{"id":17564,"date":"2022-01-17T10:32:41","date_gmt":"2022-01-17T10:32:41","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17564"},"modified":"2022-01-17T12:16:44","modified_gmt":"2022-01-17T12:16:44","slug":"memantin-stada","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/memantin-stada\/","title":{"rendered":"Memantin STADA &#8211; Memantine hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>10 mg \/ ml&nbsp;oral&nbsp;solution<br>memantine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Memantin STADA is and what it is used for<\/h2>\n\n\n\n<p>Memantine Stada contains the active substance memantine hydrochloride.<\/p>\n\n\n\n<p><strong>What Memantine Stada is used for<\/strong><\/p>\n\n\n\n<p>Memantine Stada is used for treating patients with moderate to severe\u00a0Alzheimer&#8217;s disease\u00a0in adults.<\/p>\n\n\n\n<p><strong>How Memantin Stada works<\/strong><\/p>\n\n\n\n<p>Memantine Stada belongs to a group of medicines known as anti-dementia medicines.<\/p>\n\n\n\n<p>Memory loss in&nbsp;Alzheimer&#8217;s disease&nbsp;is due to a disturbance of message signals in the brain.<\/p>\n\n\n\n<p>The brain contains so-called N-methyl-D-aspartate (NMDA)\u00a0receptors\u00a0that are involved in the transmission of nerve signals that are important for learning and memory.\u00a0Memantine Stada belongs to a group of medicines called NMDA receptor antagonists.\u00a0Memantine Stada acts on these NMDA\u00a0receptors\u00a0by improving the transmission of nerve signals and memory.<\/p>\n\n\n\n<p>Memantine hydrochloride contained in Memantin Stada may also be approved for the treatment of other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professionals if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Memantin STADA<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Memantin STADA<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to memantine hydrochloride or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Memantine Stada<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have a history of epileptic seizures<\/li><li>if you have recently had a&nbsp;myocardial infarction&nbsp;(heart attack) or if you suffer from untreated&nbsp;heart failure&nbsp;or uncontrolled&nbsp;hypertension&nbsp;(high&nbsp;blood pressure&nbsp;).<\/li><\/ul>\n\n\n\n<p>In these situations, treatment should be closely monitored and the clinical benefit of Memantine Stada should be regularly assessed by your physician.<\/p>\n\n\n\n<p>If you suffer from impaired kidney function (kidney problems), your doctor should closely monitor your kidney function and, if necessary, adjust the memantine doses accordingly.<\/p>\n\n\n\n<p>Concomitant use of drugs containing amantadine (for the treatment of\u00a0Parkinson&#8217;s disease\u00a0), ketamine (a substance commonly used as an anesthetic), dextromethorphan (generally used to treat cough), and other NMDA\u00a0antagonists\u00a0should be avoided.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Memantine Stada is not recommended for children and adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Memantin STADA<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Memantine Stada may particularly affect the effects of the following medicines and these\u00a0doses\u00a0may need to be changed by your doctor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>amantadine, ketamine, dextromethorphan<\/li><li>dantrolen, baklofen<\/li><li>cimetidine, ranitidine,&nbsp;procainamide&nbsp;,&nbsp;quinidine&nbsp;, quinine, nicotine<\/li><li>hydrochlorothiazide (or any combination with hydrochlorothiazide)<\/li><li>anticholinergics (substances commonly used to treat movement disorders or intestinal cramps)<\/li><li>antiepileptics&nbsp;(substances used to prevent and relieve seizures)<\/li><li>barbiturates&nbsp;(substances commonly used for insomnia)<\/li><li>dopaminergic&nbsp;agonists&nbsp;(substances such as&nbsp;L-dopa&nbsp;, bromocriptine)<\/li><li>neuroleptics&nbsp;(substances used in the treatment of mental illness)<\/li><li>oral&nbsp;anticoagulants<\/li><\/ul>\n\n\n\n<p>If you are hospitalized, tell your doctor that you are taking Memantine Stada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Memantin STADA with food, drink and alcohol<\/h2>\n\n\n\n<p>You should tell your doctor if you have recently changed or intend to change your diet significantly (eg from a regular diet to a vegetarian diet only) or if you suffer from a condition of&nbsp;renal&nbsp;tubular&nbsp;acidosis&nbsp;(RTA, an excess on acid-forming substances in the blood due to kidney dysfunction (poor kidney function)) or severe urinary tract infections, as your doctor may need to adjust the&nbsp;dose&nbsp;of your medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>The use of memantine in pregnant women is not recommended.