Citalopram 23 mg (Donepezil Hydrochloride Hydrate)

Adult dose

This medication should be taken once daily just before bedtime and can be administered regardless of meals. The initial recommended dose of Donepezil Hydrochloride is 5 mg once daily. Patients reach a stable condition after 15 days of administration, and 5 mg should be administered for 4 to 6 weeks. After clinical response evaluation, it can be increased to 10 mg. Care should be taken for adverse gastrointestinal reactions when increasing the dose to 10 mg daily. Maintain a minimum of 3 months on 10 mg.

This medication should not be used in patients with allergies to specific ingredients or in pregnant or breastfeeding women. It should also not be administered to patients with hereditary lactose intolerance. Patients with heart disease or heart rhythm problems should be cautious while using this medication as it may cause irregular heart rhythms, necessitating regular ECG checks. Patients with a history of gastric ulcers or peptic ulcers should be cautious as symptoms may worsen with this medication. Patients with a history of asthma or obstructive pulmonary disease should also use this medication carefully as respiratory symptoms may worsen. Patients with extrapyramidal disorders such as Parkinson's disease need to be cautious as this medication may exacerbate their symptoms. This medication contains certain pigments, so patients with allergies to these should be aware. Various side effects such as nausea, vomiting, diarrhea, dizziness, fatigue, and loss of appetite may occur during treatment, so if symptoms are severe, you should consult a physician. Severe side effects may include heart problems, liver dysfunction, cerebrovascular anomalies, and muscle disorders, so report any unusual symptoms to medical personnel immediately. This medication is used in the treatment of Alzheimer's-type dementia, and the therapeutic effect should be regularly evaluated, and discontinuation should be considered if necessary. Caution is needed when driving or operating machinery as fatigue, dizziness, and muscle cramps may occur. This medication may interact with other medications, so you must inform healthcare professionals of any other drugs you are taking. Pregnant or breastfeeding women should avoid using this medication, and if necessary, should consult healthcare personnel before making a decision. Safety in pediatric patients has not been established, so it is not used in children. Overdose may result in severe nausea, vomiting, bradycardia, hypotension, respiratory depression, etc., and in such cases, immediate medical attention is required. Store this medication out of reach of children and do not transfer it to other containers.

Serious side effects

Syncope, bradycardia, heart block, QT interval prolongation, myocardial infarction, heart failure, peptic ulcer, perforated duodenal perforation, gastrointestinal bleeding, hepatitis, liver dysfunction, jaundice, seizures, cerebral hemorrhage, cerebrovascular disorders, extrapyramidal disorders (motor dysfunction, ataxia, gait disturbances, etc.), neuroleptic malignant syndrome, rhabdomyolysis, respiratory distress, acute pancreatitis, acute renal failure, unexplained sudden death, cardiac arrest, severe allergic reactions (hives

Mild side effects

• Nausea
• vomiting
• diarrhea
• loss of appetite
• headache
• fatigue
• lethargy
• dizziness
• insomnia
• drowsiness

This medication should be stored in a tightly sealed container to prevent air or moisture entry. The storage temperature should be maintained between 1 and 30 degrees Celsius to preserve the effectiveness of the medication over time.

Appearance

Red, bilaterally convex, round film-coated tablets

Package unit

30 tablets/bottle, 100 tablets/bottle