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Exelon® Oral Solution for Alzheimer’s Dementia
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Exelon® oral solution helps treat mild to moderate dementia linked to Alzheimer’s and Parkinson’s disease. This page explains how it works, who it may suit, and how to use it correctly. It also covers Exelon Oral Solution without insurance and supports US delivery from Canada.
What Exelon Is and How It Works
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
Exelon® contains rivastigmine, a cholinesterase inhibitor. It increases acetylcholine levels in the brain by slowing its breakdown. Higher acetylcholine may support memory, attention, and daily functioning in certain types of dementia.
This medicine is taken by mouth as a liquid. It is usually given with food to improve tolerance. The treatment does not cure dementia, but it can help maintain function for some people when used as directed.
For background on conditions it treats, see Alzheimers Disease and Parkinsons Disease Dementia. You can also browse our Neurology category.
Who It’s For
Rivastigmine Oral Solution is indicated for mild to moderate dementia of the Alzheimer’s type and for dementia associated with Parkinson’s disease. It may be considered when tablets are hard to swallow or when flexible dosing is needed.
People with a known allergy to rivastigmine or other carbamate derivatives should not use this therapy. Those with severe liver impairment, low body weight, active stomach ulcers, or a history of severe vomiting should discuss risks and benefits with a healthcare professional. It is not established in children.
Dosage and Usage
The standard label starts at a low dose and increases gradually, based on tolerability. The liquid is measured using the supplied oral syringe. Take doses with morning and evening meals unless your prescriber advises differently.
Rivastigmine Oral Solution liquid should be swallowed directly or mixed in a small amount of water or other allowed beverage according to the Patient Information. Always use the marked syringe for accuracy, and rinse it after use. If stomach upset occurs, your prescriber may adjust the schedule.
If uncertain about timing or titration, consult the official prescribing information and your clinician. Do not change your dose on your own.
Strengths and Forms
This product is supplied as a clear oral liquid. The typical presentation is Exelon Oral Solution 2 mg/mL in a bottle with a dosing syringe. Bottle volumes commonly available include 120 mL. Availability can vary by market and stock.
Missed Dose and Timing
If you miss a single dose, take the next dose at the usual time. Do not double up or take extra to make up for it. If you stop taking it for more than a few days, ask your prescriber before restarting; reinitiation may require a lower dose.
Try to take doses with meals at consistent times. A daily reminder or pillbox timer can help maintain a steady routine.
Storage and Travel Basics
Store the bottle at room temperature as directed on the label. Keep the cap tightly closed, and protect it from excessive heat and moisture. Do not freeze. Always keep medicines out of reach of children and pets.
When traveling, carry the original labeled container and dosing syringe in your hand luggage. A simple note or a copy of the prescription can help with security checks. Avoid leaving the bottle in a hot car. If you transfer doses into a smaller container for a short trip, label it clearly to avoid errors.
For more on the condition journey, you may find these helpful: Stages Of Alzheimers Disease and What Is Alzheimers Disease.
Benefits
This treatment can support memory and daily living skills in some people with dementia. Liquid dosing allows fine adjustments during titration. The oral solution format may be easier for people who have trouble swallowing tablets. Taking it with food can improve stomach tolerance, which may help people stay on therapy.
Side Effects and Safety
- Common effects: nausea, vomiting, diarrhea
- Appetite loss and weight decrease
- Abdominal pain or indigestion
- Dizziness, headache, fatigue
- Tremor or sweating
Serious or rare risks can include severe vomiting with dehydration, slow heart rate, fainting, severe stomach pain, or gastrointestinal bleeding. Allergic reactions are possible. People weighing under 50 kg may be more susceptible to side effects. Seek urgent care for trouble breathing, chest pain, black stools, or fainting spells.
Drug Interactions and Cautions
Tell your clinician about all medicines and supplements you use. Anticholinergic drugs may be less effective when taken with this therapy. Combining with beta-blockers or other agents that slow the heart can raise the risk of bradycardia. Using NSAIDs can raise the risk of ulcers or bleeding.
Cholinomimetic effects may interact with anesthesia and neuromuscular blockers like succinylcholine. Metoclopramide may increase movement-related side effects. Alcohol can worsen dizziness or stomach upset. If you have liver or kidney problems, your prescriber may adjust your plan. Prescription required and verified.
What to Expect Over Time
Responses vary. Some people notice gradual improvements in attention or day-to-day tasks after titration. Others may experience stabilization rather than clear improvement. Benefits depend on steady use and tolerability. If side effects limit use, speak with your healthcare professional about adjustments or alternatives. This medicine does not halt disease progression but may help preserve function for some individuals over a period.
