| 🔬 Active Ingredient (Generic Name): | Rivastigmine Tartrate |
|---|---|
| 💊 Indication: | Alzheimer’s Disease (Mild to Moderate), Parkinson’s Disease Dementia |
| 🇺🇸 US Brand: | Exelon |
| 🏭 Manufacturer: | Sun Pharmaceutical Industries Ltd. (Founded: 1993) |
| 📦 Packaging: | 10 Capsules per Strip |
| 🧪 Strength: | 3 mg |
| 🚚 Delivery Time: | 6–15 days |
🌿 What is Rivastigmine 3 mg (Rivamer)?
Rivamer contains Rivastigmine Tartrate, a centrally acting cholinesterase inhibitor that increases acetylcholine levels in the brain. It improves cognitive function and daily living activities in patients with mild to moderate Alzheimer’s disease and Parkinson’s disease dementia.
Clinical trials demonstrate that 3 mg twice daily slows cognitive decline and enhances memory and attention. Rivastigmine’s unique inhibition of both acetylcholinesterase and butyrylcholinesterase provides broad cholinergic support.
For full prescribing details and safety information, refer to the FDA label for Exelon, the Drugs.com monograph, the NHS Medicines A–Z entry, and the WHO Essential Medicines List.
🧬 Pharmacology & Mechanism of Action
| Attribute | Detail |
| Chemical Formula | C14H22N2O2 |
| Molecular Weight | 250.34 g/mol |
| Bioavailability | ~40% (oral) |
| Metabolism | Hepatic (esterases) |
| Half-Life | ~1.5 hours |
Rivastigmine’s dual cholinesterase inhibition enhances cholinergic neurotransmission, improving cognition.
💡 Indications & Dosing
| Condition | Dose & Titration |
| Alzheimer’s Disease (Mild to Moderate) | Start 1.5 mg twice daily; increase by 1.5 mg every 4 weeks to 3–6 mg twice daily |
| Parkinson’s Disease Dementia | Start 1.5 mg twice daily; titrate to max 6 mg twice daily as tolerated |
Adjust dose based on tolerability; administer morning and evening with food to reduce GI upset.
⚠️ Warnings & Side Effects
Common:
- Nausea, vomiting, diarrhea
- Anorexia, weight loss
- Headache, dizziness
Serious:
- Bradycardia
- Gastrointestinal bleeding
- Seizures (rare)
Monitor cardiac function and weight. Taper dose gradually upon discontinuation to avoid cholinergic rebound.
🏥 Storage Instructions
Store at 20–25°C in original blister pack. Protect from moisture and light. Keep out of reach of children.
🌐 Availability & Purchasing
- USA: Prescription-only (Exelon); Rivastigmine patch also available.
- UK & EU: Prescription required; capsules and patch forms.
- Australia: Prescription and TGA approval for import.
Importing from India can reduce costs; ensure regulatory compliance and valid prescription.
🔗 Related Dementia Therapies
- Donepezil 10 mg – Aricept generic.
- Galantamine 8 mg – Nivalin generic.
- Memantine 10 mg – Namenda generic.
- Rivastigmine Patch 9.5 mg – transdermal.
- Donepezil ODT 10 mg – orally disintegrating.
🎥 Educational Video on Rivastigmine
👩⚕️ Expert Insight: Dr. Ritu Kapoor, Geriatrician
“Rivastigmine’s dual cholinesterase inhibition makes it uniquely effective in dementia care. Starting low and going slow helps manage GI side effects.”