<\/p>\n\n\n\n<p>Women taking Memantine Stada should not breastfeed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Your doctor will tell you if your illness allows you to drive and use machines safely.\u00a0Memantine Stada may also alter your ability to react, making it unsuitable to drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Memantin STADA contains sorbitol<\/h2>\n\n\n\n<p>This medicine contains 100 mg sorbitol per ml&nbsp;oral&nbsp;solution.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Memantin STADA<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p>(a) Pump pack of 5 mg \/ pump:<\/p>\n\n\n\n<p>One pump contains 5 mg memantine hydrochloride.<\/p>\n\n\n\n<p>The recommended\u00a0dose of\u00a0Memantine Stada for adults and elderly patients is four pumps, equivalent to 20 mg once daily.\u00a0To reduce the risk of\u00a0side effects, this\u00a0dose\u00a0is achieved gradually through the following daily treatment schedule:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\">Treatment schedule pump packaging<\/th><\/tr><\/thead><tbody><tr><td>week 1<\/td><td>one pumping (equivalent to 0.5 ml)<\/td><\/tr><tr><td>week 2<\/td><td>two pumps (equivalent to 1 ml)<\/td><\/tr><tr><td>week 3<\/td><td>three pumps (equivalent to 1.5 ml)<\/td><\/tr><tr><td>week 4 and thereafter<\/td><td>four pumps (equivalent to 2 ml)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The usual starting dose is pumping once daily (1 x 5 mg) for the first week.\u00a0This is increased during the second week to two pumps once daily (1 x 10 mg) and during the third week to three pumps once daily (1 x 15 mg).\u00a0From the fourth week, the recommended\u00a0dose\u00a0is four pumps once daily (1 x 20 mg).<\/p>\n\n\n\n<p>(b) Dosage pipettes:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\">Treatment schedule dosing pipette<\/th><\/tr><\/thead><tbody><tr><td>week 1<\/td><td>0.5 ml<\/td><\/tr><tr><td>week 2<\/td><td>1 ml<\/td><\/tr><tr><td>week 3<\/td><td>1.5 ml<\/td><\/tr><tr><td>week 4 and thereafter<\/td><td>2 ml<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The usual starting dose is 0.5 ml once daily (1 x 5 mg) for the first week.&nbsp;This is increased during the second week to 1 ml once daily (1 x 10 mg) and during the third week to 1.5 ml once daily (1 x 15 mg).&nbsp;From the fourth week, the recommended&nbsp;dose&nbsp;is 2 ml once daily (1 x 20 mg).<\/p>\n\n\n\n<p><strong>Dosage&nbsp;in patients with renal impairment<\/strong><\/p>\n\n\n\n<p>If you have impaired kidney function, your doctor will prescribe a&nbsp;dose&nbsp;that suits your condition.&nbsp;In this case, your doctor should examine your kidney function at certain intervals.<\/p>\n\n\n\n<p><strong>Administration<\/strong><\/p>\n\n\n\n<p>Memantine Stada should be taken orally once a day.\u00a0For you to benefit from your medicine, you must take it regularly every day at the same time of day.\u00a0The solution should be taken with a little water.\u00a0The solution can be taken with or without food.<\/p>\n\n\n\n<p>For detailed instructions on the preparation and handling of the product, see the end of the package leaflet.<\/p>\n\n\n\n<p><strong>Treatment time<\/strong><\/p>\n\n\n\n<p>Keep taking Memantine Stada for as long as you can.\u00a0Your doctor should regularly evaluate your treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Memantin STADA than you should&nbsp;<\/h2>\n\n\n\n<p>In general, it should not hurt you if you take too much Memantine Stada.\u00a0You may experience increased symptoms as described in section 4. &#8220;Possible side effects&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Memantin STADA<\/h2>\n\n\n\n<p>If you notice that you have forgotten to take your\u00a0dose of\u00a0Memantine Stada, wait and take your next\u00a0dose\u00a0at the usual time.