Exelon 4.5mg Capsule 14's belongs to a group of medicines called 'anti-dementia agents' used to treat mild to moderate dementia caused by Alzheimer's or Parkinson's disease. Alzheimer's disease is a neurological disorder, which causes dementia (memory loss) and slowly destroys the ability to think, learn, communicate and handling daily activities. Parkinson's disease is a central nervous system disorder that affects movement leading to shaking, stiffness and difficulty with walking, balance and coordination.

Exelon 4.5mg Capsule 14's contains 'Rivastigmine' that belongs to the class of 'Acetylcholinesterase Inhibitors'. Rivastigmine increases acetylcholine (a brain chemical) levels allowing the nerve cells to communicate. It restores the balance of  neurotransmitters and improves mental function, such as memory and thinking. Neurotransmitters are chemical messengers that transmit the message from one nerve cell to another nerve cell, muscle cell or a gland cell.

Your doctor will decide the dose and duration based on the severity of your disease. Common side effects of Exelon 4.5mg Capsule 14's include nausea, vomiting, upset stomach, dizziness, drowsiness, shakiness (tremor), weakness and loss of appetite. These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor.

Let your doctor know if you use any prescription and non-prescription medications you are taking, including other vitamins, before starting Exelon 4.5mg Capsule 14's. Please tell your doctor if you are allergic to any medicines. Inform your doctor beforehand if you have a history of liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems or enlarged prostate. It is essential to let your doctor know if you are pregnant, planning to conceive or a breastfeeding mother. Avoid consuming alcohol along with Exelon 4.5mg Capsule 14's as it can make you dizzy or drowsy.

Exelon 4.5mg Capsule 14's treats mild to moderate dementia caused by Alzheimer's and Parkinson's diseases. It contains 'Rivastigmine', an acetylcholinesterase inhibitor. Rivastigmine increases acetylcholine (a brain chemical) levels in the central nervous system involved in transmitting nerve signals that play an essential role in memory. Exelon 4.5mg Capsule 14's is not a cure for Alzheimer's and Parkinson's diseases, but improves memory, thinking, awareness and the ability to perform daily functions.

• Nausea
• Vomiting
• Upset stomach
• Dizziness
• Drowsiness
• Shakiness (tremor)
• Weakness
• Loss of appetite 
• Trouble passing urine
• Slow heartbeat
• Black, tarry or bloody stools
• Low mood (depression)

Let your doctor know if you use any other medicines or supplements before using Exelon 4.5mg Capsule 14's. Brief your medical history if you have any liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems and enlarged prostate. Please consult your doctor know if you are pregnant, planning to conceive or a breastfeeding mother. Avoid consuming alcohol along with Exelon 4.5mg Capsule 14's as it might lead to increased side effects. Do not drive or operate machinery as this medicine may cause dizziness and sleepiness. Exelon 4.5mg Capsule 14's is not recommended for children below 18 years as safety and effectiveness have not been established. Store this medicine below 25°C away from direct sunlight.

Drug-Drug Interaction: Exelon 4.5mg Capsule 14's may interact with pain killers (aspirin, ibuprofen, naproxen), cough and cold medicines (Benadryl), vomiting medicine (metoclopramide), drugs treating frequent urination (oxybutynin, tolterodine) and high blood pressure medicine (atenolol).

Drug-Food Interaction: Do not consume alcohol while taking Exelon 4.5mg Capsule 14's as it could lead to increased dizziness and drowsiness.

Drug-Disease Interaction: Before using Exelon 4.5mg Capsule 14's, let your doctor know if you have any liver or kidney diseases, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), stomach/intestinal problems (ulcers, bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems and enlarged prostate.

• ASPIRIN
• IBUPROFEN
• NAPROXEN
• BENADRYL
• METOCLOPRAMIDE
• OXYBUTYNIN
• TOLTERODINE
• ATENOLOL

• Maintain proper weight by following a healthy diet.
• Exercise regularly as it helps in less cognitive decline and brain volume loss.
• Avoid smoking and alcohol consumption.
• Try to avoid stress by practising meditation or yoga.
• Include fruits and vegetables in your diet as they contain anti-oxidants.
• Eat nutritious food as it helps in cognitive stimulation.
• Limit foods with high cholesterol and saturated fats.
• Cut down on sugar, salt and processed foods.
• Drink plenty of water.
• Follow a healthy lifestyle as it helps in improving overall health and possibly protects the brain.

• Let your doctor know that you are taking Exelon 4.5mg Capsule 14's if you are undergoing any medical tests.
• It is advised to monitor your blood pressure and blood sugar levels regularly.

Alzheimer's disease: The disease is named after Dr Alois Alzheimer, who was the first to discover the disease. Alzheimer's disease is a neurological disorder that causes dementia (memory loss) and slowly destroys the ability to think, learn, communicate and eventually, the ability to handle daily activities. It is the most common cause of dementia (memory loss) in adults. Dementia is the loss of cognitive functioning, such as remembering, thinking and reasoning. The causes of this disease are abnormal functioning of brain cells which cause a disturbance in communication between them. The risk factors are age, family history and genetics of a person. Alzheimer's disease symptoms include memory loss, trouble with familiar tasks, difficulties with problem-solving, trouble with writing or talking, disorientation, problems with reasoning or judgment, mood and personality changes. In most people, the symptoms of Alzheimer's appear in their mid-60's.

Parkinson's disease: It is a central nervous system disorder that affects movement leading to shaking, stiffness and difficulty with walking, balance and coordination. This disease affects the nerve cells in the brain that produce dopamine (neurotransmitter). Parkinson's disease symptoms include dementia, muscle rigidity, tremors and changes in speech and gait (pattern of limb movement). This disease generally occurs in people aged 60 years and over. Risk factors of this disease include genetics, environmental triggers and certain toxins.