donepezil Flashcards
what class of drug is it?
acetylcholinesterase inhibitor
used to treat?
mild to moderate Alzheimer’s
MOA
increase acetylcholine to educe dementia syymptoms
caution in who
asthma
copd
sick sinus syndrome -dysfunction of the sinoatrial node causing abnormal heart rhythm
susceptible to peptic ulcers
supraventricular conduction abnormalities
interactions
increase bradycardia with beta blockers
anti-muscarinics
side effects
agitation dizziness headache abnormal dreams fatigue aggression insomnia pruitis
thing to consider
start at low dose
eliminated in liver so may need to reduce dose in hepatic impairment or use alternative
interactions with ggalatamine
erythromycin
ketoconazole
paroxetine
rivastigamine
other potential symptoms
weight loss, increase salivation, tremor
avoid in bladder outlet obstruction, seizures