Exelon® Oral Solution for Alzheimer’s and Parkinson’s Dementia

What Exelon® Is and How It Works

Exelon Oral Solution contains rivastigmine, a cholinesterase inhibitor used for mild to moderate Alzheimer’s disease and Parkinson’s disease dementia. It increases acetylcholine by inhibiting both acetylcholinesterase and butyrylcholinesterase, which can support memory and daily function. Many caregivers compare the Exelon Oral Solution price, dosage, and expected benefits before starting. If you need Exelon Oral Solution without insurance, YouDrugstore offers clear pricing and options to help you plan.

YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba; prescriptions are reviewed by licensed pharmacists before dispensing. We source from licensed, vetted partner pharmacies internationally to supply authentic brands and a wide selection at affordable Canadian prices.

Exelon Oral Solution is taken by mouth, usually with morning and evening meals. Oral solution helps patients who have trouble swallowing capsules. Dosing begins low and increases in steps if tolerated. Consistent use is needed to see benefit, and treatment is long term.

Dosage and Usage

• Start with 1.5 mg twice daily with food. Your prescriber may adjust based on response and tolerability.
• After at least 2 weeks, increase to 3 mg twice daily if tolerated. Later steps may include 4.5 mg twice daily, then up to 6 mg twice daily.
• If side effects occur after an increase, return to the previous dose and try to retitrate later.
• If treatment is interrupted for more than 3 days, restart at 1.5 mg twice daily and retitrate to your maintenance dose.
• Measure each dose with the supplied oral syringe. Follow the mL instructions on your pharmacy label for accuracy.
• Take with morning and evening meals to reduce nausea and vomiting.
• You may swallow the solution directly from the syringe, or mix the dose in a small glass of water or fruit juice and drink right away. Do not store mixed doses.
• If you vomit soon after a dose, do not take an extra dose. Take the next scheduled dose with food.
• If you miss a dose, skip it and take the next dose at the usual time. Do not double up.
• Do not combine rivastigmine with other cholinesterase inhibitors. Tell your healthcare provider about all medicines you use.

• Storage: store at 20–25 °C (68–77 °F). Short excursions 15–30 °C (59–86 °F) are acceptable. Keep the bottle tightly closed and upright.
• Do not freeze. Protect from excessive heat and direct sunlight. Keep out of reach of children.
• Travel: keep in original labeled bottle and carry-on luggage. Use a sealable bag to prevent leaks and bring an extra dosing syringe.
• Do not leave the bottle in a hot car. Avoid bathrooms where humidity is high.
• Check the solution before use. Do not use if it has changed color or if the bottle is damaged.

Benefits and Savings

Rivastigmine can help maintain cognition and daily activities in mild to moderate dementia. The oral solution form supports patients with swallowing difficulty and allows precise dose adjustments during titration. Taking doses with food may improve tolerability, which helps you stay on treatment.

Ordering from YouDrugstore gives you Canadian pricing on brand and generic medicines. Many patients see 60–80% savings compared with typical U.S. pharmacy prices. If you are managing Exelon Oral Solution cost without insurance, multi-month supplies and periodic bulk promotions may lower the per-month expense.

If you are searching for an Exelon Oral Solution coupon, check our current promotions for available deals.

We also offer reorder reminders so you can maintain continuity of care. Ask your prescriber whether brand Exelon or generic rivastigmine oral solution is appropriate for your situation and budget.

Side Effects and Safety

• Nausea, vomiting, or diarrhea
• Loss of appetite and weight loss
• Abdominal pain or dyspepsia
• Dizziness or headache
• Tremor or increased sweating
• Fatigue or weakness
• Insomnia or vivid dreams
• Increased salivation

Serious or rare effects can include severe vomiting with dehydration, gastrointestinal bleeding (black stools or coffee-ground vomit), slow heart rate, fainting, severe dizziness, significant weight loss, and allergic reactions (rash, swelling, trouble breathing). Use caution if you have a history of ulcers, conduction abnormalities, low body weight, asthma/COPD, or moderate hepatic impairment. Report troubling symptoms promptly to your healthcare provider.

Onset Time

Some patients and caregivers notice small changes in attention or engagement within 2–4 weeks as the dose stabilizes. Benefits are better assessed after you reach a tolerated maintenance dose, which often takes 6–12 weeks. Daily activities and caregiver impressions may improve or decline more slowly versus baseline, but individual responses vary.

Compare With Alternatives

Donepezil is a once-daily cholinesterase inhibitor used for mild to severe Alzheimer’s disease. It has a different dosing schedule and side effect profile. If you prefer a daily tablet and your prescriber agrees, Donepezil may be considered as an alternative.

The transdermal rivastigmine system delivers the same active ingredient through the skin, which can reduce gastrointestinal side effects for some patients. If skin application is acceptable, you can discuss the Exelon® Patch with your prescriber.

Memantine, an NMDA receptor antagonist, is often used in moderate to severe Alzheimer’s disease and may be combined with a cholinesterase inhibitor. Galantamine is another cholinesterase inhibitor option for mild to moderate disease. Your healthcare provider will tailor therapy based on diagnosis, tolerability, and goals of care.

Combination Therapy

• Rivastigmine plus memantine may be used in moderate to severe Alzheimer’s disease to address different pathways.
• Avoid combining rivastigmine with other cholinesterase inhibitors (such as donepezil or galantamine).
• Discuss anticholinergic drugs (for bladder or allergies). They may counteract rivastigmine’s effect.
• Tell anesthesia providers you take rivastigmine; it may increase sensitivity to succinylcholine-type agents.

Patient Suitability and Cost-Saving Tips

Rivastigmine may suit adults with mild to moderate Alzheimer’s disease or Parkinson’s disease dementia who can take twice-daily doses with meals. It is not routinely used in children. Your prescriber may use lower targets if you have low body weight, moderate liver impairment, or troublesome gastrointestinal effects.

People with active peptic ulcer disease, significant bradycardia, conduction disorders, recent syncope, severe vomiting, or severe hepatic impairment may not be good candidates, or may require closer monitoring and tailored doses. If swallowing is difficult, the oral solution offers a practical option versus capsules.

To manage Exelon Oral Solution cost, consider generic rivastigmine oral solution when appropriate. Ordering a multi-month supply can reduce the monthly price, and you can use our reminders to plan refills on time. If you are paying cash and need Exelon Oral Solution without insurance, compare brand versus generic and ask about current promotions.

Authoritative Sources

FDA Prescribing Information for Exelon (rivastigmine) capsules and oral solution

Health Canada Product Monograph: EXELON (rivastigmine tartrate)

FDA Medication Guide: Rivastigmine

Order Exelon® from Youdrugstore: add to cart, upload your prescription, and we ship with prompt, express handling.

This page is educational and does not replace advice from your healthcare professional. Always follow your prescriber’s directions and the dispensing label.