{"id":7875,"date":"2021-03-02T07:45:34","date_gmt":"2021-03-02T07:45:34","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7875"},"modified":"2021-05-08T10:26:07","modified_gmt":"2021-05-08T10:26:07","slug":"ebixa","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ebixa\/","title":{"rendered":"Ebixa &#8211; Memantine Hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p> 5 mg, 10 mg, 15 mg and 20 mg\u00a0Film-coated tablets\u00a0<br>Memantine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Ebixa is and what it is used for<\/h2>\n\n\n\n<p>Ebixa contains the active substance memantine hydrochloride and 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&nbsp;receptors&nbsp;(N-methyl-D-aspartate) that are involved in the transmission of nerve signals that are important for learning and memory.&nbsp;Ebixa belongs to a group of medicines called NMDA receptor antagonists.&nbsp;Ebixa acts on these NMDA&nbsp;receptors&nbsp;by improving the transmission of nerve signals and memory.<br><\/p>\n\n\n\n<p>Ebixa is used to treat patients with moderate to severe&nbsp;Alzheimer&#8217;s disease.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Ebixa<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Ebixa<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to memantine 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 Ebixa:<br><\/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 Ebixa should be regularly assessed by your doctor.<br><\/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.<br><\/p>\n\n\n\n<p>If you suffer from a condition of&nbsp;renal&nbsp;tubular&nbsp;acidosis&nbsp;(RTA, an excess of acid-forming substances in the blood due to kidney dysfunction (impaired kidney function)) or severe urinary tract infections, your doctor may need to adjust the&nbsp;dose of your medicine.<br><\/p>\n\n\n\n<p>Concomitant use of drugs containing amantadine (for the treatment of&nbsp;Parkinson&#8217;s disease&nbsp;), ketamine (a substance commonly used as an anesthetic), dextromethorphan (generally used to treat cough), and other NMDA&nbsp;antagonists should be avoided.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Ebixa 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 Ebixa<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Ebixa may particularly affect the effects of the following medicines and these&nbsp;doses may need to be changed by your doctor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>amantadine, ketamine, dextromethorphan<\/li><li>dantrolene, baclofen<\/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, 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 Ebixa.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ebixa 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), 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 breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>The use of memantine in pregnant women is not recommended.<br><\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Women taking Ebixa should not breast-feed.<\/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 vehicles and use machines safely.&nbsp;Ebixa may also alter your responsiveness, making it unsuitable to drive or use machines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Ebixa<\/h2>\n\n\n\n<p>Ebixa starter&nbsp;pack&nbsp;should only be used at the beginning of treatment with Ebixa.<br><\/p>\n\n\n\n<p>Always use Ebixa exactly as your doctor has told you.&nbsp;If you are not sure, talk to your doctor or pharmacist.<br><\/p>\n\n\n\n<p>The recommended treatment dose of 20 mg per day is achieved by gradually increasing the Ebixadose 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.<br><\/p>\n\n\n\n<p>Week 1 (days 1-7):<\/p>\n\n\n\n<p>Take one 5 mg tablet once a day (white to off-white, oblong) for 7 days.<br><\/p>\n\n\n\n<p>Week 2 (days 8-14):<\/p>\n\n\n\n<p>Take a 10 mg tablet once a day (pale yellow to yellow, oval) for 7 days.<br><\/p>\n\n\n\n<p>Week 3 (day 15-21):<\/p>\n\n\n\n<p>Take one 15 mg tablet once daily (gray-orange, oblong) for 7 days.<br><\/p>\n\n\n\n<p>Week 4 (days 22-28):<\/p>\n\n\n\n<p>Take one 20 mg tablet per day (gray-red, oblong) for 7 days.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><br>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 a day<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><em>Maintenance dose<\/em><\/p>\n\n\n\n<p>The recommended daily dose is 20 mg once a day.<\/p>\n\n\n\n<p>To continue treatment, consult your doctor.<br><\/p>\n\n\n\n<p><em>Dosage&nbsp;in patients with renal impairment<\/em><\/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.<br><\/p>\n\n\n\n<p><em>Administration<\/em><\/p>\n\n\n\n<p>Ebixa should be taken orally once a day.&nbsp;For you to benefit from your medicine, you must take it regularly every day at the same time of day.&nbsp;The tablets should be swallowed with a little water.&nbsp;The tablets can be taken with or without food.<br><\/p>\n\n\n\n<p><em>Treatment time<\/em><\/p>\n\n\n\n<p>Keep taking Ebixa for as long as you benefit from it.