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How Taken: Exelon usually is taken twice daily with meals. Due to gastrointestinal side effects that can be seen early in therapy, exelon therapy is generally started at a low dose, often 1.5 mg twice daily, and gradually increased not more than once every 2 weeks. The goal usually is 6 mg twice daily. If a patient develops severe gastrointestinal side effects such as upset stomach and vomiting, he or she may need to stop taking exelon for a few doses and then start taking it again at the same dose or a lower dose. Drugs with anticholinergic effects and which cross into the brain, such as atropine, benztropine (Cogentin), and trihexyphenidyl (Artane) oppose the effects of exelon and should be avoided during therapy with exelon. Unlike donepezil (Aricept), exelon does not cause the blood levels of other medications to rise and increase their risk for side effects.

Warnings Precautions: Do not stop using this medicine without first checking with your doctor. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. For women: it is unknown if this medicine is excreted in breast milk. Do not breast-feed while taking this medicine.

More Information: Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking. Additional monitoring of your dose or condition may be needed if you are also taking bethanechol. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Additional monitoring of your dose or condition may be needed if you have history of asthma, other breathing disorders (e.g., obstructive pulmonary disease), certain heart conditions (e.g., sick sinus syndrome), eating disorders, or seizures. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Storage: Store this medicine at room temperature below 77 degrees F (25 degrees C) in a tightly-closed container, away from heat and light.

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