What is Rivastigmine: Uses, Warnings & Interactions

Updated May 14, 2025  •  Published Dec 30, 2020

Rivastigmine overview

BRAND NAMES:

  • Rivastigmine Tartrate, Exelon

Generic Names:

  • Rivastigmine Tartrate

Uses:

  • Treats dementia.

Therapeutic Classes:

  • Central Nervous System Agent

Forms:

  • Capsule, Liquid

How it’s taken:

  • By mouth

What is Rivastigmine used for?

What form(s) does Rivastigmine come in

  • Capsule

  • Liquid

What are common Rivastigmine doses?

  • Capsule 1.5MG

  • Capsule 3MG

  • Capsule 4.5MG

  • Capsule 6MG

Common Rivastigmine prescriptions

  • Rivastigmine Tartrate
    1.5mg capsule

  • Rivastigmine Tartrate
    3mg capsule

  • Rivastigmine Tartrate
    4.5mg capsule

  • Rivastigmine Tartrate
    6mg capsule

How to take Rivastigmine

  • Oral routeIt is best to take this medicine with food or milk.

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

  • Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Call your doctor right away if you miss your dose for more than 3 days in a row. You may need to go back to a lower dose.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Oral liquid: Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. You may swallow the medicine directly from the syringe or mix it with water, soda, or cold fruit juice. Stir the mixture well and drink all of it. The mixture can be stored at room temperature for up to 4 hours.

  • Capsule: Swallow the capsule whole. Do not crush, break, or chew it.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

  • Oral liquid: Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. You may swallow the medicine directly from the syringe or mix it with water, soda, or cold fruit juice. Stir the mixture well and drink all of it. The mixture can be stored at room temperature for up to 4 hours.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Oral routeIt is best to take this medicine with food or milk.

  • Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Call your doctor right away if you miss your dose for more than 3 days in a row. You may need to go back to a lower dose.

  • Capsule: Swallow the capsule whole. Do not crush, break, or chew it.

What to do if you miss a dose of Rivastigmine

Rivastigmine contraindications

  • This medicine is not right for everyone. Do not use it if you had an allergic reaction to rivastigmine, or if you had a skin reaction with the rivastigmine skin patch.

Rivastigmine warnings

  • This medicine may cause the following problems:Stomach or bowel problemsSerious skin reactions

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, heart rhythm problems, asthma or lung disease, or a history of stomach ulcers or seizures.

  • Slow or uneven heartbeat

  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

Rivastigmine interactions

  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

  • This medicine may cause the following problems:Stomach or bowel problemsSerious skin reactions

  • Some medicines can affect how rivastigmine works. Tell your doctor if you are using any of the following:Metoclopramide, oxybutynin, tolterodineBeta-blocker medicine (including atenolol)NSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen)

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Rivastigmine side effects

Serious Side Effects

  • Change in how much or how often you urinate, difficult or painful urination

  • Seizures, tremors, twitching, or muscle movements you cannot control

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Blistering, peeling, or red skin rash

  • Bloody or black stools, or vomiting of blood or material that looks like coffee grounds

  • Slow or uneven heartbeat

Less Serious Side Effects

  • Loss of appetite, weight loss

  • Nausea, vomiting, diarrhea, stomach pain or upset

  • Headache, dizziness

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