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Galantamine hydrobromide oral
GALANTAMINE - ORAL

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

GALANTAMINE - ORAL

(ga-LAN-tuh-meen)

COMMON BRAND NAME(S): Reminyl

Uses

This medication is used to treat Alzheimer's disease. Use of galantamine for any illnesses occurring in children is not recommended.

How To Use

Take this medication by mouth, usually twice daily with food (at the morning and evening meals), or as directed. Drink plenty of fluids with this medication unless instructed otherwise. Your dose will be adjusted over time (titrated) until the right amount of medicine is determined. Use this medication exactly as prescribed to minimize the occurrence of side effects. Do not stop taking it or increase the dose unless instructed to do so by your doctor. If you are using the liquid form of this drug, read the manufacturer's instruction sheet that comes with the bottle. Follow the directions exactly. If you have not taken the drug for several days, contact your doctor to re-establish your dosing schedule. To minimize side effects, you will be restarted at the lowest dose. The dosage will then gradually be increased. It may take at least four weeks of continued use before full benefit of this drug takes effect. The recommended maximum total daily dose is 24 mg.

Side Effects

Nausea, vomiting, diarrhea, dizziness, decreased appetite or weight loss may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: fainting, new-onset or worsening heartburn, unusually slow heartbeat, chest pain, stomach pain, loss of bladder control or difficulty urinating. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: convulsions, black stool, bloody or "coffee-ground" vomit, irregular heartbeat. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Tell your doctor your medical history, especially of: heart problems (e.g., bradycardia, AV block, arrhythmia), stomach/intestinal problems (peptic ulcer disease, GERD), difficulty urinating, convulsions, lung disease (severe asthma, obstructive pulmonary disease), liver or kidney disease, recent tobacco use, recent/frequent alcohol use, any allergies (including allergy to daffodil plants). This drug may make you dizzy; use caution when performing activities that require alertness such as driving or using machinery. Limit alcoholic beverages because it may cause dizziness and make your stomach more likely to bleed. Caution is advised when using this drug in the elderly, as they may be more sensitive to drug side effects. Galantamine should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug passes into breast milk. Breast- feeding is not recommended while using galantamine.

Drug Interactions

Tell your doctor of all prescription and nonprescription medication you may use, especially: anticholinergic drugs (e.g., benztropine, scopolamine), cholinergic drugs (e.g., bethanechol), other cholinesterase inhibitors (e.g., donepezil), succinylcholine-type muscle blocking drugs, aspirin, NSAIDS (e.g., ibuprofen, naproxen). Also report use of heart drugs (those which decrease heart rate or block AV impulse conduction) such as: digoxin, beta-blockers (e.g., metoprolol, propranolol), calcium channel blockers (e.g., diltiazem, verapamil). Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include muscle weakness or twitching; severe nausea; severe stomach cramping; slow or shallow breathing; severe dizziness; slow, fast, or irregular heartbeat; fainting; loss of consciousness; and convulsions.

Notes

Do not share this medication with others.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and restart your usual dosing schedule. Do not double your dose to catch up.

Storage

Store at room temperature between 59 and 86 degrees F (15 to 30 degrees C) and away from light and moisture. Do not store in bathroom.