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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Violent Shaking And Dizziness After Increasing The Dosage Of Rivastigmine?

My 85 year old mother is taking Rivastigmine. She just increased her does to 6.0mg twice daily with this mornings dose being the first at this level (previously 3.0mg twice daily). Suddenly about 2 hours after taking the medication she became shaky and dizzy. Is this a side effect of this medication. Her blood pressure went up to 160 over 82 pulse 57. She is on 40 mg apo-quinapril to control her blood pressure.
Wed, 6 Jan 2016
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  Anonymous's Response
's  Response
Hi
I've gone through your query and I understand quite well your concern
Rivastigmine is also used to treat dementia in people with Parkinson's disease and Alzheimer's disease.
Some side effects are difficulty sleeping, confusion, depression, anxiety, sleepiness, hallucinations , tremors, dizziness etc.
It's very important the way the dosage is taken.As you told me, your mother first started on a low dose of rivastigmine and slowly increased it.

Based on the symptoms you told to me that she is experiencing and she cannot tolerate it, I suggest that the drug may be stopped for several doses.
When the drug is started again, the same dosage or the next lower dosage may be tried. The maximum daily dosage is 6 mg two times per day.
you sholud know that Rivastigmine may cause other side effects.
So, please call the doctor if she has any unusual problems and experiencesa serious side effect while taking this medication.

Hope this information is useful to you
Dr. Ermira Biu






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What Causes Violent Shaking And Dizziness After Increasing The Dosage Of Rivastigmine?

Hi I ve gone through your query and I understand quite well your concern Rivastigmine is also used to treat dementia in people with Parkinson s disease and Alzheimer s disease. Some side effects are difficulty sleeping, confusion, depression, anxiety, sleepiness, hallucinations , tremors, dizziness etc. It s very important the way the dosage is taken.As you told me, your mother first started on a low dose of rivastigmine and slowly increased it. Based on the symptoms you told to me that she is experiencing and she cannot tolerate it, I suggest that the drug may be stopped for several doses. When the drug is started again, the same dosage or the next lower dosage may be tried. The maximum daily dosage is 6 mg two times per day. you sholud know that Rivastigmine may cause other side effects. So, please call the doctor if she has any unusual problems and experiencesa serious side effect while taking this medication. Hope this information is useful to you Dr. Ermira Biu