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Drug Class: Commonly Known As: Category:
Rivastigmine Exelon, rivastigmine Adult

Rivastigmine - Side Effects, Precautions, and Contraindications

What side effects can Rivastigmine cause?

All medicines may cause side effects. However, many people do not experience them.

Most of the side effects listed here will improve with time. Speak with your doctor or pharmacist if they persist, become bothersome or worsen.


Side effectsWhat to do about it
Poor appetite, nausea, vomitingTake the medicine after meals. Eat small but frequent meals to minimize bloating after a meal. Avoid food that is too rich, spicy or has strong smells.
DiarrhoeaMake sure you remain well hydrated by drinking plenty of water
HeadacheConsult your doctor or pharmacist if you need any painkillers

Do not drive or operate any machinery.

Discuss with your doctor if you can take your medicine at a different time of the day. 

DizzinessGet up slowly from a lying or sitting position

Avoid daytime naps. Limit caffeine intake. Keep a regular sleeping schedule. Instead of looking at electronic screens before bedtime, choose other relaxing activities such as reading a book or listening to calm music.

Discuss with your doctor if you can take your medicine at a different time of the day. 

Loss of bladder control (urinary incontinence)There may be other causes for this condition. Consult your doctor for further information.
Skin irritation (patch use)Alternate the site of application each time, on skin that is free of cuts or rashes. Avoid applying the patch to the same area of skin until at least 14 days have passed.


Serious side effects

Seek medical help as soon as possible if you have any of the following signs or symptoms.

  • Allergy such as rashes, swelling of lips/face/throat, difficulty breathing

Take note that the side effects listed here are not exhaustive. Do seek medical attention if you have other symptoms that you think may be related to the medicine.

Before taking Rivastigmine , what precautions must I follow?

​What do I need to tell my doctor before I take/use this medicine?

  • Drug allergies
  • Pre-existing medical conditions such as heart problems, slow heartbeat, stomach ulcers and fits (seizures)
  • Whether you are taking any other medicines, supplements or traditional medicines. Some of them may affect how this medicine works.
  • In addition, for patch use : if you had a previous skin reaction to medicinal patches/plasters.

What food or medicine must I avoid when I take Rivastigmine ?

This medicine may interact with a number of medicines. Inform your doctor if you are taking other medicines or supplements.


Rivastigmine - Additional Information

​What are the things I need to know or look out for while on this medicine?

  • Avoid driving or any other activities that requires concentration until you see how this drug affects you.
  • Inform your other healthcare professionals that you are on this medicine as well.
  • Discuss with your doctor or pharmacist before you take any other medicines or natural products
  • Do not share your medicines with others.
  • Consult your doctor or pharmacist if you have any questions about your medicine.

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