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Reminyl (galantamine) 12mg Tablets

1
£1.50
In Stock
Delivery information Product #0010776

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Each tablet of Reminyl contains 12mg of the active ingredient, galantamine hydrobromide. Reminyl is used to treat the symptoms of mild to moderately severe dementia of the Alzheimer type, a disease that alters brain function. Symptoms of dementia of the Alzheimer type are believed to be related to a lack of acetylcholine, a substance responsible for sending messages between brain cells. Reminyl works by increasing the amount of acetylcholine in the brain and improves the symptoms of the disease

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1. What Reminyl does


 
Reminyl is used to treat the symptoms of mild to moderately severe dementia of the Alzheimer type, a disease that alters brain function. Studies have shown that Reminyl has not helped with other forms of memory loss or confusion.
The symptoms include progressive memory loss, increasing confusion and behavioural changes. As a result, sufferers find it becomes more and more difficult to carry out their normal daily activities.
Symptoms of dementia of the Alzheimer type are believed to be related to a lack of acetylcholine, a substance responsible for sending messages between brain cells. Reminyl works by increasing the amount of acetylcholine in the brain and so improves the symptoms of the disease.
 

2. When should Reminyl not be used



Reminyl should not be taken:
  • By people who have had an allergic reaction to galantamine (Reminyl) or to any of the other ingredients. Check the ingredients by reading the section above called ‘What is Reminyl’. An allergic reaction may be recognised as a rash, itching, swollen face or lips, or shortness of breath.
  • By people who have either severe liver or severe kidney disease.
  • By people who have significant, combined liver and kidney problems.
Speak to your doctor if you suffer from these problems or have suffered from them in the past. 
3. Before taking Reminyl
 
  • liver or kidney problems;
  • heart disorders (e.g. heart attack, heart failure, slow or irregular pulse rate or angina);
  • stroke and other nervous system disorders (like epilepsy or Parkinson’s disease);
  • stomach ulcer or duodenal ulcer;
  • acute abdominal pain;
  • respiratory diseases or infections that affect breathing (like asthma or pneumonia);
  • a recent operation on the gut or bladder or difficulties in passing urine;
  • a high/low blood potassium level
  • galactose intolerance, lactase deficiency or glucose-galactose malabsorption. As Reminyl tablets contain lactose they may not be suitable for you.
If the answer to any of these questions is ‘Yes’, speak to your doctor for advice before any Reminyl is taken.
Your doctor will decide whether this medicine is suitable for you. Your doctor may adjust the amount of medicine that you take.
If you need to have a general anaesthetic for an operation, tell the doctor that Reminyl is being taken.
Reminyl is not recommended for children.Driving or operating machinery
Other medicines
Always tell the doctor, nurse or pharmacist if any other medicines are being taken because taking some medicines together can be harmful. This includes medicines that have not been prescribed and those that have recently been taken.
Reminyl should not be taken with other medicines that act the same way. If medicines for diarrhoea, Parkinson’s disease or asthma are taken, check with your doctor to see if these affect Reminyl.
Tell your doctor if drugs for certain heart disorders or high blood pressure (e.g. digoxin or the so-called beta-blockers) are being taken.
Your doctor may prescribe a smaller dose of Reminyl if certain drugs are being taken at the same time, for example, certain antidepressants (such as paroxetine, fluoxetine, or fluvoxamine), quinidine (used for heart rhythm problems), ketoconazole (an antifungal) or ritonavir (a treatment for HIV).
If you are not sure, speak to your doctor or pharmacist for advice.Pregnancy and breast-feeding
Do not take any Reminyl before speaking to your doctor for advice, if you are pregnant, trying to become pregnant or are breast-feeding.

