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Exelon 18mg Patch
Last updated on 26 Sep 2026 | 08:43 AM (IST)
₹4165
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MRP: ₹5,153.44
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Introduction
Exelon 18mg Patch belongs to the family cholinesterase inhibitors with an active ingredient called Rivastigmine. It treats mild to moderately severe Alzheimer's dementia in adults. Alzheimer's is a condition where a progressive brain disorder affects memory, intellect, and behavior. In this condition, specific nerve cells in the brain die, leading to reduced levels of the neurotransmitter acetylcholine, which is essential for nerve cell communication. This medicine works by blocking the enzymes that break down acetylcholine, which helps reduce Alzheimer's symptoms. Additionally, it is also used to treat dementia in adult patients with Parkinson's disease.
Do not use Exelon 18mg Patch if you are allergic to Rivastigmine and its other ingredients. Do not use this patch if you experience a skin reaction that spreads beyond the patch area or an intense local reaction like blisters, increased skin inflammation, or swelling that does not improve within 48 hours after removing the patch; you should avoid this and inform your doctor promptly. This patch is not suitable for children with Alzheimer's disease.
Before taking Exelon 18mg Patch, inform your doctor if you have a history of irregular or slow heartbeat, active stomach ulcers, difficulties in passing urine, seizures, asthma, severe respiratory disease, trembling, low body weight, gastrointestinal reactions like nausea, vomiting, and diarrhea, or impaired liver function. Your doctor will assess your medical condition and determine if this patch is suitable for you. It's essential to inform your healthcare provider about any pre-existing health conditions to ensure safe and effective use of the medication. If you miss the patch for three days, consult your doctor before taking the next dose.
Uses
Exelon Patch uses are:
- Treats Alzheimer's dementia in adults.
How Exelon 18mg Patch Works
Exelon 18mg Patch functions by inhibiting acetylcholinesterase and butyrylcholinesterase enzymes, which break down acetylcholine. By blocking these enzymes, it increases acetylcholine levels in the brain, thus alleviating Alzheimer's disease symptoms.
Interaction of Exelon 18mg Patch with other drugs
Inform your doctor about any prescribed medications, over-the-counter medicines, nutritional or vitamin supplements, and herbal products you take or have taken before the treatment. Certain medications may interact with Exelon 18mg Patch, such as neostigmine and darunavir, and can cause undesirable side effects.
Storage Conditions
- Keep out of sight and reach of pets and children.
- Do not store above 25°C.
- Do not overdose if you miss the dose.
How to use Exelon 18mg Patch
Take the Exelon 18mg Patch as your physician advises. Read the label carefully before using it. Clean the area of skin where you will apply the patch. Remove the backing from the patch and apply it to the skin, ensuring the entire patch is in contact with the skin. Your physician will decide the correct Exelon patch dosage change and duration based on age, body weight, and disease condition. Only stop taking this if your doctor advises you to stop.
Safety Advice for Exelon 18mg Patch
Breast Feeding
Do not use Exelon 18mg Patch during breastfeeding. So before starting the treatment, inform your doctor if you are breastfeeding. Contact your doctor for more information.
Alcohol
It is unknown whether consuming alcohol while taking a Exelon 18mg Patch is safe. Please speak with your physician.
Liver
Exelon 18mg Patch should be used cautiously in patients with liver conditions. Before starting the treatment, inform your physician about pre-existing liver conditions.
Lungs
Exelon 18mg Patch should be used cautiously in patients with lung conditions. Before starting the treatment, inform your physician about pre-existing lung conditions.
Driving
Using a Exelon 18mg Patch tablet may cause e dizziness and somnolence (feeling sleepy). So do not drive or operate machinery.
Pregnancy
Do not use Exelon 18mg Patch during pregnancy unless it is absolutely necessary. Notify your healthcare professional if you are pregnant or planning to have a baby think you may be pregnant.
