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Written By Divya L , PharmaD
Reviewed By Sureshvarma D , MPharma
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Composition :

GALANTAMINE-4MG

Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Galamer 4 Tablet

Galamer 4 Tablet belongs to a group of medicines called 'anti-dementia agents' used to treat mild to moderate dementia caused by Alzheimer'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. Dementia is a condition associated with impairment in memory, communication and thinking.

Galamer 4 Tablet contains 'Galantamine' that belongs to the class of 'Acetylcholinesterase Inhibitors'. Galantamine blocks the action of the enzyme cholinesterase, an enzyme that breaks down acetylcholine. Acetylcholine is a neurotransmitter or a chemical messenger that transmits the message from one nerve cell to another nerve cell, muscle cell, or gland cell. Galamer 4 Tablet thus increases acetylcholine levels allowing the nerve cells to communicate. It restores the balance of neurotransmitters and thus improves mental function, such as memory and thinking.

Your doctor will decide the dose and duration based on your disease's severity and response to treatment. Common side effects of Galamer 4 Tablet include nausea, vomiting, diarrhoea, headache, dizziness, drowsiness, shakiness (tremor), weakness, depression, 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.

Please tell your doctor if you are allergic to Galamer 4 Tablet or its components. If you are using any prescription and non-prescription medications, let your doctor know before starting Galamer 4 Tablet . Inform your doctor beforehand if you have a history of liver or kidney diseases, heart problems, electrolyte imbalance, stomach ulcer, fits, Parkinson’s disease, breathing disorders, and urination problems. If you had recent surgery on the stomach, intestines or bladder, tell your doctor. If you are pregnant, planning to conceive or a breastfeeding mother, inform your doctor before starting Galamer 4 Tablet . Avoid consuming alcohol along with Galamer 4 Tablet as it can make you dizzy or drowsy.

Uses of Galamer 4 Tablet

Dementia in Alzheimer's disease. 

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew, crush or break it.Syrup/Solution: Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Medicinal Benefits

Galamer 4 Tablet treats mild to moderate dementia caused by Alzheimer's disease. It contains 'Galantamine', an acetylcholinesterase inhibitor. Galantamine increases acetylcholine (a brain chemical) levels in the central nervous system by blocking the action of the cholinesterase enzyme. This process helps in transmitting nerve signals that play an essential role in memory. Galamer 4 Tablet is not a cure for Alzheimer's disease but improves memory, thinking awareness and the ability to perform daily functions.

Storage

Store in a cool and dry place away from sunlight
Side effects of Galamer 4 Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Weight loss without physical activity needs immediate medical attention.
  • Get a physical examination and blood tests done to identify factors causing weight loss that could be related to metabolism and thyroid function.
  • Avoid smoking and alcohol intake as it can alter your liver condition and increase your weight loss.
  • Practice meditation and yoga to avoid anxiety, which can be one of the leading causes of weight loss.
  • Talk to your dietician and consume food which can maintain ideal weight.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Consume more protein-rich foods and healthy fats like beans, avocados, cheese, nuts and lean meats to minimize appetite.
  • Prefer foods high in fiber to help feel full for a long time.
  • If you have decreased appetite, eat only when you are hungry.
  • Eat several small meals or snacks all day.
  • Try to take only small sips of fluids while eating.

Drug Warnings

Brief your medical history if you have any liver or kidney diseases, heart problems (chest discomfort, sick sinus syndrome, heart attack, heart failure, and slow or uneven heartbeat), electrolyte imbalance (potassium), stomach ulcer, fits, Parkinson’s disease, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), and urination problems. If you had recent surgery on the stomach, intestines or bladder, tell your doctor. Please consult your doctor if you are pregnant, planning to conceive or a breastfeeding mother before starting Galamer 4 Tablet . Avoid consuming alcohol along with Galamer 4 Tablet as it might lead to increased side effects like dizziness and drowsiness. Avoid driving or operating machinery as Galamer 4 Tablet may decrease your mental alertness, making you feel dizzy or drowsy. Galamer 4 Tablet is not recommended for children below 18 years as the safety and effectiveness have not been established.

Drug-Drug Interactions

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GalantamineMetrizamide
Severe

Drug-Drug Interactions

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GalantamineMetrizamide
Severe
How does the drug interact with Galamer 4 Tablet:
Coadministration of Galamer 4 Tablet with Metrizamide may cause seizures (sudden, violent, uncontrollable contraction of a group of muscles).

How to manage the interaction:
Taking Galamer 4 Tablet with Metrizamide together can result in an interaction, but it can be taken if your doctor has advised it. If you have seizures or a head injury, it's important to contact a doctor right away. Do not stop using any medications without talking to a doctor.
How does the drug interact with Galamer 4 Tablet:
The combined use of tramadol with Galamer 4 Tablet can make tramadol less effective as a treatment.

How to manage the interaction:
Taking Galamer 4 Tablet with tramadol together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience any symptoms such as confusion, hallucination, seizure, increased heart rate, blurred vision, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Galamer 4 Tablet:
When Amoxapine and Galamer 4 Tablet are taken together, the body's ability to break down Amoxapine may be reduced. This increases Amoxapine levels and risk or severity of side effects.

