{"id":18805,"date":"2022-02-23T18:25:57","date_gmt":"2022-02-23T18:25:57","guid":{"rendered":"https:\/\/zeepedia.com\/?p=18805"},"modified":"2022-02-24T12:50:21","modified_gmt":"2022-02-24T12:50:21","slug":"nemdatine","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/nemdatine\/","title":{"rendered":"Nemdatine &#8211; Memantine hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>5 mg, 10 mg, 15 mg, 20 mg&nbsp;film-coated tablets<br>memantine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Nemdatine is and what it is used for<\/h2>\n\n\n\n<p><strong>How Nemdatine works<\/strong><\/p>\n\n\n\n<p>Nemdatine belongs to a group of medicines known as anti-dementia medicines.&nbsp;Memory loss in&nbsp;Alzheimer&#8217;s disease&nbsp;is due to a disturbance of message signals in the brain.&nbsp;The brain contains so-called NMDA receptors (N-methyl-D-aspartate) which have to do with the transmission of nerve signals that are important for learning and memory.&nbsp;Nemdatine belongs to a group of medicines called NMDA receptor antagonists.&nbsp;Nemdatine acts on these NMDA&nbsp;receptors&nbsp;by improving the transmission of nerve signals and memory.<\/p>\n\n\n\n<p><strong>What Nemdatine is used for<\/strong><\/p>\n\n\n\n<p>Nemdatine is used to treat patients with moderate to severe\u00a0Alzheimer&#8217;s disease.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Nemdatine<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Nemdatine<\/h2>\n\n\n\n<p><strong>Do not use Nemdatine<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to memantine hydrochloride or to any of the other ingredients of Nemdatine film-coated tablets (see section 6).<br><\/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 using Nemdatine.<\/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 Nemdatine should be regularly assessed by your doctor.<\/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>Nemdatine 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 Nemdatine<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, including medicines obtained without a prescription.<\/p>\n\n\n\n<p>Nemdatine may particularly affect the effects of the following medicines and these&nbsp;doses&nbsp;may 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 Nemdatine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nemdatine with food and drink<\/h2>\n\n\n\n<p>You should tell your doctor if you have recently changed or plan to change your diet decisively (eg from a regular diet to a vegetarian diet only) or if you have\u00a0renal\u00a0tubular\u00a0acidosis\u00a0(RTA, an excess of acid-forming substances). in the blood as a result of renal dysfunction (poor kidney function)) or severe urinary tract infections, as your doctor may need to adjust the\u00a0dose\u00a0of 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 Nemdatine 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.&nbsp;Nemdatine may also alter your reactivity, making it unsuitable to drive or use machines.<br><\/p>\n\n\n\n<p><strong>Nemdatine contains&nbsp;lactose monohydrate<\/strong><\/p>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking Nemdatine.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Nemdatine<\/h2>\n\n\n\n<p>Always use Nemdatine 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>Nemdatine starter pack&nbsp;should&nbsp;only be used at the beginning of treatment with Nemdatine.<\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p>The recommended treatment dose of 20 mg per day is achieved by gradually increasing the Nemdatine&nbsp;dose&nbsp;one during the first 3 weeks of treatment.&nbsp;The treatment schedule is also stated on&nbsp;starter pack&nbsp;one.&nbsp;Take one tablet once a day.<\/p>\n\n\n\n<p>Week 1 (day 1-7):<br>Take one 5 mg tablet once a day (white, oval) for 7 days.<\/p>\n\n\n\n<p>Week 2 (days 8-14):<br>Take one 10 mg tablet once a day (white, capsule-shaped) for 7 days.<\/p>\n\n\n\n<p>Week 3 (day 15-21):<br>Take a 15 mg tablet once daily (orange, oval) for 7 days.<\/p>\n\n\n\n<p>Week 4 (day 22-28):<br>Take one 20 mg tablet per day (dark pink, oval) for 7 days.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Week 1<\/td><td>5 mg tablet<\/td><\/tr><tr><td>Week 2<\/td><td>10 mg tablet<\/td><\/tr><tr><td>Week 3<\/td><td>15 mg tablet<\/td><\/tr><tr><td>Week 4 and beyond<\/td><td>20 mg tablet once daily<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Maintenance dose<\/strong><\/p>\n\n\n\n<p>The recommended daily dose is 20 mg once daily.<\/p>\n\n\n\n<p>To continue treatment, consult your doctor.<\/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;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>Nemdatine 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 tablets should be swallowed with a little water.\u00a0The tablets can be taken with or without food.<\/p>\n\n\n\n<p><strong>Treatment time<\/strong><\/p>\n\n\n\n<p>Keep taking Nemdatine for as long as you can.&nbsp;Your doctor should regularly evaluate your treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Nemdatine than you should&nbsp;<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>In general, it is not harmful if you take too much Nemdatine.&nbsp;You may experience more severe symptoms from what is described in section 4. &#8220;Possible side effects&#8221;.<\/li><li>If you have taken a large dose of Nemdatine, contact your doctor or doctor for medical advice, as you may need care.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Nemdatine<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you notice that you have forgotten to take your&nbsp;dose&nbsp;of Nemdatine, wait and take your next&nbsp;dose&nbsp;at the usual time.