PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Rivastigmine - Dementia

Keywords :
AChE Inhibitors, acetylcholinesterase inhibitors, alzheimers disease, alzheimers dementia, Alzheimer's disease, Lewy Body dementia, Vascular dementia, Parkinson's dementia
Brand Names Include :
Exelon patch, Nimvastid, Almuriva, Alzest, Prometax, Voleze

Traffic Light Status

Status 1 of 1.

Status :
N/A
Formulations :
  • Not Specified
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Guidelines

The following guidelines are available for this indication.

Other Drugs

No drugs returned.

Other Indications

Additional Documents

Committee Recommendations

Date
Committee Name
Narrative
06 March 2019
Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

Generic donepezil is the 1st-line acetylcholinesterase inhibitor for mild to moderate Alzheimer's disease.  Galantamine or rivastigmine are alternative AChE inhibitors. Rivastigmine is also a treatment option for dementia with Lewy bodies, vascular dementia and Parkinson's dementia.
See below for the local treatment pathways


Rivastigmine has been recommended as BLUE (with information sheet) for those patients who are stable and suitable for discharge from specialist care.


AMBER shared care  will apply for the patients that are not suitable for discharge and who will continue to receive follow up by SABPT


Note - the branded rivastigmine, Exelon, has been assigned a BLACK traffic light status and should not be prescribed

Associated BNF Codes

04. Central Nervous System
04.11.00. Dementia
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