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Memantin STADA<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist if you want to stop treatment.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>In general, the&nbsp;side effects&nbsp;observed are mild to moderate.<\/p>\n\n\n\n<p><em>Common (affects 1 to 10 users in 100):<\/em><\/p>\n\n\n\n<p>Headache, drowsiness, constipation, elevated liver function tests, dizziness, balance disorders, shortness of breath, high\u00a0blood pressure,\u00a0and drug hypersensitivity<\/p>\n\n\n\n<p><em>Uncommon (affects 1 to 10 users in 1,000):<\/em><\/p>\n\n\n\n<p>Fatigue, fungal infections, confusion, hallucinations, vomiting, gait disorders,\u00a0heart failure,\u00a0and blood clots in veins<\/p>\n\n\n\n<p><em>Very rare (affects less than 1 user in 10,000):<\/em><\/p>\n\n\n\n<p>Cramps<\/p>\n\n\n\n<p><em>No known frequency (can not be calculated from the available data):<\/em><\/p>\n\n\n\n<p>Pancreatitis, hepatitis,\u00a0and\u00a0psychotic reactions<\/p>\n\n\n\n<p>Alzheimer&#8217;s disease\u00a0has been associated with depression, suicidal ideation, and\u00a0suicide.\u00a0These events have been reported in patients treated with Memantine Stada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Memantin STADA<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton and bottle label after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Memantine Stada does not require any special storage instructions.<\/p>\n\n\n\n<p>The contents of the opened bottle should be used within 12 weeks.<\/p>\n\n\n\n<p>The bottle with a mounted pump must be stored and transported in an upright position.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is memantine hydrochloride.<\/p>\n\n\n\n<p>Pump: Each activation of the pump (one pump) gives 0.5 ml of a solution containing 5 mg memantine hydrochloride, equivalent to 4.15 mg memantine.<\/p>\n\n\n\n<p>Dosage pipette: 0.5 ml contains 5 mg memantine hydrochloride, equivalent to 4.16 mg memantine.<\/p>\n\n\n\n<p>One milliliter solution contains 10 mg memantine hydrochloride.<\/p>\n\n\n\n<p>The other ingredients are potassium sorbate (E202), sorbitol, liquid (non-crystallizing) (E420), and purified water.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Memantine Stada\u00a0oral\u00a0solution is a clear, colorless to a slightly yellowish solution.<\/p>\n\n\n\n<p>Memantine Stada\u00a0oral\u00a0solution is available in bottles of 50 ml, 100 ml, or 10 x 50 ml.<\/p>\n\n\n\n<p>A pump or dosing pipette is provided.&nbsp;The dosing pipette is printed in 0.5 ml scale division.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>STADA Arzneimittel AG<\/p>\n\n\n\n<p>Stadastrasse 2 &#8211; 18<\/p>\n\n\n\n<p>61118 Bad Vilbel<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><em>Manufacturer<\/em><\/p>\n\n\n\n<p>Chanelle Medical<\/p>\n\n\n\n<p>Loughrea, Co.&nbsp;Galway<\/p>\n\n\n\n<p>Ireland<\/p>\n\n\n\n<p><strong>Local representative<br><\/strong>STADA Nordic ApS<\/p>\n\n\n\n<p>Marielundvej 46 A<\/p>\n\n\n\n<p>2730 Herlev<\/p>\n\n\n\n<p>Denmark<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Memantine Stada contains the active substance memantine hydrochloride.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[17035,16805,17031,17034,4842,4844,17032,4843,17033,16804],"class_list":["post-17564","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-memantin-stada","tag-benefits-of-memantine-hydrochloride","tag-memantin-stada","tag-memantin-stada-side-effects","tag-memantine-hydrochloride","tag-memantine-hydrochloride-side-effects","tag-what-is-memantin-stada","tag-what-is-memantine-hydrochloride","tag-what-memantin-stada-is-used-for","tag-what-memantine-hydrochloride-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17564","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17564"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17564\/revisions"}],"predecessor-version":[{"id":17599,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17564\/revisions\/17599"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17564"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17564"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}