دواعي استعمال ريمينيل 16مجم 7 كبسول
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 150ج.م.
عن الدواء
Galantamine 16 mg prolonged-release capsules, pack of 7, Janssen-Cilag > Soficopharm, marketed in Egypt.
دواعي الاستعمال
- Mild to moderate dementia of the Alzheimer typeDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Most common (>=5%): nausea, vomiting, diarrhoea, dizziness, headache and decreased appetite.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Known hypersensitivity to galantamine hydrobromide or to any excipient.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Serious skin reactions (Stevens-Johnson syndrome, acute generalised exanthematous pustulosis): stop at the first appearance of rash unless clearly not drug-related.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Vagotonic effects: bradycardia and all types of heart block, with dose-related increase in syncope; all patients are considered at risk for cardiac conduction effects.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Possible increase in gastric acid secretion: monitor for gastrointestinal bleeding, especially with ulcer history or NSAID use; may cause bladder outflow obstruction and seizures; use with care in severe asthma or obstructive pulmonary disease.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Likely to exaggerate succinylcholine-type neuromuscular blockade during anaesthesia.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Higher mortality was seen with galantamine than placebo in two 2-year trials in mild cognitive impairment (not an approved use).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Anticholinergic medicationsGalantamine may interfere with the activity of anticholinergic medications.DailyMed (U.S. National Library of Medicine)
- Succinylcholine, other cholinesterase inhibitors, cholinergic agonists (e.g. bethanechol)A synergistic effect is expected when given concurrently.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- No adequate human data; in animals galantamine caused developmental toxicity (morphological abnormalities, decreased growth) at doses similar to or above clinical doses.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- No data on presence in human milk or effects on the breastfed infant; weigh benefits of breastfeeding against the mother's need for the drug.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Monitor for seizures, respiratory adverse effects in patients with asthma/COPD, and signs of gastrointestinal bleeding.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Competitive, reversible acetylcholinesterase inhibitor that is thought to enhance cholinergic function (US label).
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)