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Psychnptraining

Rivastigmine (Exelon) Medication

The Dual-Action Dementia Aid

Enhanced cognition through comprehensive care

Created By: Dr Padder

1,158,467 students

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ABOUT COURSE

This course offers an in-depth understanding of Rivastigmine, a medication used to treat mild to moderate Alzheimer’s disease and dementia. 

The curriculum covers essential topics for prescribers including:

  • Indications
  • Dosage and Administration
  • Mechanism of Action
  • Pharmacokinetics
  • Warnings
  • Drug Interactions
  • Contraindications
  • Augmentation Strategies
  • Recommended Lab Tests
  • Therapeutic Levels
  • Overdose Management
  • Tapering/Withdrawal
  • Use in Special Populations-
    • Pregnancy, 
    • Lactation, 
    • Renal Impairment, 
    • Hepatic Impairment, 
    • Cardiac Impairment, 
    • Elderly, 
    • Children and Adolescents.
  • Important pearls based on years of practice.

This course aims to elevate the clinical expertise of psychiatric nurse practitioners and other prescribers by providing the knowledge to prescribe and manage Rivastigmine therapy effectively and safely.

LEARNING OBJECTIVES

Brand Names & Generic:
  • Learn about brand names under which Rivastigmine is marketed. 
  • Learn about different generic names under which Rivastigmine is available in the market.
Indications:
  • Learn the FDA-approved uses and potential off-label applications of Rivastigmine. 
  • Know the dosages of all potential off-label uses.
Dosage and Administration:
  • Understand different medication forms and their administration.
  • Implement appropriate dosage and administration guidelines for Rivastigmine in various clinical scenarios. 
  • Learn how to dose Rivastigmine correctly and identify usual dosage ranges.
Pharmacological Effects:
  • Explore the mechanisms of Rivastigmine. 
  • Understand how Rivastigmine works in the brain to treat dementia and other conditions. 
  • Discuss the impact of Rivastigmine on neurotransmitter levels and brain chemistry.
Pharmacokinetics:
  • Absorption: Understand how Rivastigmine is absorbed in the body. 
  • Distribution: Learn about the distribution of Rivastigmine in the body. 
  • Metabolism: Discuss the metabolism of Rivastigmine.
  • Elimination: Understand how Rivastigmine is eliminated from the body. 
  • Half-life: Know the half-life of Rivastigmine and its clinical significance.
Drug Interactions:
  • Identify common drug interactions with Rivastigmine and strategies for managing them. 
  • Understand the mechanisms through which these interactions occur. 
  • Know which medications should be avoided with Rivastigmine due to drug interactions.
Common Side Effects:
  • Learn about the most common side effects of Rivastigmine.
  • Understand potential life-threatening side effects and how to manage them. 
  • Educate patients on what to expect and how to manage side effects.
Contraindications:
  • Learn the conditions under which Rivastigmine should not be used.
  • Understand the reasons why these conditions are contraindicated.
Best Augmenting Combos for Partial Response:
  • Learn about the best augmenting combinations for patients with partial response to Rivastigmine. 
  • Discover effective strategies for augmenting Rivastigmine therapy.
  • Evaluate the efficacy and safety of common augmentation strategies.
  • Learn about recommended lab tests for safe and effective monitoring. 
  • Identify necessary lab tests to monitor patients on Rivastigmine. Interpret lab results to guide treatment adjustments.
Therapeutic Monitoring:
  • Apply strategies for therapeutic monitoring to optimize treatment outcomes.
  •  Know about the therapeutic blood levels for Rivastigmine.
Overdose:
  • Understand the signs and symptoms of Rivastigmine overdose.
  • Recognize early warning signs of overdose and effective management strategies.
Tapering/Withdrawal:
  • Apply best practices for tapering and withdrawal of Rivastigmine to minimize withdrawal symptoms. 
  • Follow the best protocols based on decades of clinical practice to safely taper Rivastigmine. 
  • Educate patients on the process and expected symptoms of tapering.
Usage with Special Populations:
  • Gain insights into the unique considerations for prescribing Rivastigmine to special populations such as pregnancy, lactation, hepatic impairment, renal impairment, cardiac impairment, elderly, and children. 
  • Tailor Rivastigmine dosage for special populations considering their unique needs. Understand the risks and benefits of Rivastigmine use in these populations.
Important Pearls:
  • Learn about essential clinical pearls to enhance practice and ensure patient safety. 
  • Understand the most important facts about Rivastigmine based on decades of clinical practice. 
  • Apply practical tips and experiences from clinical practice to improve patient outcomes.
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Enhanced cognition through comprehensive care

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