How to manage the interaction:
Taking Galamer 4 Tablet with Amoxapine together can result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these signs - memory problems, trouble with your nerves, feeling sleepy, feeling confused, or having difficulty thinking clearly, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
GalantamineAclidinium bromide
Severe
How does the drug interact with Galamer 4 Tablet:
Taking Galamer 4 Tablet with Aclidinium bromide can increase the levels and the efficacy of Aclidinium bromide. This increases the risk or severity of side effects like skeletal muscle relaxation.

How to manage the interaction:
There may be a possibility of interaction between Galamer 4 Tablet and Aclidinium bromide, but it can be taken if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, rash, or flushing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Galamer 4 Tablet:
Taking bupropion with Galamer 4 Tablet may raise the chance of seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Galamer 4 Tablet can lead to an interaction, it can be taken if recommended by a doctor. However, if you experience confusion, jerky movements, loss of consciousness, dizziness, muscle stiffness, palpitations, or shortness of breath, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
GalantamineIomeprol
Severe
How does the drug interact with Galamer 4 Tablet:
Coadministration of Galamer 4 Tablet with Iomeprol may cause seizures (sudden, violent, uncontrollable contraction of a group of muscles).

How to manage the interaction:
There may be a possibility of interaction between Galamer 4 Tablet and Iomeprol, but it can be taken if prescribed by a doctor. If you have seizures or a head injury, it's important to contact a doctor right away. Don't hesitate to reach out if you're experiencing any of these symptoms. Do not stop using any medications without a doctor's advice.
GalantamineIopamidol
Severe
How does the drug interact with Galamer 4 Tablet:
Coadministration of Galamer 4 Tablet with iopamidol may cause seizures (sudden, violent, uncontrollable contraction of a group of muscles).

How to manage the interaction:
Although there is a possible interaction between Galamer 4 Tablet and ipamidol, you can take these medicines together if prescribed by your doctor. If you have seizures or a head injury, it's important to contact your doctor right away. Don't hesitate to reach out if you're experiencing any of these symptoms. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Galamer 4 Tablet:
Coadministration of Galamer 4 Tablet with Iohexol may cause seizures (sudden, violent, uncontrollable contraction of a group of muscles).

How to manage the interaction:
Taking Galamer 4 Tablet with Iohexol together can result in an interaction, but it can be taken if your doctor has advised it. If you have seizures or a head injury, it's important to contact your doctor right away. Don't hesitate to reach out if you're experiencing any of these symptoms. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Galamer 4 Tablet:
Combining Mefloquine with Galamer 4 Tablet can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Galamer 4 Tablet with Mefloquine together can result in an interaction, but it can be taken if your doctor has advised it. If you experience symptoms like a very slow heart rate, low blood pressure, dizziness, fainting, or an irregular heartbeat, call your doctor right away. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • 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.

Habit Forming

No

Therapeutic Class

ANTI- ALZHEIMER'S AGENTS

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Galamer 4 Tablet contains ' Galantamine', an acetylcholinesterase inhibitor. It treats dementia in Alzheimer's disease by increasing acetylcholine levels in the central nervous system and enhancing the neurotransmission process. Thus, Galamer 4 Tablet improves memory, thinking, and awareness.

Galamer 4 Tablet should be used with caution in the medical history of liver or kidney diseases, heart problems (chest discomfort, heart attack, heart failure, and slow or uneven heartbeat), electrolyte imbalance (potassium), stomach ulcer, fits, Parkinson’s disease, breathing problems (asthma, chronic obstructive pulmonary disease (COPD)), and urination problems. Please let your doctor know if you have any other medical problems before starting Galamer 4 Tablet .

It is advised to take Galamer 4 Tablet with food to avoid any stomach upset. Please consult your doctor for more information.

Store Galamer 4 Tablet in a dry place at room temperature ranging from 20°C to 25°C. Do not store in the freezer.

If you miss a dose of Galamer 4 Tablet , skip it and continue with your regular schedule. Do not double the dose.

Your doctor will decide the dose and duration of Galamer 4 Tablet based on your medical condition. However, if you notice unusual side effects like fits, depression, irregular heartbeat, bloody stools, and severe abdominal pain, stop using Galamer 4 Tablet and please consult your doctor.

Drug-Drug Interactions Checker List

  • DONEPEZIL
  • RIVASTIGMINE
  • DIGOXIN
  • QUINIDINE
  • DARIFENACIN
  • DIPHENHYDRAMINE
  • IPRATROPIUM
  • ASPIRIN
  • NAPROXEN
  • BETHANECHOL
  • FLUOXETINE
  • KETOCONAZOLE
  • METOPROLOL
  • ERYTHROMYCIN
  • RITONAVIR
  • NEOSTIGMINE
  • PILOCARPINE
  • SCOPOLAMINE

Special Advise

  • Let your doctor know that you are taking Galamer 4 Tablet if you are undergoing any medical tests.
  • It is advised to monitor your blood pressure and blood sugar levels regularly. 

Disease/Condition Glossary

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.

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