Side Effects
Exelon Patch side effects are unwanted symptoms caused by medicines. Even though all medicines cause side effects, not everyone gets them.
Serious
- Trembling
- Gastrointestinal reactions (nausea, vomiting, diarrhea)
Common
- Loss of appetite
- Anxiety
- Irregular heartbeat
- Sweating
- Heartburn
- Feeling confused
- Headache
- Nightmares
- Dizziness
- Stomach pain
Expert tips
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Always remove the previous Exelon 18mg Patch before applying a new one; use only one patch daily and never cut it into pieces.
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Press the patch firmly for at least 30 seconds to ensure proper adhesion — it remains effective during bathing, swimming, or showering if securely attached.
-
Avoid exposing the patch to direct heat sources such as sunlight, saunas, or solariums for long periods.
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Follow your doctor’s prescribed dosage and inform them about any allergies, medical conditions, or other medications/supplements you are taking.
-
If you experience severe side effects like breathing difficulty or allergic reactions, seek immediate medical help and consult your healthcare provider for further guidance.
FAQs about Exelon 18mg Patch
Q1.
How can I manage side effects while taking Exelon 18mg Patch?
If you observe any side effects while taking Exelon 18mg Patch, stay hydrated by drinking plenty of fluids. Your medical professional may also recommend over-the-counter or prescription medications to help manage your symptoms.
Q2.
What is the side effect of Exelon 18mg Patch that has to be informed to the doctor immediately?
Side effects of Exelon 18mg Patch include trembling, gastrointestinal reactions such as nausea, vomiting, or diarrhea, loss of appetite, anxiety, sweating, heartburn, feeling confused, nightmares, dizziness, headache, irregular heartbeat, and stomach pain. Contact your doctor immediately if you experience any side effects.
Q3.
How long should I take Exelon 18mg Patch?
Your physician will decide the correct dosage and duration based on age, body weight, and disease condition. Follow the prescribed dosage and administration instructions provided by your healthcare professional. Only stop using Exelon 18mg Patch if your doctor advises you to stop.
Q4.
What should I do if I miss using Exelon 18mg Patch?
If you miss three days of using Exelon 18mg Patch, consult your doctor before using the next patch.
Q5.
Can I take Exelon 18mg Patch during my pregnancy?
Do not use Exelon 18mg Patch during pregnancy unless it is clearly needed. Before starting the treatment, inform your doctor if you are pregnant or planning to get pregnant or breastfeeding. The potential benefits and risks of the patch should be carefully considered.
Fact Box
| Molecule Name: | Rivastigmine |
| Therapeutic class: | Neurodegenerative disease |
| Pharmacological class: | Cholinesterase inhibitors |
| Indications: | Treats Alzheimer's dementia in adults. |
References
- Novartis Europharm Limited; Electronic medicines compendium (emc); [Revised on November 2020] [Accessed on 27th July 2023], Exelon, INN-rivastigmine (medicines.org.uk)
- Novartis, US Food and Drug Administration, [Revised on Jan 2015], [ Accessed on 21st July 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/020823s032%2C021025s022lbl.pdf
- KD Tripathi, Essentials of Medical Pharmacology, CNS Stimulants and Cognition Enhancers, 7th edition, 2013, 489.
- Goodman & Gilman’s, The Pharmacological Basics of Therapeutics, Treatment of Central Nervous System Degenerative Disorders, 12th edition, 2011, 621.
Disclaimer
MrMed’s primary intention is to ensure that its consumers get information that is reviewed by experts, accurate and trustworthy. The information and contents of this website are for informational purposes only. They are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of your doctor and discuss all your queries related to any disease or medicine. Do not disregard professional medical advice or delay in seeking it because of something you have read on MrMed. Our mission is to support, not replace, the doctor-patient relationship.
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Author Details
Written By
Aswini Priya Velmurugan
PG in Biotechnology
Reviewed By
Dr. Tejashwin Adiga
MBBS
Last updated : 26 Sep 2026 | 08:43 AM (IST)
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