Alzcare 5 mg Tablet (Donepezil Hydrochloride Hydrate)

Adult dose

Adults: As donepezil hydrochloride, administer 5 mg once daily before bedtime. In case of unusual dreams, nightmares, or sleep disturbances, morning dosing may be considered. Normal levels of donepezil are reached 15 days after administration, and the frequency of adverse reactions can be influenced by the rate of dosage increase. Therefore, a dose of 5 mg should be given for 4-6 weeks. After evaluating clinical responses during this period, the dose may be increased to 10 mg, while being cautious about gastrointestinal adverse reactions. Caution is particularly necessary for underweight women over the age of 85, as the dosage should not exceed 5 mg per day.

Child dose

Pediatrics: There is no experience using this in children.

This medication should not be used by individuals with allergies to specific ingredients, or by women who are pregnant or breastfeeding. It should also not be taken by individuals with genetic issues such as galactose intolerance or lactase deficiency. Patients with heart disease or heart rhythm problems should use this medication cautiously, and cardiac monitoring may be required. Patients with peptic ulcers or those on non-steroidal anti-inflammatory drugs should carefully observe gastrointestinal conditions. Patients with a history of asthma or obstructive lung diseases should also be cautious as symptoms may worsen with this drug. Extrapyramidal disorders such as Parkinson's disease may worsen with this medication, so caution is necessary. This drug contains specific pigments that could cause reactions in individuals allergic to those components. This medication can slow heart rate or cause heart issues like arrhythmia; if symptoms occur, consult a doctor immediately. There is a potential for gastrointestinal bleeding or ulcers, so any symptoms such as abdominal pain, vomiting, or blood in stools should be reported immediately. Periodic checks of liver health are necessary, as abnormal liver function or jaundice may occur. Neurological symptoms such as epilepsy, seizures, or movement disorders may develop, so caution is advised. Muscle pain or weakness, along with abnormal findings in blood tests, may suggest the possibility of rhabdomyolysis; inform your doctor immediately. Severe side effects such as breathing difficulties, acute pancreatitis, or renal failure have also been reported, requiring immediate consultation with healthcare professionals. This drug may affect driving or operating machinery, so caution is advised during initial doses or changes in dosage. Due to potential interactions with other medications, it is crucial to inform healthcare providers of any other medications being taken, especially cardiac medications, antibiotics, and antidepressants. Pregnant or nursing women should avoid this medication unless absolutely necessary, in which case professional consultation is required. Safety in pediatric patients has not been established, so this medication should not be used in children. In case of overdose, serious symptoms such as nausea, vomiting, bradycardia, or respiratory depression may appear; therefore, the dosage should be strictly adhered to, and medical help should be sought immediately in case of overdose. This drug should be kept out of reach of children and should not be transferred to other containers.

Serious side effects

Hives, severe swelling (edema), tightness in the chest, difficulty breathing, cold sweats, pallor, severe rashes with fever, blisters, peeling skin, pain in oral/ocular mucosa, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough and fever, jaundice (yellowing of skin or eyes), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion of consciousness, visual disturbances, paralysis, urination

Mild side effects

• Nausea
• vomiting
• diarrhea
• loss of appetite
• headache
• fatigue
• muscle pain
• rash
• itching
• dizziness

This medication should be stored in an airtight, sealed container, preferably at room temperature between 1 to 30 degrees Celsius. Proper storage helps maintain the medication's effectiveness and prevent degradation.

Appearance

Yellow round film-coated tablet

Package unit

30 tablets/bottle