ORAL RIVASTIGMINE

Exelon, Rivamer

ADVANTAGES
Can be self
administered
Painless
Less expensive
Custom dosing (comes
in many dosage
strengths)

DISADVANTAGES
First pass effect
Slow action
Titration is required
Uncooperative and
unconscious patient
More side effects
(includes vomiting and
nauseas)

Exelon Capsules and Solution. (n.d.). Retrieved September 21, 2016, from https://www.medicines.org.uk/emc/medicine/1284
Lipton, A. M., & Marshall, C. D. (2013).The common sense guide to dementia for clinicians and caregivers. New York, NY: Springer.
Sadowsky, C., Davila Perez, J., Bouchard, R., Goodman, I., & Tekin, S. (2010, January 08). CNS Neuroscience & TherapeuticsVolume 16,
Issue 1, Version of Record online: 8 JAN 2010. Retrieved September 21, 2016, from http://onlinelibrary.wiley.com/doi/10.1111/j.17555949.2009.00119.x/pdf

RIVASTIGMINE PATCH
Exelon Patch

ADVANTAGES
Avoidance of first pass
metabolism
Less side effects
(nausea and vomiting)
Painless
Administration can be
visually confirmed
Ease of termination of
drug action, if necessary

DISADVANTAGES

Local irritation at the

site of administration
may develop
Not convenient for
hairy people

Exelon Capsules and Solution. (n.d.). Retrieved September 21, 2016, from https://www.medicines.org.uk/emc/medicine/1284
Lipton, A. M., & Marshall, C. D. (2013).The common sense guide to dementia for clinicians and caregivers. New York, NY: Springer.
Sadowsky, C., Davila Perez, J., Bouchard, R., Goodman, I., & Tekin, S. (2010, January 08). CNS Neuroscience & TherapeuticsVolume 16,
Issue 1, Version of Record online: 8 JAN 2010. Retrieved September 21, 2016, from http://onlinelibrary.wiley.com/doi/10.1111/j.17555949.2009.00119.x/pdf