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Remtin XR 14
Incepta Pharmaceuticals Ltd.
Generic: Memantine Hydrochloride
Safety Advices
বাংলা
English
CAUTION
Caution is advised when consuming alcohol with Remtin XR 14. Please consult your doctor.
SAFE IF PRESCRIBED
Remtin XR 14 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.
CONSULT YOUR DOCTOR
Information regarding the use of Remtin XR 14 during breastfeeding is not available. Please consult your doctor.
UNSAFE
Remtin XR 14 may cause side effects which could affect your ability to drive.
CAUTION
Remtin XR 14 should be used with caution in patients with severe kidney disease. Dose adjustment of Remtin XR 14 may be needed. Please consult your doctor.
CAUTION
Remtin XR 14 should be used with caution in patients with severe liver disease. Dose adjustment of Remtin XR 14 may be needed. Please consult your doctor.
Limited information is available on the use of Remtin XR 14 in these patients. No dose adjustment is recommended in patients with mild to moderate liver disease.
Medicine Overview of Remtin XR 14mg Capsule
Introduction
Remtin XR 14 is a medicine used in the treatment of Alzheimer's disease. It helps to slow down the progression of moderate to severe Alzheimer's by improving memory and thinking. This medicine works by blocking a chemical messenger involved in the transmission of nerve signals. Remtin XR 14 is taken by mouth with or without food. However, it is advised to take it at the same time each day to maintain a consistent level of medicine in the blood. If you have missed a dose, take it as soon as you remember. Do not skip any doses and finish the...
... Show moreUses of Remtin XR 14
- Alzheimer's disease
Side effects of Remtin XR 14
Common
- Dizziness
- Headache
- Confusion
- Sleepiness
- Diarrhea
- Abnormal liver function tests
- Balance disorder (loss of balance)
- Breathlessness
- Pulmonary hypertension (high blood pressure)
- Hypersensitivity
How to use Remtin XR 14
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Remtin XR 14 may be taken with or without food, but it is better to take it at a fixed time.
How Remtin XR 14 works
Remtin XR 14 is an N-methyl-D-aspartate (NMDA) receptor antagonist. Memory loss in Alzheimer’s disease is due to excessive production of glutamate (chemical messenger) in the brain which is mediated by NMDA receptors. Remtin XR 14 works by preventing the action of NMDA receptors and regulates the production of glutamate. involved in the transmission of nerve signals. This is how it prevents memory loss in Alzheimer’s disease.
What if you forget to take Remtin XR 14?
If you miss a dose of Remtin XR 14, skip it and continue with your normal schedule. Do not double the dose.
Quick Tips
- You have been prescribed Remtin XR 14 to slow down the progression of Alzheimer's disease.
- It is well tolerated and has lesser side effects as compared to other similar medicines.
- Be cautious while driving or doing anything that requires concentration until you know how Remtin XR 14 affects you.
- Inform your doctor if you have a history of seizures, kidney disease, heart disease, or liver disease.
- Inform your doctor if you are pregnant, planning to conceive, or breastfeeding.
Brief Description
Indication
Alzheimer's dementia.
Administration
May be taken with or without food.
Adult Dose
Oral Moderate to severe dementia in Alzheimer's disease Adult: As hydrochloride: Initially, 5 mg daily in the morning for the 1st wk; increase dose wkly in steps of 5 mg. Max: 20 mg daily. Wait for at least 1 wk between dose changes. Doses >10 mg/day should be given in 2 divided doses. Suggested titration: 5 mg daily for >1 wk; 5 mg bid for >1 wk; 15 mg daily given in 5- and 10-mg separated doses for >1 wk; then 10 mg bid. Hepatic impairment Mild or moderate (Child Pugh A/B): No dosage adjustment required Severe (Child Pugh C):...
... Show moreRenal Dose
Renal impairment:
CrCl (ml/min) Dosage Recommendation
5-29 Max: 10 mg daily.
30-49 10 mg daily (after initial dose of 5 mg daily), if well tolerated for at least 7 days, may increase to 20 mg daily.
Contraindication
Hypersensitivity to memantine or components of the formulation. Severe renal impairment.
Mode of Action
Memantine, a derivative of amantadine, is a noncompetitive N-methyl-D-aspartate (NMDA)-receptor antagonist. It affects transmission of glutamate, the primary excitatory neurotransmitter in the CNS. Glutamate may contribute to the pathogenesis of Alzheimer's disease by overstimulating various glutamate receptors resulting in excitotoxicity and neuronal cell death.
Precaution
Renal impairment; epilepsy. Pregnancy and lactation. Closely monitor patients with recent MI, uncompensated CHF, uncontrolled hypertension. Predisposition to convulsions; conditions that increase urinary pH.
Lactation: Unknown whether drug is excreted into breast milk; use with caution
Side Effect
1-10%
Dizziness (7%),Confusion (6%),Headache (6%),Constipation (5%),Cough (4%),Hypertension (4%),Backache (3%),Pain (3%),Somnolence (3%),Syncope (3%),Vomiting (3%),Dyspnea (2%),Fatigue (2%)
<1%
Acute renal failure,Cerebral infarction,Cerebrovascular accident,Deep venous thrombosis,Hepatitis, liver failure,Intracranial hemorrhage,Neuroleptic malignant syndrome,Seizure (including grand mal),Stevens-Johnson syndrome,Transient ischemic attack
Interaction
May increase effects of antimuscarinics and dopaminergics. May reduce effects of antipsychotics and barbiturates. May alter effects of dantrolene, baclofen. Reduced clearance with carbonic anhydrase inhibitors and sodium bicarbonate.
Potentially Fatal: Increased risk of adverse effects with amantadine, dextromethorphan or ketamine.
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