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Reminyl

No Prescription

Reminyl is prescribed to treat mild to moderate dementia caused by Alzheimer's disease.
Reminyl is in a class of drugs called acetylcholinesterase inhibitors.
Reminyl is prescribed to treat the symptoms of Alzheimer's disease (AD a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities).
Reminyl may improve the ability to think and remember or slow the loss of these abilities in people who have AD.
Reminyl will not cure AD or prevent the loss of mental abilities at some time in the future.
Reminyl works by increasing the amount of a certain natural substance in the brain that is needed for memory and thought.

Contraindications

Reminyl is contraindicated if you have any of the following conditions:
- Asthma or other lung disease;
- Difficulty passing urine;
- Heart disease, slow heartbeat;
- Kidney or liver disease;
- Seizures (convulsions);
- Stomach or intestine disease, ulcers, or stomach bleeding;
- An unusual or allergic reaction to Reminyl, other drugs, foods, dyes, or preservatives;
- Pregnant or trying to get pregnant;
- Breast-feeding;
- Tell your doctor and pharmacist if you are allergic to Reminyl, any other medications, or any of the inactive ingredients in Reminyl tablets, solution, or extended-release capsules. Ask your pharmacist for a list of the inactive ingredients.
- Tell your doctor and pharmacist what script and nonscript medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: ambenonium chloride (Mytelase) amitriptyline (Elavil) anticholinergic medications such as atropine (Atropen, Sal-Tropine), belladonna (in Donnatal, Bellamine, Bel-Tabs, others) benztropine (Cogentin), biperiden (Akineton) clidinium (in Librax), dicyclomine (Bentyl), glycopyrrolate (Robinul), hyoscyamine (Cytospaz-M, Levbid, Levsin), ipratropium (Atrovent, in Combivent), oxybutynin (Ditropan), procyclidine (Kemadrin), propantheline (Pro-Banthine), scopolamine (Scopace, Transderm-Scop), tiotropium (Spiriva), tolterodine (Detrol), and trihexyphenidylcertain antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), and voriconazole (Vfend)aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn) bethanechol (Urecholine)cevimeline (Evoxac) cimetidine (Tagamet) clarithromycin (Biaxin, in Prevpac)digoxin (Lanoxin) fluoxetine (Prozac, Sarafem) fluvoxamine (Luvox) heart medications nefazodone neostigmine (Prostigmin) other medications for Alzheimer's disease medications for human immunodeficiency syndrome (HIV) or acquired immunodeficiency syndrome (AIDS) medications for high blood pressure paroxetine (Paxil) pyridostigmine (Mestinon) and quinidine (Quinidex). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- Tell your doctor if you have or have ever had asthma or any other lung disease an enlarged prostate ulcers seizures irregular heartbeator heart, kidney, or liver disease.
- Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Reminyl, call your doctor.
- If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Reminyl.
- You should know that Reminyl may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.

Interactions

Do not take Reminyl with any of the following drugs:
- Atropine;
- Benztropine;
- Bethanecol;
- Cimetidine;
- Dicyclomine;
- Digoxin;
- Erythromycin;
- Glycopyrrolate;
- Hyoscyamine;
- Drugs for fungal infections like fluconazole, itraconazole, ketoconazole, terbinafine;
- Drugs for motion sickness like dimenhydrinate, meclizine, scopolamine;
- Drugs that relax your muscles for surgery;
- Other drugs for Alzheimer's disease;
- Oxybutynin;
- Quinidine;
- Some drugs for depression, anxiety or mood disorders;

Side Effects

Reminyl side effects that you should report to your health care professional or doctor as soon as possible:
- Changes in vision or balance;
- Dizziness, fainting spells, or falls;
- Severe diarrhea;
- Skin rash or hives;
- Slow heartbeat, or palpitations;
- Stomach pain;
- Unusual bleeding or bruising, red or purple spots on the skin;
- Vomiting;
- Weight loss;
- Headache;
- Loss of appetite;
- Mild diarrhea, especially when starting treatment;
- Nausea;
- Upset stomach;
- Vomiting;
- Diarrhea;
- Loss of appetite;
- Stomach pain;
- Heartburn;
- Weight loss;
- Extreme tiredness;
- Dizziness;
- Pale skin;
- Headache;
- Shaking of a part of your body that you cannot control;
- Depression;
- Difficulty falling asleep or staying asleep;

Overdose

Reported Reminyl overdose symptoms are:
- Muscle weakness or twitching;
- Upset stomach;
- Vomiting;
- Stomach cramps;
- Drooling;
- Teary eyes;
- Increased urination;
- Need to have a bowel movement;
- Sweating;
- Slowed fast or irregular heartbeat;
- Lightheadedness;
- Dizziness;
- Fainting;
- Slowed breathing;
- Collapse;
- Loss of conciousness;
- Seizures;
- Dry mouth;
- Chest pain;

Dosage

ADULTS

The recommended starting dose of Reminyl is 4 mg twice a day. Four weeks later, the dose should be increased to 8 mg twice a day. After waiting an additional four weeks, the doctor may increase the dose to 12 mg twice a day if necessary.

For patients with mild to moderate liver problems and kidney problems, dosage should not exceed 16 mg per day.

(c) 2017