Understanding Your Alzheimer's Disease Medications

A Comprehensive Guide for Patients and Caregivers

Neurology

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Last updated: Mar 24, 2025

Introduction

Medications play a crucial role in managing Alzheimer's disease symptoms and improving quality of life. This guide explains the main types of medications prescribed and how to use them effectively.

Cholinesterase Inhibitors

  • Donepezil (Aricept®)

    • Used for all stages
    • Taken once daily
    • Common side effects: nausea, diarrhea
  • Rivastigmine (Exelon®)

    • Available as patches or capsules
    • Used for mild to moderate stages
    • Apply patch once daily or take capsules twice daily
  • Galantamine (Razadyne®)

    • For mild to moderate stages
    • Extended-release form taken once daily

NMDA Receptor Antagonist

  • Memantine (Namenda®)
    • For moderate to severe stages
    • Can be combined with cholinesterase inhibitors
    • Taken once or twice daily depending on formulation

Combination Therapy

  • Namzaric® (donepezil + memantine)
    • Single capsule combining two medications
    • Typically taken once daily in the evening

Important Reminders

  1. Take medications at the same time each day
  2. Never skip doses
  3. Report side effects to your healthcare provider
  4. Store medications properly
  5. Keep an updated medication list

When to Contact Your Doctor

  • Severe side effects
  • Difficulty taking medications
  • Questions about effectiveness
  • Need for prescription refills

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