 


4. How to take Reminyl


Reminyl should be taken by mouth. It should be taken twice a day, preferably with morning and evening meals. Be sure to drink plenty of liquids during your treatment with Reminyl to keep yourself hydrated.
Reminyl is usually started at a low dose. Your doctor may then slowly increase the amount of Reminyl that you take to find the most suitable dose for you.
Treatment with Reminyl is usually started at a dose of 4 mg taken twice daily. This dose will be taken for at least four weeks. Your doctor will then increase the dose to 8 mg taken twice daily. This dose will be taken for at least 4 weeks.
If your doctor decides to increase your dose again, you should take 12 mg twice daily. If you have the impression that the effect of Reminyl is too strong or too weak, talk to your doctor or pharmacist.
Your doctor will need to see you regularly to check that this medicine is working for you and to discuss how you are feeling. 

5. If you forget to take a dose of Reminyl


 If a dose is missed, the next dose should be taken as usual. Then continue as before. If more than one dose has been missed, contact your doctor for advice.
Do not take 2 doses at the same time to make up for a missed dose.

 


6. If you take too much


If too much Reminyl has been taken, contact a doctor or hospital straightaway. Take any remaining tablets and the packaging with you.

 

7. After taking this medicine


Like all medicines, Reminyl can have side effects. The side effects are listed below and have been separated according to how likely they are.Very common side effects - likely to affect more than 1 in 10 people:
  • nausea and vomiting
Common side effects - likely to affect fewer than 1 in 10 people:
  • abdominal pain, diarrhoea, indigestion, decreased appetite, weight loss, headache, dizziness, tiredness, sleepiness or sleeplessness, confusion, trembling, fever, feeling generally unwell, fainting, a runny or blocked nose, a urinary tract infection, falling, sometimes resulting in injury and depression (which is very rarely with thoughts of suicide or self-harm). Tell your doctor as soon as possible if you have suicidal thoughts or distressing symptoms.
Uncommon side effects - likely to affect fewer than 1 in 100 people:
  • If you think that you have any of the following side effects or symptoms, stop taking your medicine and see a doctor immediately - irregular heart beat, angina attack, palpitations (pounding heart beat), stroke, heart attack or blackout.
    Other uncommon side effects: Tingling or numbness, ringing or buzzing in the ears (tinnitus) or leg cramps.  
Rare side effects - likely to affect fewer than 1 in 1,000 people:
  • dehydration (sometimes severe), a slow heart-beat, seizures (fits), skin rashes, muscle weakness (this could be due to low potassium in your blood, tell your doctor as you may need a blood test), agitation, aggression and hallucinations.
Very rare side effects - likely to affect fewer than 1 in 10,000 people:
  • bleeding from the stomach or bowel. Tell your doctor immediately if you vomit blood or anything that looks like ground coffee or if you pass black, tarry stools.
    Other side effects: increased sweating, difficulty in swallowing and light-headedness (which could be because of a low blood pressure). Patients with Parkinson’s disease may find that their symptoms, such as tremor, have worsened.  
If undesired effects such as nausea and vomiting occur, they are mainly experienced early on in the treatment or when the dose is increased. They tend to disappear gradually as the body gets used to the treatment and generally will not last for more than a few days. If you are experiencing these effects your doctor may recommend that you drink more liquids and, if necessary, they may prescribe a medicine to stop you being sick.
Do not be alarmed by this list of possible side effects. You may not have any of them. Some of these effects may be due to the disease itself.
Tell your doctor or pharmacist if you are worried or think that Reminyl is causing you any problem. If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

 


8. How to store Reminyl 


As with all medicines, Reminyl should be kept in a safe place where children cannot see or reach it. There are no special storage instructions for Reminyl tablets.
Medicines can be kept for a limited period only. Therefore, do not use Reminyl after the expiry date printed on the packaging.
If a dose is missed, the next dose should be taken as usual. Then continue as before. If more than one dose has been missed, contact your doctor for advice.
Do not take 2 doses at the same time to make up for a missed dose.
Reminyl, as well as the disease itself, can affect the ability to drive or operate machinery. Please discuss this with your doctor.
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