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Rivamer 3 Capsule

Written By Dr. Subita Alagh, BDS
Reviewed By Dr. Mekhala Chandra, MD, MBBS
Last updated on 23 Jan 2026 | 10:15 AM (IST)
Rivamer 3 Capsule is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness that gradually affects memory and thinking. It is also used for dementia-associated Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness, and other symptoms.
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Rivamer 3 Capsule image
Rivamer 3 Capsule image
Rivamer 3 Capsule image
Rivamer 3 Capsule image
Rivamer 3 Capsule image
Rivamer 3 Capsule image
Rivamer 3 Capsule image

Product introduction

Your doctor will explain how to take Rivamer 3 Capsule. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You may take it with food, preferably at night before going to bed. It can take up to a few weeks for symptoms to improve so keep taking your medicine regularly. You should not stop taking this medicine without consulting your doctor.

Some common side effects of this medicine include nausea, vomiting, weight loss, indigestion, and weakness. You may have side effects more often when you start your treatment or when your dose is increased. Usually, the side effects will slowly go away as your body gets used to the Rivamer 3 Capsule. If they are severe or will not go away, you should contact your doctor.

Before using Rivamer 3 Capsule, you should tell your doctor if you’ve ever had heart problems, stomach ulcers, epilepsy, or asthma. It may also affect, or be affected by, some other drugs you are using so let your doctor know what these are to be safe. During pregnancy, this medicine should only be taken if it is advised.

Benefits of Rivamer Capsule

Treatment of Dementia Associated with Parkinson's disease
Dementia in Parkinson’s disease refers to problems in memory and thinking that are advanced, interfering with daily activities and quality of life. Rivamer 3 Capsule helps in managing these symptoms in a safe manner that can be used for a long term. This will make it easier for you to carry out your daily activities and improve your quality of life.

Side effects of Rivamer Capsule

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Rivamer
  • Loss of appetite
  • Nausea
  • Vomiting
  • Indigestion
  • Fatigue
  • Diarrhea
  • Drowsiness
  • Insomnia (difficulty in sleeping)
  • Headache
  • Agitation
  • Anxiety
  • Restlessness
  • Dizziness
  • Tremors
  • Weight loss
  • Confusion

How to use Rivamer Capsule

Take this medicine in the dose and duration as advised by your doctor. Rivamer 3 Capsule should be taken with or after food.

How Rivamer Capsule works

Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Rivamer 3 Capsule is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in transmmission of nerve signals. This improves memory and thinking.

All substitutes for Rivamer 3 Capsule

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

  • You have been prescribed Rivamer 3 Capsule to slow down the progression of Alzheimer's disease.
  • It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities.
  • It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivamer 3 Capsule.
  • Do not drive or do anything that requires mental focus until you know how Rivamer 3 Capsule affects you.
  • Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort.
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.
  • You have been prescribed Rivamer 3 Capsule to slow down the progression of Alzheimer's disease.
  • It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities.
  • It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivamer 3 Capsule.
  • Do not drive or do anything that requires mental focus until you know how Rivamer 3 Capsule affects you.
  • Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort.
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Rivamer 3 Capsule. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Rivamer 3 Capsule during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Information regarding the use of Rivamer 3 Capsule during breastfeeding is not available. Please consult your doctor.
Driving

Driving

UNSAFE
Rivamer 3 Capsule may cause side effects that could affect your ability to drive.
Kidney

Kidney

CONSULT YOUR DOCTOR
There is limited data available on the use of Rivamer 3 Capsule in patients with kidney disease. Please consult your doctor.
However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine.
Liver

Liver

CAUTION
Rivamer 3 Capsule should be used with caution in patients with severe liver disease. Dose adjustment may be needed.
However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.

