Namzaric titration package (oral)

Namzaric titration package (oral)

Namzaric titration package (oral)

Used for the Namzaric Titration Pack

This medicine is only available with a doctor's prescription.

Before using the Namzaric Titration Pack

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

No appropriate studies have been conducted on the relationship between age and the effects of the combination of memantine and donepezil in children and adolescents. Safety and effectiveness have not been established.

geriatrics

Studies conducted to date have not shown any geriatric-specific problems that would limit the benefit of the combination of memantine and donepezil in the elderly.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or to change some of the other medications you are taking.

• Bepridil
• Cisaprid
• Dronedaron
• Fluconazol
• Ketoconazol
• Levoketoconazol
• Mesoridazin
• Pimozid
• Piperaquin
• Posaconazol
• Saquinavir
• Sparfloxacin
• Terfenadin
• Thioridazin
• Ziprasidon

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Abirateronacetat
• Acetazolamid
• Acetophenazin
• Aclidinium
• Acrivastin
• Adagrasib
• Alcaftadin
• Alfentanil
• Alfuzosin
• Amantadin
• Ambenonium
• Amdinocillin
• Amdinocillin Pivoxil
• Amifampridin
• Amineptin
• Aminophyllin
• Amiodaron
• Amisulprid
• Amitriptylin
• Amitriptylinoxid
• Amoxapin
• Amphetamin
• Ampicillin
• Anagrelid
• Anisotropin
• Antazolin
• Apomorphin
• Aripiprazol
• Aripiprazol Lauroxil
• Arsentrioxid
• Asenapin
• Astemizol
• Atazanavir
• Atomoxetin
• Atropin
• Azatadin
• Azelastin
• Azithromycin
• Azlocillin
• Bacampicillin
• Baclofen
• Bedaquilin
• Belladonna-Alkaloide
• Benperidol
• Benzhydrocodon
• Benzphetamin
• Bepotastin
• Bornaprin
• Brinzolamid
• Bromdiphenhydramin
• Bromperidol
• Brompheniramin
• Buclizin
• Bupivacain
• Buprenorphin
• Bupropion
• Buserelin
• Butorphanol
• Butriptylin
• Butylscopolamin
• Carbenicillin
• Carbinoxamin
• Ceritinib
• Chlorambucil
• Chloroquin
• Chlortrianisen
• Chlorpheniramin
• Chlorphenoxamin
• Chlorpromazin
• Cimetropium
• Cinacalcet
• Cinnarizin
• Ciprofloxacin
• Citalopram
• Clarithromycin
• Clemastine
• Clemizol
• Clidinium
• Clofazimin
• Clomipramin
• Clotiapin
• Cloxacillin
• Clozapin
• Cobicistat
• Kokain
• Kodein
• Konjugierte Östrogene
• Crizotinib
• Cyclacillin
• Cyclizin
• Cyclobenzaprin
• Cyclopentolat
• Cyclosporin
• Cyproheptadin
• Dabrafenib
• Darifenacin
• Dasatinib
• Degarelix
• Delamanid
• Demecarium
• Desipramin
• Deslorelin
• Desvenlafaxin
• Deutetrabenazin
• Dexbrompheniramin
• Dexchlorpheniramin
• Dexmedetomidin
• Dextroamphetamin
• Dextromethorphan
• Dibenzepin
• Dicloxacillin
• Dicyclomin
• Dienestrol
• Diethylstilbestrol
• Difenoxin
• Dihydrocodein
• Dimenhydrinat
• Dimethinden
• Diphenhydramin
• Diphenylpyralin
• Disopyramid
• Distigmine
• Dixyrazin
• Dofetilid
• Dolasetron
• Domperidon
• Dorzolamid
• Dothiepin
• Doxepin
• Doxylamin
• Droperidol
• Duloxetin
• Ebastine
• Echothiophat
• Edrophonium
• Efavirenz
• Eliglustat
• Emedastin
• Encorafenib
• Enfluran
• Entrectinib
• Epinastin
• Eribulin
• Erythromycin
• Escitalopram
• Veresterte Östrogene
• Östradiol
• Estramustin
• Östriol
• Estron
• Estropipat
• Ethinylestradiol
• Ethopropazin
• Etrasimod
• Etravirin
• Famotidin
• Felbamat
• Fentanyl
• Fesoterodin
• Fexinidazol
• Fingolimod
• Flavoxat
• Flecainid
• Floxacillin
• Flunarizin
• Fluoxetin
• Fluphenazin
• Fluvoxamin
• Formoterol
• Foscarnet
• Fosphenytoin
• Fostemsavir
• Galantamin
• Gatifloxacin
• Gemifloxacin
• Gepiron
• Glasdegib
• Glycopyrrolat
• Gonadorelin
• Goserelin
