Memantine
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
N-methyl-D-aspartate Receptor Antagonist
Controlled Drug Substance
No

Memantine
Summary
Memantine is primarily used to treat moderate to severe Alzheimer's disease, a brain disorder that affects memory, thinking, and behavior. It helps reduce symptoms like confusion, memory loss, and difficulty with everyday activities.
Memantine works by blocking a specific type of brain receptor called the NMDA receptor. This receptor is involved in memory and learning. By blocking it, Memantine helps keep the brain functioning better, improving memory and cognitive abilities. It also regulates a brain chemical involved in learning and memory to prevent overstimulation of nerve cells.
Adults usually start with a low dose of 7mg and gradually increase it weekly until they reach 28mg a day. The medication is taken orally once a day.
Common side effects of Memantine include headache, diarrhea, dizziness, confusion, and constipation. Other reported effects include hallucinations, suicidal ideation, insomnia, and somnolence.
Do not take Memantine if you are allergic to any of its ingredients. It's important to inform your doctor about all prescription drugs you take to ensure safety. Memantine may interact with other medications, especially those affecting the brain or kidneys. The safety of Memantine during pregnancy and breastfeeding is not well-established. Consult your doctor before using it under these conditions.
Indications and Purpose
How does Memantine work?
Memantine works by blocking NMDA receptors in the brain, which are involved in memory and learning. Normally, these receptors help transmit signals, but in Alzheimer's disease, they can become overactive, leading to brain cell damage. Memantine helps regulate this activity, protecting brain cells and improving cognitive function. Think of it like adjusting the volume on a radio to prevent distortion. This helps manage symptoms of Alzheimer's disease.
Is Memantine effective?
Memantine is effective in treating moderate to severe Alzheimer's disease. It works by regulating glutamate, a brain chemical involved in memory and learning. Clinical studies show that Memantine can improve cognitive function and daily living activities in people with Alzheimer's. It may not cure the disease but can help manage symptoms and improve quality of life. Always follow your doctor's advice for the best results.
What is Memantine?
Memantine is a medication used to treat moderate to severe Alzheimer's disease. It belongs to a class of drugs called NMDA receptor antagonists, which work by regulating glutamate, a brain chemical involved in memory and learning. Memantine helps improve cognitive function and daily living activities in people with Alzheimer's. It may not cure the disease but can help manage symptoms and improve quality of life.
Directions for Use
For how long do I take Memantine?
Memantine is usually a long-term medication for managing Alzheimer's disease. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. Stopping this medication without medical advice could cause your condition to worsen. How long you'll need this medication depends on your body's response and any side effects you experience. Always talk with your doctor before changing or stopping your Memantine treatment.
How do I dispose of Memantine?
Dispose of unused Memantine by taking it to a drug take-back program or collection site at a pharmacy or hospital. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away. This helps prevent harm to people and the environment.
How do I take Memantine?
Take Memantine exactly as your doctor prescribes. It's usually taken once or twice daily, with or without food. Swallow the tablet whole; do not crush or chew it. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at once. Always follow your doctor's specific instructions regarding food, beverages, and missed doses.
How long does it take for Memantine to start working?
Memantine starts working in your body shortly after you take it, but you may not notice all the benefits right away. It can take several weeks to see significant improvements in memory and daily activities. How quickly the medication works can depend on individual factors like age and overall health. Take it exactly as prescribed for the best results.
How should I store Memantine?
Store Memantine at room temperature, away from moisture and light. Keep it in a tightly closed container to protect it from damage. Avoid storing it in humid places like bathrooms, where moisture can affect its effectiveness. Always store Memantine out of children's reach to prevent accidental swallowing. Check the expiration date regularly and properly dispose of any unused or expired medication.
What is the usual dose of Memantine?
The usual starting dose of Memantine for adults is 5 mg once daily. Your doctor may gradually increase the dose to 10 mg twice daily, depending on your response and tolerance. The maximum recommended dose is 20 mg per day. Dose adjustments may be necessary for elderly patients or those with kidney problems. Always follow your doctor's specific dosing instructions for your health needs.
