6 mg twice daily

or

9.5 mg/24hr patch

10mg twice daily

 When taken

AM or PM

 with a meal.

With AM & PM meals

ER- in AM only

with AM & PM

 meal  AM and PM

Patch: change daily

   AM and PM

 Most common

 side effects

Nausea,

diarrhea, loss of

appetite, weight

loss, muscle

cramps, slow

heart beat, and

vivid dreams

Nausea, diarrhea,

loss of appetite,

weight loss, muscle

cramps, and slow

heart beat

Nausea, diarrhea,

loss of appetite,

weight loss, muscle

cramps, and slow

heart beat

Patch: skin irritation

or rash

Dizziness,

temporary

confusion,

headache,

constipation

 What stage of

 the disease?

Mild to Severe

Alzheimer's

Disease

Mild to Moderate

Alzheimer's Disease

Mild to Moderate

Alzheimer's Disease

Moderate to

Severe

Alzheimer's

   Disease

 Goal of

 treatment

All of these drugs slow down the progression of memory loss but do not reverse

the Alzheimer's process altogether.

 Comments

Aricept, Razadyne and Exelon are the same type of drugs and you should only take one. However, any one of these can be used in combination with Namenda. Talk to your doctor before changing doses or stopping the medications.