DEMENTIA: GALANTAMINE Flashcards
GALANTAMINE MOA AND DRUG CLASS
Ach-esterase inbibitor
reversible inhibitor of Ach-esterase and also has nicotinic receptor agonsit properties
GALANTAMINE DOSE
dose in mild to moderately severe dementia in AD
IR PREPS
initally 4mg BD for 4 weeks
increase to 8mg BD for at least 4 weeks
maintenane 8-12mg BD
GALANTAMINE DOSE
dose in mild to moderately severe dementia in AD -
MR CAPSULES
initally 8mg OD for 4 weeks
increased to 16mg OD for at least 4 weeks
maintenance 16-24mg daily
Avoid in
GI obstruction
Urinary outflow obstruction
whilst recovering from bladder surgery
whilst recovering from GI surgery
GALANTAMINE: SFX
Steven-Johnson Syndrome,
Severe cutaneous adverse reactions (SCARs) – signs of skin reactions
Interactions with galantamine - increased risk of bradycardia with
betablockers
anti-arrhythmics
digoxin