Warnings and Precautions
Can I take Memantine with other prescription drugs?
Memantine can interact with other medications, increasing the risk of side effects or reducing effectiveness. Drugs that affect the kidneys, such as diuretics, may alter Memantine levels. Combining Memantine with other NMDA antagonists can increase side effects like dizziness or confusion. Always inform your doctor about all medications you take to prevent interactions and ensure safe treatment.
Can Memantine be taken safely while breastfeeding?
The safety of Memantine while breastfeeding is not well-established. It's unclear if the medication passes into breast milk. If you're breastfeeding or planning to breastfeed, talk with your doctor about the safest options for you and your baby. They can help determine the best treatment plan while considering potential risks and benefits.
Can Memantine be taken safely while pregnant?
The safety of Memantine during pregnancy is not well-established. Limited data is available, so it's important to weigh the benefits and risks with your doctor. If you're pregnant or planning to become pregnant, discuss the safest treatment options for your condition. Your doctor can help create a plan that protects both you and your baby.
Does Memantine have adverse effects?
Adverse effects are unwanted reactions to a medication. Common adverse effects of Memantine include dizziness, headache, and constipation. These effects are usually mild and temporary. Serious side effects are rare but can include severe allergic reactions or changes in mood. If you experience any new or worsening symptoms, contact your doctor. They can help determine if these symptoms are related to Memantine and suggest appropriate actions.
Does Memantine have any safety warnings?
Memantine has safety warnings you should be aware of. It may cause dizziness or confusion, affecting your ability to drive or operate machinery. If you experience these symptoms, avoid such activities. Memantine can also interact with other medications, so inform your doctor about all drugs you take. Not adhering to these warnings can lead to increased side effects or reduced effectiveness of the medication.
Is it safe to drink alcohol while taking Memantine?
It's best to avoid alcohol while taking Memantine. Alcohol can increase side effects like dizziness or confusion, which may affect your safety. If you choose to drink occasionally, limit your alcohol intake and watch for warning signs like increased dizziness or confusion. Talk with your doctor about alcohol use while taking Memantine for personalized advice.
Is it safe to exercise while taking Memantine?
You can exercise while taking Memantine, but be cautious. Memantine can cause dizziness, which might affect your balance during physical activity. To exercise safely, start with light activities and gradually increase intensity. Stay hydrated and watch for signs of dizziness or fatigue. If you notice these symptoms, slow down or stop exercising and rest. Consult your doctor if you have concerns.
Is it safe to stop Memantine?
Memantine is usually used for long-term treatment of chronic conditions like Alzheimer's disease. Stopping it suddenly may lead to a return of symptoms. There are no known withdrawal symptoms, but always talk with your doctor before stopping Memantine. They may suggest gradually reducing your dose to prevent any potential issues and ensure your condition remains stable.
Is Memantine addictive?
Memantine is not considered addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Memantine works by affecting brain chemicals involved in memory and learning, but it doesn't alter brain chemistry in a way that leads to addiction. If you have concerns about medication dependence, you can feel confident that Memantine doesn't carry this risk.
Is Memantine safe for the elderly?
Elderly individuals are more vulnerable to medication side effects due to age-related changes in the body. Memantine is generally safe for the elderly, but they may experience dizziness or confusion more frequently. Regular monitoring by a healthcare provider is important to ensure safety and effectiveness. Always follow your doctor's advice and report any new or worsening symptoms.
What are the most common side effects of Memantine?
Side effects are unwanted reactions to a medication. Common side effects of Memantine include dizziness, headache, and constipation. These occur in a small percentage of people and are usually mild. If you notice new symptoms after starting Memantine, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.
Who should avoid taking Memantine?
Do not take Memantine if you're allergic to it or its ingredients. Serious allergic reactions require immediate medical help. Caution is needed for people with severe kidney problems, as Memantine may not work well and could worsen kidney function. Always consult your doctor about any concerns or conditions that might affect your use of Memantine.