Rivastigmine is a reversible cholinesterase inhibitor that specifically targets the brain’s neurotransmitter levels. It works by inhibiting the enzymes acetylcholinesterase and butyrylcholinesterase, which are responsible for breaking down acetylcholine. By preventing this breakdown, Rivastigmine increases the concentration of acetylcholine available for nerve-to-nerve communication. This enhanced signaling helps improve memory, orientation, and the ability to perform daily tasks in individuals experiencing progressive cognitive decline.
In Nigeria, Rivastigmine 1.5mg (commonly known by the brand Exelon) is a primary clinical choice for the early management of dementia. It is available through registered specialist pharmacies like Sanlive Pharmacy to ensure patients receive authentic, high-stability capsules manufactured under strict international standards (Novartis) and stored in a moisture-protected environment to maintain the precision of the 1.5mg starting dose.
Important: This is a prescription-only medication that must be initiated and monitored by a neurologist or geriatrician. Dosing Precision: Treatment always begins with the lowest 1.5mg dose to allow the digestive system to adapt. Do not increase the dose without medical instruction. Use with extreme caution in patients with "sick sinus syndrome" or cardiac conduction abnormalities, as Rivastigmine can slow the heart rate (bradycardia). Avoid use if you have severe liver impairment or a history of gastric ulcers.
Rivastigmine 1.5mg Capsules are primarily used to:
Treat mild to moderate dementia associated with Alzheimer’s Disease
Manage cognitive impairment and "fluctuating alertness" in Parkinson’s Disease dementia
Improve concentration, memory, and the ability to recognize familiar faces or places
Slow the progression of behavioral symptoms such as agitation or confusion
Support functional independence by assisting with the performance of daily living activities
Provide a dual-enzyme inhibition (AChE and BuChE) for comprehensive neurotransmitter support
This product is suitable for:
Adults diagnosed with early-stage Alzheimer’s Disease requiring cognitive stabilization
Patients with Parkinson’s Disease experiencing new-onset memory or thinking difficulties
Individuals starting cholinesterase inhibitor therapy who require a "starter" dose to minimize side effects
Not recommended for: Children or adolescents. It is strictly contraindicated for individuals with a known hypersensitivity to Rivastigmine or other carbamate derivatives. Use with caution in patients with asthma or obstructive pulmonary disease (COPD), as it can increase bronchial secretions. Not recommended during pregnancy or breastfeeding unless the clinical benefit significantly outweighs the potential risk.
Take exactly as prescribed; the 1.5mg dose is usually taken twice daily (morning and evening)
Must be taken with food (breakfast and dinner) to significantly reduce the risk of nausea and vomiting
Swallow the capsule whole with a glass of water; do not open, crush, or chew the capsules
If treatment is interrupted for more than three days, do not restart without consulting your doctor, as the dose may need to be reset to 1.5mg to prevent severe vomiting
Consistency is vital—take your doses at approximately the same time every day to maintain steady brain levels
Your doctor will typically evaluate your progress after 2 to 4 weeks before considering a dose increase
Rivastigmine is effective, but some individuals may experience:
Nausea or vomiting (most common during the first few weeks of treatment)
Loss of appetite and unintentional weight loss
Dizziness, headache, or a feeling of tiredness (fatigue)
Tremors or increased sweating
Rare but serious: Fainting or a very slow heartbeat (bradycardia)
Rare: Severe abdominal pain or black, tarry stools (signs of a stomach ulcer)
Seek immediate medical attention if the patient experiences severe persistent vomiting, sudden confusion, or a significant drop in heart rate.
Novartis (Original Brand: Exelon) or reputable specialized generic manufacturers – These global leaders ensure high-purity Rivastigmine for predictable and safe cognitive management.
100% authentic specialist medication sourced directly from authorized and regulated distributors
Guaranteed high-quality stock stored in optimal, climate-controlled conditions to protect drug integrity
Professional counseling from licensed pharmacists on managing digestive side effects and dose titration
Fast and discreet delivery to your home or clinic across Nigeria
Will this medicine cure Alzheimer’s?
No. There is currently no cure for Alzheimer’s, but Rivastigmine helps manage the symptoms. It is like a "hearing aid" for the brain; it doesn't fix the underlying problem, but it helps the brain work better with the neurotransmitters it still has.
Why did the doctor start with 1.5mg if there are higher strengths?
Rivastigmine can be hard on the stomach at first. Starting at 1.5mg allows your body to adjust slowly. Most people move to higher doses after a few weeks once their stomach is settled.
Can I use the capsules and the skin patch at the same time?
No. You should use only one form of Rivastigmine at a time. Using both can lead to a dangerous overdose. If you are switching from capsules to the patch, follow our pharmacist’s specific instructions carefully.
Where can I purchase Rivastigmine 1.5mg in Nigeria?
You can fill your specialist neurology or geriatric prescription for Rivastigmine at Sanlive Pharmacy & Stores for guaranteed product integrity and professional pharmaceutical support.
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