Rivadem 3mg Capsule 1 Strip

✔️ How to Take Rivadem 3

• Take the capsule exactly as prescribed by your doctor
• Swallow whole with water — do not crush or chew
• Dosing is typically started low and may be adjusted based on your response and tolerance
• Take the medication with meals (morning and evening) to minimize stomach upset

✔️ Possible Side Effects

• Dizziness
• Loss of appetite, weight loss
• Nausea, vomiting, diarrhea, stomach pain, heartburn
• Headache
• Insomnia (difficulty sleeping)

✔️ Before You Take Rivadem 3 – Important Precautions

Inform your doctor if you:

• Have asthma or severe lung conditions
• Suffer from liver or kidney impairment
• Have heart problems like arrhythmia, a recent heart attack, or heart failure
• Have a low body weight (under 50 kg)
• Have a history of seizures, urinary retention, active stomach ulcer, or electrolyte imbalance (low potassium or magnesium)

✔️ Special Populations:

Pregnancy: Use only if prescribed by a doctor

Breastfeeding: Not recommended

Elderly (65+ years): Use with caution under medical supervision

✔️ Use in Pediatrics

Rivadem 3 is not recommended for use in children, as there is insufficient data on its safety and effectiveness in pediatric populations. Always consult a pediatrician to explore more suitable treatment alternatives.

✔️ Inform your doctor about all medications you are currently using, particularly the following, as they may interact with Rivadem 3:

A. Medications to Avoid or Use with Caution

• Anticholinergics (e.g., oxybutynin, tolterodine, dicyclomine, trihexyphenidyl): May counteract the effects of rivastigmine
• Beta-blockers (e.g., atenolol, timolol): May increase the risk of bradycardia (slow heartbeat)
• Heart medications (e.g., digoxin, diltiazem, sotalol, pilocarpine): Use with caution due to the potential for enhanced effects
• Antipsychotics (e.g., haloperidol, chlorpromazine, sulpiride, tiapride, pimozide): Risk of cardiac and neurological side effects
• Antidepressants (e.g., citalopram): Can increase the risk of serotonin syndrome and heart rhythm changes
• Antibiotics (e.g., erythromycin IV, moxifloxacin): May lead to QT interval prolongation and heart rhythm disturbances

Other medications:

• Halofantrine (antimalarial)
• Mizolastine (antihistamine for allergies)
• Methadone (painkiller and opioid replacement)
• Pentamidine (used in pneumonia treatment)
• Cisapride and diphemanil (for gastrointestinal disorders)

Always disclose your complete medication history to your healthcare provider to prevent serious interactions.

✔️ Use in Geriatrics

Rivadem 3 should be administered with caution in elderly patients (aged 65 years and above). Medical supervision is essential to monitor tolerability and adjust the dose accordingly. Always consult your physician before starting treatment.

✔️ In the event of an accidental overdose, seek emergency medical attention immediately. Symptoms may include:

• Nausea, vomiting, diarrhea
• Excessive sweating or salivation
• Abdominal pain, difficulty breathing, and increased phlegm
• Muscle weakness, tremors, seizures, or twitching
• Changes in consciousness: dizziness, fainting, excessive drowsiness, confusion
• Slowed heart rate (bradycardia), altered blood pressure
• Visual or auditory hallucinations
• Involuntary bowel or bladder movements (incontinence)
• Pupil constriction and flushing

Note: Overdose management typically involves discontinuing the medicine and providing supportive care. In severe cases, atropine may be used as an antidote under medical supervision.

✔️ Storage:

Store in a cool and dry place, protected from light.