&nbsp;Your doctor should regularly evaluate your treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Ebixa than you should &nbsp;<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>In general, it should not hurt you if you take too much Ebixa.&nbsp;You may experience increased symptoms as described in section 4. \u201cPossible side effects\u201d.<\/li><li>If you are taking a large dose of Ebixa, 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 Ebixa<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you notice that you have forgotten to take your&nbsp;dose of&nbsp;Ebixa, 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.<\/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\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p>In general, the&nbsp;side effects&nbsp;observed are&nbsp;mild to moderate.<br><\/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, dysfunction, 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, gait disorders,&nbsp;heart failure,&nbsp;and blood clots in veins (thrombosis\/turbo embolism)<\/li><\/ul>\n\n\n\n<p><em>Very rare (affects less than 1 user in 10,000):<\/em><\/p>\n\n\n\n<p>\u2022 Cramps<br><\/p>\n\n\n\n<p><em>No known frequency (cannot be calculated from the available data):<\/em><\/p>\n\n\n\n<p>\u2022 pancreas, liver inflammation (&nbsp;hepatitis&nbsp;), and psychotic reactions<br><\/p>\n\n\n\n<p>Alzheimer&#8217;s disease&nbsp;has been associated with depression, suicidal ideation, and&nbsp;suicide.&nbsp;These events have been reported in patients treated with Ebixa.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Ebixa<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/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.<\/p>\n\n\n\n<p>No special storage instructions.<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\">6. Contents of the packaging 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.&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.<br><\/p>\n\n\n\n<p>The other ingredients for Ebixa 5\/15 and 20 mg film-coated tablets are microcrystalline cellulose, croscarmellose sodium,&nbsp;colloidal&nbsp;anhydrous silica, magnesium stearate, all in the tablet core;&nbsp;and hypromellose, macrogol 400, titanium dioxide (E 171) and for Ebixa 15 mg and Ebixa 20 mg film-coated tablets also yellow and red iron oxide (E 172) all in the tablet coating.<br><\/p>\n\n\n\n<p>The other ingredients for Ebixa 10 mg film-coated tablets are microcrystalline cellulose,&nbsp;colloidal&nbsp;anhydrous silica, talc, and magnesium stearate, all in the tablet core;&nbsp;and methacrylic acid-ethyl acrylate copolymer (1: 1), sodium lauryl sulfate, polysorbate 80, talc, triacetin, and simethicone emulsion, all in the tablet coating.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Ebixa 5 mg film-coated tablets are white to off-white, oblong, marked \u201c5\u201d on one side and \u201cMEM\u201d on the other side.<\/p>\n\n\n\n<p>Ebixa 10 mg film-coated tablets are pale yellow to yellow, oval with a scoreline, marked \u201c1 0\u201d on one side and \u201cMM\u201d on the other side.&nbsp;The tablet can be divided into two equal&nbsp;doses.<\/p>\n\n\n\n<p>Ebixa 15 mg film-coated tablets are orange to gray-orange, oblong, marked \u201c15\u201d on one side and \u201cMEM\u201d on the other side.<\/p>\n\n\n\n<p>Ebixa 20 mg film-coated tablets are pale red to gray-red, oblong, marked \u201c20\u201d on one side and \u201cMEM\u201d on the other side.<br><\/p>\n\n\n\n<p>A&nbsp;starter pack&nbsp;contains 28 tablets in blisters 4 of 7 tablets of Ebixa 5 mg, 7 tablets of Ebixa 10 mg, 7 tablets of Ebixa 15 mg, and about 7 tablets Ebixa 20 mg.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>H. Lundbeck A \/ S<\/p>\n\n\n\n<p>Ottiliavej 9<\/p>\n\n\n\n<p>2500 Valby<\/p>\n\n\n\n<p>Denmark<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ebixa contains the active substance memantine hydrochloride and 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) that are involved in the transmission of nerve signals that are important for learning and memory. Ebixa belongs to a group of medicines called NMDA receptor antagonists. Ebixa 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":[2205,2200],"tags":[4846,4848,4849,2213,4842,4844,4845,2211,4847,4843],"class_list":["post-7875","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-ebixa","tag-ebixa-side-effects","tag-ebixa-tablet","tag-medicines","tag-memantine-hydrochloride","tag-memantine-hydrochloride-side-effects","tag-memantine-hydrochloride-tablet","tag-tablets","tag-what-is-ebixa","tag-what-is-memantine-hydrochloride"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7875","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=7875"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7875\/revisions"}],"predecessor-version":[{"id":10773,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7875\/revisions\/10773"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7875"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7875"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}