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RAZADYNE ER
Alzheimer's dementia
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Drug Name:

RAZADYNE ER Rx

Generic Name and Formulations:
Galantamine (as HBr) 8mg, 16mg, 24mg; ext-rel caps.

Company:
Janssen Pharmaceuticals, Inc.

Therapeutic Use:

Indications for RAZADYNE ER:

Mild to moderate Alzheimer's dementia.

Adult:

Give with AM meal. Initially 8mg/day; if well-tolerated, increase to maintenance dose 16mg/day after minimum of 4 weeks; may attempt further increase to max 24mg/day after minimum of 4 weeks. Re-titrate if interrupted for >3 days. Moderate hepatic or renal impairment (CrCl 9–59mL/min): usual max 16mg/day.

Children:

Not established.

Warnings/Precautions:

Discontinue at the first sign of skin rash, unless not drug-related; consider alternative therapy if serious skin reactions occur. Conduction disorders (eg, bradycardia, AV block). History of ulcer disease. Bladder outflow obstruction. Asthma. COPD. Seizures. Monitor for active or occult GI bleed, respiratory or neurological effects, and patient's weight. Maintain adequate hydration. Severe hepatic or renal impairment (CrCl <9mL/min): not recommended. Pregnancy (Cat.C). Nursing mothers.

Interactions:

Potentiates neuromuscular blockers (eg, succinylcholine), cholinesterase inhibitors, cholinergic agonists (eg, bethanechol). Antagonizes anticholinergics. Caution with drugs that slow heart rate. May be potentiated by ketoconazole, cimetidine, paroxetine, fluoxetine, erythromycin, possibly others that affect CYP2D6 or CYP3A4. Monitor for GI bleed with NSAIDs.

See Also:

RAZADYNE

RAZADYNE ORAL SOLUTION

Pharmacological Class:

Reversible acetylcholinesterase inhibitor (benzazepine deriv).

Adverse Reactions:

Nausea, vomiting, diarrhea, dizziness, headache, decreased appetite, anorexia, weight loss, syncope, bradycardia, heart block, seizures; serious skin reactions (eg, Stevens-Johnson syndrome).

Note:

This product was formerly named Reminyl.

How Supplied:

Tabs—60; Soln—100mL (w. cal. pipette); ER caps—30

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