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  4 mg twice daily or
ER-8 mg once daily
 
   
Maximum dose  10 mg once daily  12 mg twice daily or 
ER-24 mg once daily 
6 mg twice daily or
9.5 mg/24hr patch 
10 mg 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. 

Rivastigmine
10mg twice daily
10mg twice daily