• Granisetron
• Guanidin
• Halofantrin
• Haloperidol
• Hetacillin
• Histrelin
• Homatropin
• Hydrocodon
• Hydromorphon
• Hydrochinidin
• Hydroxyamphetamin
• Hydroxychloroquin
• Hyoscyamin
• Ibutilid
• Iloperidon
• Imipramin
• Indalpin
• Inotuzumab Ozogamicin
• Iprindol
• Isofluorphat
• Isoniazid
• Isopropamid
• Itraconazol
• Ivabradin
• Ivosidenib
• Ketamin
• Ketotifen
• Lapatinib
• Lefamulin
• Lenvatinib
• Leuprolid
• Levocabastin
• Levofloxacin
• Levoketoconazol
• Levomilnacipran
• Levorphanol
• Lidocain
• Lindan
• Lisdexamfetamin
• Lithium
• Lofepramin
• Lofexidin
• Loxapin
• Lumefantrin
• Macimorelin
• Mebeverin
• Mebhydrolin
• Meclizin
• Mefenaminsäure
• Mefloquin
• Melitracen
• Melperon
• Mepenzolat
• Meperidin
• Mestranol
• Methadon
• Methamphetamin
• Methantheline
• Methazolamid
• Methdilazin
• Methicillin
• Methixen
• Methotrexat
• Methotrimeprazin
• Methylphenidat
• Metopimazin
• Metronidazol
• Mezlocillin
• Mifepriston
• Milnacipran
• Mirtazapin
• Mizolastin
• Mobocertinib
• Moricizin
• Morphium
• Moxifloxacin
• Nafarelin
• Nafcillin
• Nalbuphin
• Nalidixinsäure
• Nefazodon
• Nelfinavir
• Neostigmin
• Niaprazin
• Nilotinib
• Norfloxacin
• Nortriptylin
• Octreotid
• Ofloxacin
• Olanzapin
• Olopatadin
• Ondansetron
• Opipramol
• Orphenadrin
• Osilodrostat
• Osimertinib
• Oxacillin
• Oxaliplatin
• Oxatomid
• Oxybutynin
• Oxycodon
• Oxymorphon
• Ozanimod
• Pacritinib
• Paliperidon
• Panobinostat
• Paroxetin
• Pasireotid
• Pazopanib
• Peginterferon Alfa-2b
• Penicillin G
• Penicillin V
• Pentamidin
• Pentazocin
• Perazin
• Periciazin
• Perphenazin
• Phenindamin
• Pheniramin
• Phenobarbital
• Phenylpropanolamin
• Phenyltoloxamin
• Physostigmin
• Pimavanserin
• Pinaverium
• Pipamperon
• Piperacillin
• Pipotiazin
• Pirenzepin
• Pitolisant
• Pivampicillin
• Pizotylin
• Polyestradiolphosphat
• Ponesimod
• Primidon
• Probukol
• Procainamid
• Procain
• Prochlorperazin
• Promazin
• Promestrien
• Promethazin
• Propafenon
• Propanthelin
• Propicillin
• Propiverin
• Propizepin
• Propoxyphen
• Protriptylin
• Pyrilamin
• Quetiapin
• Quinestrol
• Chinidin
• Chinin
• Quizartinib
• Ranolazin
• Relugolix
• Remifentanil
• Ribociclib
• Rilpivirin
• Risperidon
• Ritonavir
• Rivastigmin
• Scopolamin
• Selpercatinib
• Sertindol
• Sertralin
• Sevofluran
• Sibutramin
• Siponimod
• Natriumbicarbonat
• Natriumphosphat
• Natriumphosphat, zweibasisch
• Natriumphosphat, einbasisch
• Solifenacin
• Sorafenib
• Sotalol
• Succinylcholin
• Sufentanil
• Sulbenicillin
• Sulpirid
• Sultamicillin
• Sunitinib
• Tacrin
• Tacrolimus
• Tamoxifen
• Tapentadol
• Telaprevir
• Telavancin
• Telithromycin
• Temocillin
• Terbinafin
• Tetrabenazin
• Theophyllin
• Thiethylperazin
• Thiopropazat
• Thioproperazin
• Thonzylamin
• Tianeptin
• Tibolon
• Ticarcillin
• Timiperon
• Tiotropium
• Tolterodin
• Toremifen
• Tramadol
• Trazodon
• Triclabendazol
• Trifluoperazin
• Triflupromazin
• Trimeprazin
• Trimipramin
• Tripelennamin
• Triprolidin
• Triptorelin
• Tropicamid
• Trospium
• Umeclidinium
• Valethamat
• Vandetanib
• Vardenafil
• Vemurafenib
• Venlafaxin
• Vilanterol
• Vinflunin
• Voclosporin
• Voriconazol
• Vorinostat
• Zuclopenthixol

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Ramelteon

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or around the time of eating or consuming certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine for any of the following conditions is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or frequency of use of this medication, or give you special instructions about food, alcohol, or tobacco consumption.