Interaction with drugs

Taking Rivamer with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Moderate

Opipramol (Oral Route)

If concurrent use is essential, please consult your doctor. They may monitor your treatment and adjust the doses as per the observations.
Moderate

Amitriptyline (Oral Route)

If concurrent use is essential, please consult your doctor. They may monitor your treatment and adjust the doses as per the observations.
Moderate

Atropine (Injection Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Moderate

Bethanechol (Oral Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Bethanechol may increase the effect of Rivastigmine.
Moderate

Carbachol (Injection Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Carbachol may increase the effect of Rivastigmine.

Frequently asked questions

Rivamer 3 Capsule may take as long as 12 weeks to begin working. Response to the medicine differs from person to person. The clinical benefits of Rivamer 3 Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, Rivamer 3 Capsule should be stopped.
Always take the medicine as directed by your doctor. Usually, Rivamer 3 Capsule is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water and do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Yes, antacids can be taken while taking Rivamer 3 Capsule as they do not interfere with the working of Rivamer 3 Capsule. Moreover, Rivamer 3 Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Yes, Rivamer 3 Capsule can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention.
You should not stop or change the dose of Rivamer 3 Capsule without consulting your doctor. However, if treatment is interrupted for more than three days, then do not take the medicine and consult your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Yes, Rivamer 3 Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivamer 3 Capsule, which means they occur in very few people. It may usually occur shortly after dose increase.
Rivamer 3 Capsule may take as long as 12 weeks to start showing its effect. The effect of the medicine on each individual may differ. The clinical benefits of Rivamer 3 Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, stop the medication and consult your doctor.
Always take the medicine as directed by your doctor. Usually Rivamer 3 Capsule is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water; do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Yes, antacids can be taken while taking Rivamer 3 Capsule as they do not interfere with the working of Rivamer 3 Capsule. Moreover, Rivamer 3 Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Yes, Rivamer 3 Capsule can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention. If dizziness continues and bothers you, consult your doctor.
You should not stop or change the dose of Rivamer 3 Capsule without consulting your doctor. However, if treatment is interrupted for more than 3 days, do not continue the medicine without consulting your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Yes, Rivamer 3 Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivamer 3 Capsule, which means they occur in very few people. It may usually occur shortly after dose modification. If you do not feel well, consult your doctor.

Fact Box

Chemical Class

Phenoxy compounds

Habit Forming

No

Therapeutic Class

NEURO CNS

Action Class

Cholinesterase Inhibitors

References

  1. Stahl SM, editor. Rivastigmine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 603-607.
  2. Katzung BG. Special Aspects of Geriatric Pharmacology. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 1041.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1229.
  4. Rivastigmine tartrate. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2015]. [Accessed 24 Jan. 2019] (online) Available from:
  5. Rivastigmine. Camberley, Surrey: Sandoz Limited; 2014 [revised Aug. 2016]. [Accessed 22 Mar. 2019] (online) Available from:
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
  7. Müller T. Rivastigmine in the treatment of patients with Alzheimer's disease. Neuropsychiatr Dis Treat. 2007 Apr;3(2):211-8. [Accessed 20 Feb. 2024] (online) Available from:
  8. Rivastigmine. Summary of Product Characteristics. Novartis Pharma GmbH.; 2023. [Accessed 10 Sep. 2025] (online) Available from:
  9. Rivastigmine. Nuremberg, Germany: Novartis Pharma GmbH; [Accessed 06 Nov. 2025] (online). Available from:
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User feedback

Twice A Day
65%
Once A Day
29%
Thrice A Day
6%
Alzheimer's disease
75%
Others
25%
Poor
50%
Average
50%
No Side Effect
50%
Weakness
50%
With food
100%
Expensive
100%
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Sun Pharmaceutical Industries Ltd
Address: Plot no 107/108,Namli block , Ranipool, East Sikkim 737135 || Khasra No. 1335-1340,Near EPIP- I, Vill - Bhatoli Kalan ,Baddi, Solan, Himachal Pradesh, 173205

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Rivamer 3 Capsule. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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