<\/li><li>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose&nbsp;.<\/li><\/ul>\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.<br><\/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<ul class=\"wp-block-list\"><li>Headache, drowsiness, constipation, elevated liver function tests, dizziness, balance disorders, shortness of breath, high&nbsp;blood pressure&nbsp;and drug hypersensitivity<\/li><\/ul>\n\n\n\n<p><em>Uncommon (affects 1 to 10 users in 1,000):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fatigue, fungal infections, confusion, hallucinations, vomiting, abnormal gait,&nbsp;heart failure&nbsp;and blood clots in veins<br><br><\/li><\/ul>\n\n\n\n<p><em>Very rare (affects less than 1 user in 10,000):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cramps<\/li><\/ul>\n\n\n\n<p><em>No known frequency (can not be calculated from the available data):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pancreatitis, hepatitis&nbsp;and&nbsp;psychotic reactions<\/li><\/ul>\n\n\n\n<p>Alzheimer&#8217;s disease\u00a0has been associated with depression, suicidal ideation, and self-loathing.\u00a0These events have been reported in patients treated with Nemdatine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Nemdatine<\/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 blister after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C. &nbsp;<br><\/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<ul class=\"wp-block-list\"><li>The active substance is memantine hydrochloride.&nbsp;Each film-coated tablet contains 5\/10\/15\/20 mg memantine hydrochloride equivalent to 4.15 \/ 8.31 \/ 12.46 \/ 16.62 mg memantine.<\/li><li>The other ingredients of Nemdatine 5\/10\/15 and 20 mg film-coated tablets are:&nbsp;<em>Tablet core:<\/em>&nbsp;microcrystalline cellulose, crospovidone Type A, talc and magnesium stearate.<br><em>Tablet coating:<\/em>&nbsp;Hypromellose 6cP, titanium dioxide (E 171),&nbsp;lactose monohydrate&nbsp;, macrogol 3350 and triacetin.&nbsp;Nemdatine 15 mg also contains yellow, red and black iron oxide (E172).&nbsp;Nemdatine 20 mg film-coated tablets also contain red and yellow iron oxide (E 172).<\/li><\/ul>\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>Nemdatine 5 mg film-coated tablets (tablets) are white, oval, biconvex, 8 mm x 4.5 mm in size, marked \u201cM5\u201d on one side.<br>Nemdatine 10 mg film-coated tablets (tablets) are white, capsule-shaped, oval, biconvex, 9.8 mm x 4.9 mm in size, with a scoreline, marked \u201cM 10\u201d on the page with a scoreline.<br>Nemdatine 15 mg film-coated tablets (tablets) are orange, oval, biconvex, 11.4 mm x 6.4 mm in size marked \u201cM15\u201d on one side.<br>Nemdatine 20 mg film-coated tablets (tablets) are dark pink, oval, biconvex, 12.6 mm x 7 mm in size, marked \u201cM20\u201d on one side.<\/p>\n\n\n\n<p>A\u00a0starter\u00a0pack contains 28 tablets in 4 blisters in a wallet pack or multiple packs of 4 blisters in 4 separate inner packs and an outer pack of 7 tablets Nemdatine 5 mg, 7 tablets Nemdatine 10 mg, 7 tablets Nemdatine 15 mg, and 7 tablets Nemdatine 20 mg.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorization Holder<\/em><br>Actavis Group PTC EHF.<br>Reykjav\u00edkurvegur 76\u201178<br>220 Hafnarfj\u00f6r\u00f0ur<br>Iceland<\/p>\n\n\n\n<p><em>Manufacturer<\/em><br>Actavis hf.<br>Reykjav\u00edkurvegur 78<br>220 Hafnarfj\u00f6r\u00f0ur<br>Iceland<\/p>\n\n\n\n<p>Actavis Group PTC EHF.<\/p>\n\n\n\n<p>Reykjavikurvegur 76-78<\/p>\n\n\n\n<p>220 Hafnarfjordur<\/p>\n\n\n\n<p>Iceland<\/p>\n\n\n\n<p>Actavis Ltd.<br>BLB 016 Bulebel Industrial Estate<br>Zejtun ZTN 3000<br>Malta<\/p>\n\n\n\n<p>Manufacturing Packaging Farmacia (MPF) BV<\/p>\n\n\n\n<p>Neptune 12,<\/p>\n\n\n\n<p>Heerenveen 8448CN<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p>Manufacturing Packaging Farmacia (MPF) BV<\/p>\n\n\n\n<p>Appelhof 13,<\/p>\n\n\n\n<p>Oudehask, 8465RX<\/p>\n\n\n\n<p>Netherlands<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nemdatine belongs to a group of medicines known as anti-dementia medicines. Memory loss in Alzheimer&#8217;s disease is due to a disturbance of message signals in the brain. The brain contains so-called NMDA receptors (N-methyl-D-aspartate) which have to do with the transmission of nerve signals that are important for learning and memory. Nemdatine belongs to a group of medicines called NMDA receptor antagonists. Nemdatine acts on these NMDA receptors by improving the transmission of nerve signals and memory.<\/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":[2200,15581],"tags":[16805,18589,4842,4844,18584,18587,18588,4843,18585,16804,18586],"class_list":["post-18805","post","type-post","status-publish","format-standard","hentry","category-medicines","category-n","tag-benefits-of-memantine-hydrochloride","tag-benefits-of-nemdatine","tag-memantine-hydrochloride","tag-memantine-hydrochloride-side-effects","tag-nemdatine","tag-nemdatine-side-effects","tag-nemdatine-tablet","tag-what-is-memantine-hydrochloride","tag-what-is-nemdatine","tag-what-memantine-hydrochloride-is-used-for","tag-what-nemdatine-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18805","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=18805"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18805\/revisions"}],"predecessor-version":[{"id":18835,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18805\/revisions\/18835"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=18805"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=18805"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=18805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}