Neuromantine Tablet 20mg (Memantine Hydrochloride)

Adult dose

The medicine is to be taken orally once daily, at the same time each day. If necessary, it can be taken twice daily. The maximum daily dose is 20mg, and to minimize the risk of side effects, it is increased by 5mg weekly over the first three weeks. First week (Day 1-7) 5mg daily Second week (Day 8-14) 10mg daily Third week (Day 15-21) 15mg daily

This medicine should not be used by patients who have allergic reactions to its ingredients or have severe liver or kidney dysfunction. Caution should be taken when used in patients with epilepsy or those with a history of seizures and when used in combination with certain medications, as the risk of side effects may increase. Additionally, it should be given with caution to patients with conditions affecting urine acidity (pH), heart disease, or uncontrolled hypertension. This medicine contains specific colorants, so those sensitive to these colorants should be cautious. During treatment, side effects such as dizziness, headaches, constipation, drowsiness, and hypertension may occur; if any unusual symptoms appear, the patient should consult a doctor. Drug interactions may occur when taken with other medications, especially those affecting the central nervous system, and co-administration should either be avoided or dosing should be adjusted accordingly. Women who are pregnant or may become pregnant should make a careful decision about the use of this medicine as it may affect the fetus, and breastfeeding should be stopped if nursing. It is advisable not to use in children or adolescents under 18 years of age due to lack of established safety and efficacy. In case of overdose, serious symptoms may appear in the central nervous system and digestive system, and immediate medical attention should be sought for appropriate treatment. Finally, this medicine may affect the patient's reaction speed and concentration, so caution is advised while driving or operating machinery. Lastly, this medicine should be stored out of reach of children, and transferring it to another container should be avoided for safety reasons.

Serious side effects

• Seizures
• heart failure
• hypertension
• venous thrombosis/thromboembolism
• difficulty breathing
• pancreatitis
• elevated liver function tests
• hepatitis

Mild side effects

• Dizziness
• headache
• constipation
• drowsiness
• hypertension
• fungal infections
• drug hypersensitivity reactions
• confusion
• hallucinations
• psychotic reactions

This medicine should be stored in a tightly sealed container to prevent air or moisture ingress, ideally at room temperature between 1 degree and 30 degrees. Storing in this manner will help maintain the efficacy of the medicine.

Appearance

Orange rectangular film-coated tablets

Package unit

30 tablets/bottle, 100 tablets/bottle