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Medication Information:
Galantamine (generic) ~ Reminyl (brand)

Classification: Acetylcholinesterase inhibitor
Common Usage:
Galantamine is used for the treatment of mild to moderate Alzheimer's disease.

CommonMajor Side Effects: The most common side effects occurring in clinical trials of galantamine were nausea, vomiting, diarrhea, anorexia and weight decrease.  Other side effects are less common, but include chest pain, hypotension, abnormal heart rate, depression, insomnia and somnolence.

This is not a complete list of all known or potential adverse effects.  Notify your prescriber or pharmacist of any symptoms that have started since you began taking this medication, changing its dose or adding or changing other medication or diet.  Take care when performing any task (such as driving a car or operating machinery) that requires your attention until you have experience with this drug and are confident you can perform this task safely.

Interactions with Other Medications: Some medications may increase the effect of galantamine, including ketoconazole (Nizoral), paroxetine (Paxil), erythromycin (E-mycin), amitriptyline (Elavil), fluoxetine (Prozac), fluvoxamine (Luvox) and quinidine (Cardioquin).  Galantamine also may interfere with the activity of anticholinergic medications.

This is not a complete list of all known or potential drug interactions.  To help prevent problems, always make sure that your pharmacist and all prescribers know about all medications you are taking, including over-the-counter drugs; dietary herbal supplements; folk or home remedies; or unusual foods, drinks or dietary habits.

CommonDosages: The recommended dosage range for galantamine is 16-24 mg/day.  Galantamine should be taken twice a day with meals.  The recommended starting dose of galantamine is 4 mg twice daily (8 mg/day).  If this is well-tolerated after an additional 4 weeks, the dose can be increased to 12 mg twice daily (24 mg/day).  If several doses are missed, the patient must restart at the lowest dose.  Galantamine is not recommended for patients with severe hepatic impairment.  In patients with moderate hepatic impairment, doses above 16 mg/day are not recommended.

Identification: Galantamine is available as 4-mg, 8-mg, and 12-mg Reminyl tablets.  All tablets are imprinted with "Janssen" on one side.  On the other side, the tablets are imprinted with "G" and "4," "8" or "12" to mark their strength. The 4-mg tablets are off-white.  The 8-mg tablets are pink.  The 12-mg tablets are orange-brown.  Galantamine is also available in a clear, odorless 4 mg/mL oral solution.

Storage: Store this medication at normal room temperature (59° F to 86° F) in a tightly closed, light- and moisture-resistant container.  If you have difficulty opening child-resistant containers, your pharmacist can provide a container that is easier to open.  Keep the medication out of direct sunlight and avoid storing it in a warm or humid area - such as the bathroom or kitchen - to prevent deterioration.  To prevent accidental poisoning, keep all medications out of the reach of children.  Do not take an expired medication.  Do not transfer medication from one container to another.  Carefully discard discontinued medication where children cannot find it.

Edited by Lawrence H. Price, M.D.

ASERVICE OF…. Psychopharmacology Update
Note: These guidelines are for general information only.For more specific information, consult your physician orpharmacist.

 

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