Rivera 4.5mg 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.

Your doctor will explain how to take Rivera 4.5mg 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 Rivera 4.5mg Capsule. If they are severe or will not go away, you should contact your doctor.

Before using Rivera 4.5mg 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.

Uses of Rivera Capsule

Benefits of Rivera Capsule

In 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. Rivera 4.5mg 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.

In Alzheimer's disease

In people with Alzheimer’s disease, certain nerve cells die in the brain. This results in lower levels of a chemical called acetylcholine which helps nerve cells to communicate with each other. This leads to symptoms of dementia such as memory loss, confusion, disorientation, problems with speech and language, and personality changes. Rivera 4.5mg Capsule increases the amount of acetylcholine and helps brain cells to communicate. It can, therefore, improve some of the symptoms such as memory, awareness, and the ability to carry out daily functions for a time. However, it is not a cure.

You should use the patches exactly as they have been prescribed and only use one at a time. Choose a different place on your body to wear the patch each time you put on a new one. It can take several weeks for your symptoms to improve; so keep applying the patches even if you do not think they are working.

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Side effects of Rivera 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 Rivera

Nausea
Vomiting
Indigestion
Loss of appetite
Fatigue

How to use Rivera Capsule

Take this medicine in the dose and duration as advised by your doctor. Rivera 4.5mg Capsule is to be taken with food.

How Rivera Capsule works

Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Rivera 4.5mg 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.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Rivera 4.5mg Capsule. Please consult your doctor.

Pregnancy

SAFE IF PRESCRIBED

Rivera 4.5mg Capsule 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

Rivera 4.5mg Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Rivera 4.5mg Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

SAFE IF PRESCRIBED

Rivera 4.5mg Capsule is safe to use in patients with kidney disease. No dose adjustment of Rivera 4.5mg Capsule is recommended.
However, inform your doctor if you have underlying kidney diseases as close monitoring is advised while you are taking this medicine.

Liver

SAFE IF PRESCRIBED

Rivera 4.5mg Capsule is safe to use in patients with liver disease. No dose adjustment of Rivera 4.5mg Capsule is recommended.
However, inform your doctor if you have an underlying liver disease as close monitoring is advised while you are taking this medicine.

What if you forget to take Rivera Capsule?

If you miss a dose of Rivera 4.5mg Capsule, skip it and continue with your normal schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

No substitutes found for this medicine

Quick tips

You have been prescribed Rivera 4.5mg 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 Rivera 4.5mg Capsule.
Do not drive or do anything that requires mental focus until you know how Rivera 4.5mg 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.

Fact Box

Chemical Class

Carbamate Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Cholinesterase inhibitors - Alzheimer's disease

Interaction with drugs

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

Atropine

Brand(s): Atroped, Atronir, Mydrat-J

Life-threatening

Camylofin

Brand(s): Camyfyl, Bigspas

Life-threatening

Hyoscine butylbromide

Brand(s): Cholipan, Hyozen, Buscotag

Life-threatening

Otilonium Bromide

Brand(s): OB

Life-threatening

View all interactions

Patient concerns

Parkinson's disease tremors ,Insomnia.

Dr. Ravi Shankar M.

Ayurveda

Use Dhanadanayanadi kashayam 15ml twice a day with 15 ml water before food and Zandopa 10 grams twice a day witk milk after food and Tab Dhanvantari Vati 1-0-1 after food for 2 months

Parkinson's disease for 25 yrs. Taking allopathy Suggestions needed

Dr. Deepak Kumar Soni

Ayurveda

Kindly consult to any good Ayuvedic Panchkarma center. Panchkarma therapy will give you some result .

My father has parkinson's disease from last 12 year. In last 2012 he got severe pneumonia and has been admitted in AIIMS .He was treated with various antibiotics.he came out but got bed ridden after that.From last few year he just sit on his own. he is currently taking bexol 1mg three times, syndopa 125 plus 3 times, ropark XL 3 times.now from few year he got hallucination and cound not sleep in night and constantly talking in night(Some Nights not always).During his stay in AIIMS Dr. prescribed quetiapine 12.5 mg which he is not currently taking.please advice some medicien so that he atleast can sleep at night.

Dr. Vikas Sharma

Neurology

Start Oleanz 2.5 mg at nite

FAQs

Q. How long does Rivera 4.5mg Capsule take to work?

Rivera 4.5mg Capsule may take as long as 12 weeks to begin working. Response to the medicine differs from person to person. The clinical benefits of Rivera 4.5mg Capsule should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, Rivera 4.5mg Capsule should be stopped.

Q. How should Rivera 4.5mg Capsule be taken?

Always take the medicine as directed by your doctor. Usually, Rivera 4.5mg 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.

Q. Is it okay to take antacids while taking Rivera 4.5mg Capsule?

Yes, antacids can be taken while taking Rivera 4.5mg Capsule as they do not interfere with the working of Rivera 4.5mg Capsule. Moreover, Rivera 4.5mg Capsule may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.

Q. What will happen if I take more than the recommended doses of Rivera 4.5mg Capsule?

Taking more than the recommended doses of Rivera 4.5mg Capsule may cause diarrhea, abdominal pain, dizziness, tremor, headache, sleepiness, hallucinations, and malaise. Higher doses may also cause confusion, increased sweating, and an increase in blood pressure. In case you take an overdose of Rivera 4.5mg Capsule, seek immediate medical attention.

Q. Does Rivera 4.5mg Capsule cause drowsiness?

Yes, Rivera 4.5mg 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.

Q. Can I stop taking Rivera 4.5mg Capsule?

You should not stop or change the dose of Rivera 4.5mg 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.

Q. Can Rivera 4.5mg Capsule cause hallucinations?

Yes, Rivera 4.5mg Capsule can cause hallucinations. However, hallucinations are reported very rarely with the use of Rivera 4.5mg Capsule, which means they occur in very few people. It may usually occur shortly after dose increase.

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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.

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 tartrate. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2015]. [Accessed 24 Jan. 2019] (online) Available from:
Rivastigmine. Camberley, Surrey: Sandoz Limited; 2014 [revised Aug. 2016]. [Accessed 22 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:

Manufacturer

Name: Zydus Cadila

Address: Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.

Country of origin: India

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