Rivaspar 18mg Patch

Rivastigmine (18mg)

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Rivaspar 18mg Patch 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 to treat Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness, and other symptoms.

Written By Dr. Mayank, Pharm.D,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 21 Sep 2025 | 05:27 PM (IST)

₹3847 MRP ₹4218.759% off

Gurgaon

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General Information

Contains

Rivastigmine (18mg)

Marketer

Sparsha Pharma International Pvt Ltd

Storage

Store below 25°C

The content is shown in English

Product introduction

Rivaspar 18mg Patch works by increasing the levels of a chemical messenger involved in the transmission of nerve signals. However, use it at the same time each day as prescribed by your doctor to maintain a consistent level of medicine in the blood. If you have missed using the patch, use it as soon as you remember. You should finish the full course of treatment even if you feel better. This medication must not be stopped suddenly without talking to a doctor.

Some common side effects of Rivaspar 18mg Patch include weakness, depression, headache, anxiety, stomach pain, urinary tract infections, muscle weakness, and urinary retention. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. It may cause diarrhea, so drink plenty of fluids to keep yourself hydrated.

Rivaspar 18mg Patch may also cause weight loss, so if you lose weight, consult a dietitian or try to increase your food portion. Use it with caution if you are suffering from peptic ulcers, as it may cause vomiting or bleeding in the stomach.

Uses of Rivaspar Patch

Benefits of Rivaspar Patch

Alzheimer's disease
Alzheimer's disease is a progressive brain disorder that slowly affects memory, thinking, and behavior. It interferes with daily tasks and gradually worsens over time. Rivaspar 18mg Patch helps improve communication between nerve cells in the brain, which can reduce symptoms like confusion, forgetfulness, and difficulty concentrating. It may help slow the progression of symptoms, supporting better independence and quality of life for a longer duration.

Dementia in Parkinson's disease
Dementia in Parkinson’s disease involves a decline in thinking and memory skills that can occur in people with Parkinson’s. It leads to difficulties with decision-making, attention, and planning. Rivaspar 18mg Patch improves nerve signaling in the brain, which can help lessen cognitive symptoms and make it easier for individuals to function in their daily lives.

Side effects of Rivaspar Patch

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 Rivaspar

Depression
Stomach pain
Urinary tract infection
Muscle weakness
Tiredness
Sleep disorder

How to use Rivaspar Patch

Use this medicine in dose and duration as advised by your doctor. Check the label before use. Make sure the skin is clean and dry. Remove the protective liner of the patch. Do not touch the sticky side. With sticky side down, place the patch evenly onto the skin.

How Rivaspar Patch works

Rivaspar 18mg Patch is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in the transmission of nerve signals. This improves memory and thinking.

All substitutes for Rivaspar 18mg Patch

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

Hetriva 18mg Patch

by Hetero Healthcare Limited

₹68.4/patch

47% cheaper

Quick tips

Rivaspar 18mg Patch does not cure Alzheimer's disease, but may help improve brain function and the ability to do daily activities. It is also used to manage Parkinsonism.
It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Rivaspar 18mg Patch.
Do not drive or do anything that requires mental focus until you know how Rivaspar 18mg Patch affects you.
Be cautious while taking this medicine if you suffer from a 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

No interaction found/established

Pregnancy

SAFE IF PRESCRIBED

Rivaspar 18mg Patch is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Breast feeding

CONSULT YOUR DOCTOR

Rivaspar 18mg Patch is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

No interaction found/established

Kidney

SAFE IF PRESCRIBED

Rivaspar 18mg Patch is safe to use in patients with kidney disease. No dose adjustment of Rivaspar 18mg Patch is recommended.
However, inform your doctor if you have an underlying kidney disease as close monitoring is advised while you are taking this medicine.

Liver

SAFE IF PRESCRIBED

Rivaspar 18mg Patch is safe to use in patients with liver disease. No dose adjustment of Rivaspar 18mg Patch is recommended.
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 Rivaspar with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Mild

Bisoprolol (Oral Route)

Monitor your heart rate regularly.

Mild

Carvedilol (Oral Route)

Monitor your heart rate regularly.

Mild

Celiprolol (Oral Route)

Monitor your heart rate regularly.

Mild

Betaxolol (Eye Route)

Monitor your heart rate regularly.

Mild

Amiodarone (Oral Route)

Monitor your heart rate regularly and talk to your doctor if you notice persistently low heart rate.

Frequently asked questions

How long does Rivaspar 18mg Patch take to work?

Rivaspar 18mg Patch 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 Rivaspar 18mg Patch should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, stop the medication and consult your doctor.

How should Rivaspar 18mg Patch be taken?

Always take the medicine as directed by your doctor. Usually Rivaspar 18mg Patch 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.

Is it okay to take antacids while taking Rivaspar 18mg Patch?

Yes, antacids can be taken while taking Rivaspar 18mg Patch as they do not interfere with the working of Rivaspar 18mg Patch. Moreover, Rivaspar 18mg Patch may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.

What will happen if I take more than the recommended doses of Rivaspar 18mg Patch?

Taking more than the recommended doses of Rivaspar 18mg Patch may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations and malaise. An overdose may also cause confusion, increased sweating and increase in blood pressure. In case you take an overdose of Rivaspar 18mg Patch or if you experience any such symptoms, seek immediate medical attention.

Does Rivaspar 18mg Patch cause drowsiness?

Yes, Rivaspar 18mg Patch 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.

Can I stop taking Rivaspar 18mg Patch?

You should not stop or change the dose of Rivaspar 18mg Patch 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.

Can Rivaspar 18mg Patch cause hallucinations?

Yes, Rivaspar 18mg Patch can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivaspar 18mg Patch, 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

Carbamate Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Cholinesterase Inhibitors

References

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.
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.
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.
Rivastigmine. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 2008 [revised 23 Apr. 2018]. [Accessed 22 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
Rivastigmine transdermal system [Patient Information Leaflet]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 20 Feb. 2024] (online) Available from:
Rivastigmine [Prescribing Information]. Bridgewater, NJ: Amneal Pharmaceuticals; 2024. [Accessed 19 Mar. 2025] (online) Available from:

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Disclaimer

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: Sparsha Pharma International Pvt Ltd
Address: Sparsha Pharma International Pvt. Ltd., H. No. 8-2-326/5, Road No.3, 3rd Floor, (Beside Banjara Hills PS), Banjara Hills, Hyderabad – 500 034

Vendor Details

Country of origin: India

Lab tests offered by us

Why we need a prescription?

Rivaspar 18mg Patch

Save more with additional offers

General Information

Contains

Marketer

Storage

Product introduction

Uses of Rivaspar Patch

Benefits of Rivaspar Patch

Side effects of Rivaspar Patch

How to use Rivaspar Patch

How Rivaspar Patch works

All substitutes for Rivaspar 18mg Patch

Hetriva 18mg Patch

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Bisoprolol (Oral Route)

Carvedilol (Oral Route)

Celiprolol (Oral Route)

Betaxolol (Eye Route)

Amiodarone (Oral Route)

Frequently asked questions

How long does Rivaspar 18mg Patch take to work?

How should Rivaspar 18mg Patch be taken?

Is it okay to take antacids while taking Rivaspar 18mg Patch?

What will happen if I take more than the recommended doses of Rivaspar 18mg Patch?

Does Rivaspar 18mg Patch cause drowsiness?

Can I stop taking Rivaspar 18mg Patch?

Can Rivaspar 18mg Patch cause hallucinations?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

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