Compare With Alternatives
Memantine, an NMDA receptor antagonist, is a commonly used option for moderate to severe Alzheimer’s symptoms. See Ebixa for details. Another choice is donepezil, a once-daily cholinesterase inhibitor, available as Aricept. Your prescriber may use these alone or in combination, depending on your diagnosis and tolerability.
Pricing and Access
Check current Exelon Oral Solution price on our product page and compare pack sizes. You can review Canadian pricing with clear options for those paying cash or using other payment methods. If you use coupons, see our Promotions. We support privacy-focused checkout and shipment that Ships from Canada to US. If you pay without insurance, we list straightforward details to help you plan.
To start, you can Order Exelon Oral Solution online after your prescriber sends a valid prescription. Our team confirms details before dispensing and can coordinate refills on request.
Availability and Substitutions
Stock may vary. The typical size is Exelon Oral Solution 120 mL with a marked syringe. If this item is unavailable, your prescriber may suggest a different strength, a patch formulation of the same medicine, or another dementia therapy. We do not provide restock dates, but you can check back or ask your clinician about alternatives in the same class.
Patient Suitability and Cost-Saving Tips
This therapy may be suitable for adults with mild to moderate Alzheimer’s dementia or Parkinson’s disease dementia who can take oral liquids with meals. It may not be appropriate for people with severe liver disease, active peptic ulcers, or a history of serious hypersensitivity. Discuss risks if you have significant weight loss or are prone to fainting.
Cost-smart steps include requesting multi-month fills when appropriate, scheduling reminder calls or emails, and aligning refills with caregiver visits. Ask if a generic rivastigmine option is suitable for your plan. Keeping a consistent meal-time schedule may improve tolerance, which can reduce wasted doses and clinic visits.
Questions to Ask Your Clinician
- Starting dose plan: how will titration proceed?
- Food and timing: which meals are best?
- Side effects: what signs mean I should call?
- Interactions: which medicines should I avoid?
- Travel: what documentation should I carry?
- Alternatives: when would you switch to another therapy?
Authoritative Sources
Novartis (Manufacturer)FDA DailyMedHealth Canada DPD
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How do I measure doses of the oral solution accurately?
Use the supplied dosing syringe, not a household spoon. Draw up the exact volume prescribed, checking the mL markings at eye level. After administration, flush the syringe with water and let it air dry. If your syringe is lost or damaged, ask your pharmacy for a replacement before continuing. Taking it with food can help with stomach upset. Do not mix with hot drinks or alcohol. If you have vision or dexterity issues, a caregiver may need to help.
Can this medicine be taken with other dementia treatments?
Your prescriber may combine it with another class, such as memantine, depending on your diagnosis and tolerance. Combining two cholinesterase inhibitors is not standard. Always provide a full list of medicines and supplements. Watch for additive side effects like nausea, dizziness, or slow heart rate when other drugs lower pulse. Never change doses on your own; ask a healthcare professional for guidance.
What should I do if vomiting occurs after a dose?
If vomiting is frequent or severe, contact your clinician. Dehydration, weight loss, and electrolyte problems can occur if symptoms persist. Do not double the next dose. Taking the medicine with meals may help. If treatment is interrupted for several days, your prescriber may advise restarting at a lower dose. Urgent care is needed for signs of dehydration, black stools, or fainting.
How long should I continue this treatment?
Duration is individualized. Many people continue as long as benefits outweigh side effects and daily function is supported. Regular check-ins with your prescriber help assess cognition, behavior, and tolerance. If benefits fade or adverse effects occur, your clinician may adjust the plan or consider alternatives. Never stop abruptly without medical advice, especially if you have been on a stable regimen.
Does food matter when taking each dose?
Taking it with food can improve tolerability, especially during dose increases. Morning and evening meals are common times. Try to use the same meal schedule each day. Avoid mixing with hot liquids. If you take other medications at meals, ask about spacing them to reduce stomach upset. For individualized directions, follow your prescriber and the official label.
Are there any special precautions before surgery?
Tell your surgical team you use a cholinesterase inhibitor. These agents can interact with anesthesia and neuromuscular blockers such as succinylcholine. Your clinicians may adjust the plan to avoid bradycardia or prolonged muscle relaxation. Do not stop therapy without medical guidance; your prescriber will advise if a temporary hold is appropriate before a procedure.
What if swallowing is difficult for the person I care for?
The liquid form may be easier than tablets. Use the syringe to place the dose into the mouth slowly. If mixing with an allowed beverage, follow the Patient Information and give it right away. Keep the person seated and calm, with sips of water after dosing if needed. If swallowing remains a challenge, ask the prescriber about alternative formulations or supports.
