Aricept

Special warnings about Aricept

Aricept can aggravate asthma and other breathing problems, and can increase the risk of seizures. It can also slow the heartbeat, cause heartbeat irregularities, and lead to fainting episodes. Contact your doctor if any of these problems occur.

In patients who have had stomach ulcers, and those who take a nonsteroidal anti-inflammatory drug such as ibuprofen or naproxen sodium, Aricept can make stomach side effects worse. Be cautious when using Aricept and report all side effects to your doctor.

Possible food and drug interactions when taking Aricept

Aricept will increase the effects of certain anesthetics. Make sure the doctor is aware of Aricept therapy prior to any surgery.

If Aricept is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Aricept with the following:

• Antispasmodic drugs such as dicyclomine hydrochloride and propantheline
• Bethanechol chloride
• Carbamazepine
• Dexamethasone
• Ketoconazole
• Phenobarbital
• Phenytoin
• Quinidine
• Rifampin

Special information if you are pregnant or breastfeeding

Since it is not intended for women of child-bearing age, Aricept's effects during pregnancy have not been studied, and it is not known whether it appears in breast milk.

Recommended dosage for Aricept

ADULTS

The usual starting dose is 5 milligrams once a day at bedtime for at least 4 to 6 weeks. Do not increase the dose during this period unless directed. The doctor may then change the dosage to 10 milligrams once a day if response to the drug warrants it.

CHILDREN

The safety and effectiveness of Aricept have not been established in children.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

• Symptoms of Aricept overdose include:
  Collapse, convulsions, extreme muscle weakness (possibly ending in death if breathing muscles are affected), low blood pressure, nausea, salivation, slowed heart rate, sweating, vomiting