• Bittere Orange
• Grapefruitsaft

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Asthma, oder
• Lungenerkrankung (wie COPD) oder
• Magengeschwüre oder Vorgeschichte von oder
• Anfälle oder Vorgeschichte von oder
• Verstopfung der Harnwege oder Schwierigkeiten beim Wasserlassen – mit Vorsicht anwenden. Kann diese Bedingungen verschlimmern.

• Herzprobleme – Donepezil kann unerwünschte Auswirkungen auf die Herzfrequenz haben.

• Schwere Nierenerkrankung – mit Vorsicht anwenden. Die Wirkung kann durch die langsamere Entfernung des Arzneimittels aus dem Körper verstärkt werden.

Proper use of Namzaric Titration Pack

To improve your condition as much as possible, take this medicine exactly as your doctor has told you. Do not take more or less of it, or take it more often or less often than your doctor has prescribed.

This medicine comes with a patient information leaflet. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.

You can take this medicine with or without food.

Swallow the extended-release capsule whole. Do not crush, divide or chew it.

If you have trouble swallowing the capsules, you can open them and sprinkle the contents on applesauce. This mixture must be swallowed immediately without chewing. Do not chew or crush it.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Für die orale Darreichungsform (Kapseln mit verzögerter Freisetzung):
  • Bei mittelschwerer bis schwerer Alzheimer-Krankheit:
    • Erwachsene: Eine Kapsel einmal täglich vor dem Schlafengehen.
    • Kinder – Anwendung und Dosis müssen von Ihrem Arzt festgelegt werden.

Missed dose

If you miss a dose of this medication, skip the missed dose and return to your regular dosing schedule. Do not double the dose.

storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Precautions when using Namzaric Titration Pack

It is important that your doctor check your progress at regular visits. This is necessary to allow dosage adjustments and reduce any adverse effects.

Before you have any surgery, dental treatment, or emergency treatment, tell your doctor or dentist that you are using this medicine. Taking a combination of memantine and donepezil with certain medicines used during surgery, dental treatment or emergency treatment may increase the effects of these medicines and cause unwanted effects.

Tell your doctor right away if you have bloody or black tarry stools, constipation, severe stomach pain, or vomiting blood or material that looks like coffee grounds. These could be symptoms of stomach or intestinal bleeding.

Some people taking this medicine have experienced problems such as nausea, severe vomiting, loss of appetite, diarrhea, and weight loss. If you have any concerns, talk to your doctor before using this medicine.

If you think you or someone else may have taken an overdose of this medicine, get emergency help immediately. Taking an overdose of this medicine may cause convulsions (seizures) or serious effects on your heart and breathing. Signs of overdose include increased water in the mouth, increased sweating, low blood pressure, muscle weakness, severe nausea, severe vomiting, slow heartbeat and difficulty breathing.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and nonprescription (over-the-counter [OTC]) medications and herbal or vitamin supplements.

Side effects of Namzaric Titration Pack

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

Incident not known

• Blutiger oder schwarzer, teeriger Stuhl
• Brustschmerzen oder Unwohlsein
• vermindertes Wasserlassen
• Benommenheit, Schwindel oder Ohnmacht
• Schmerzen im Unterbauch, in der Leiste, im oberen Rücken oder an den Seiten
• Anfälle
• starke Magenschmerzen
• langsamer oder unregelmäßiger Herzschlag
• Schwitzen
• Atembeschwerden
• ungewöhnliche Müdigkeit
• Erbrechen von Blut oder Material, das wie Kaffeesatz aussieht

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

Incident not known

• Verstopfung
• verminderter Appetit
• Durchfall
• Brechreiz
• Erbrechen

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Namzarisch
• Namzarisches Titrationspaket

Available dosage forms:

• Kapsel, verlängerte Veröffentlichung

Therapeutic class: Central nervous system agents

Pharmacological class: Memantine

More information