It is suggested that rivastigmine binds reversibly with and inactivates cholinesterase (e.g. Acetylcholinesterase, butyrylcholinesterase), preventing the hydrolysis of acetylcholine, and thus leading to an increased concentration of acetylcholine at cholinergic synapses.
The anticholinesterase activity of rivastigmine is relatively specific for brain acetylcholinesterase

Rivastigmine is used for the treatment of adult patients with mild to moderately severe Alzheimer’s and dementia, a progressive brain disorder that gradually affects memory and intellectual ability.

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, but ask your doctor.
The amount of this medicine you take will depend on your illness. Follow your doctor’s instructions carefully.
Do not discontinue this medication suddenly.
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

Physical activity increases blood flow to your whole body, including your brain. This might help keep your memory sharp. For most healthy adults, it is recommended to exercise for about least 150 minutes a week of moderate aerobic activity
Just as physical activity helps keep your body in shape, mentally stimulating activities help keep your brain in shape and might keep memory loss at bay. Do crossword puzzles. Take alternate routes when driving.
Social interaction helps ward off depression and stress, both of which can contribute to memory loss.
Sleep plays an important role in helping you consolidate your memories, so you can recall them down the road. Make getting enough sleep a priority. Most adults need seven to nine hours of sleep a day.
A healthy diet might be as good for your brain as it is for your heart. Eat fruits, vegetables and whole grains. Choose low-fat protein sources, such as fish, beans and skinless poultry.
Ginkgo has been used for centuries in traditional Chinese medicine and currently is being used in Europe to alleviate cognitive symptoms associated with a number of neurological conditions. Gingko biloba extract can be purchased in liquid or capsule form for example Ginkozac Capsules
Follow your doctor's treatment recommendations for medical conditions, such as depression, high blood pressure, high cholesterol, diabetes and obesity

Talk to your doctor about all your medical conditions before taking this medicine including:

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements

Store below 25°c
Don’t refrigerate
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

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