Exelon® Oral Solution for Alzheimer’s and Parkinson’s Dementia

Exelon Oral Solution is a prescription cholinesterase inhibitor used to treat dementia symptoms in Alzheimer’s disease and Parkinson’s disease. We provide US delivery from Canada with clear checkout details for those paying without insurance. This guide explains how the medicine works, who it may suit, and key safety points.

What Exelon Is and How It Works

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

Exelon® contains rivastigmine, a medicine that helps increase acetylcholine levels in the brain. Higher acetylcholine may support memory, attention, and daily function in some people. The class works by slowing the breakdown of certain brain chemicals. Effects vary by person, and dosage needs careful titration to tolerance.

This treatment is used for mild to moderate Alzheimer’s disease and for dementia due to Parkinson’s disease. Learn more about the condition in our Alzheimers Disease category.

As a class, cholinesterase inhibitors can cause gastrointestinal effects while the body adjusts. Taking doses with meals often improves tolerability. If symptoms become hard to manage, speak with a healthcare professional about options.

Many people need support from caregivers for dosing and monitoring. Written schedules and a dosing syringe can improve accuracy and reduce confusion.

When initiating therapy, clinicians usually start low and go slow. Careful titration helps balance benefits with side effects.

Clinicians may reassess periodically to decide whether to continue treatment. If benefits fade or adverse effects persist, the plan may change.

Rivastigmine is available as capsules, oral solution, and a transdermal patch. Alternate forms can help when swallowing is difficult or if stomach upset limits use.

In labeling, cholinesterase inhibitors are not cures. They may help stabilize or modestly improve symptoms for some individuals.

For people with complex conditions, coordination between neurology, primary care, and caregivers can improve safe use.

Care teams often track weight, hydration, and heart rate during titration because these factors may shift with therapy.

Discuss any planned surgeries or anesthesia in advance, as certain agents can interact with cholinesterase inhibition.

Who It’s For

This medicine is indicated for mild to moderate Alzheimer’s disease and for Parkinson’s disease dementia. It may be considered when memory loss, confusion, and daily function decline affect independence. See our Parkinsons Disease Dementia page for background on symptoms and care.

People with a history of hypersensitivity to rivastigmine or other carbamate derivatives should not use it. Those with active gastric ulcers, significant nausea, low weight, slow heart rate, or fainting risk need caution. Dose tolerability may be reduced in hepatic or renal impairment; clinicians often adjust based on patient response.

Patients using other cholinergic drugs, strong anticholinergics, or certain heart medicines should review risks with a prescriber. Caregivers should report severe vomiting, weight loss, or dehydration promptly.

Dosage and Usage

The usual starting dose is 1.5 mg twice daily with food. Prescribers may increase by 1.5 mg twice daily every two weeks if tolerated, up to 6 mg twice daily. If the medicine is interrupted for more than three days, clinicians often restart at the lowest dose and retitrate.

Use the oral dosing syringe for accurate measurement. Rinse the syringe after use and dry thoroughly. Mix with water, juice, or soft food if advised by the prescriber. Take doses at breakfast and dinner to support routine and reduce stomach upset.

Labeling also references concentrations; for example, rivastigmine solution 2 mg/mL supports dose conversions by volume when needed. Follow the official label for detailed directions. Do not change doses without guidance from your clinician.

If vomiting occurs soon after a dose, do not redose unless a prescriber instructs otherwise. Keep hydration in mind if gastrointestinal effects persist.

Strengths and Forms

Common presentations include capsules and liquid. The oral liquid helps those with swallowing challenges or who need flexible titration. Availability may vary by pharmacy and manufacturer.

• Exelon oral solution 2 mg/mL in a bottle with a dosing syringe
• Capsules in several strengths for twice-daily use
• Transdermal patch for once-daily application

Not all strengths or package sizes are always in stock. Your prescriber’s directions should align with available formats.

Missed Dose and Timing

If a dose is missed, take it as soon as remembered unless it is close to the next dose. If it is near the next scheduled dose, skip the missed dose and continue the regular schedule. Do not double up. If treatment stops for more than three days, contact the prescriber before restarting to discuss safe titration.

Storage and Travel Basics

Store the bottle at room temperature in a dry place, away from heat and direct light. Keep the cap tightly closed and the dosing syringe clean. Keep out of reach of children and pets. Check the bottle for the expiration date and any storage notes provided by the pharmacy.

When traveling, keep the bottle in your carry-on, upright and sealed. Bring your prescription label and a copy of instructions. Security agents may ask to see the labeled container. For longer trips, pack extra supplies and note time zones to maintain a steady schedule. For reference to pack size, many bottles are Exelon oral solution 120 mL.

If temperatures may vary during transit, store in a climate-stable area of your luggage. Our pharmacies use temperature-controlled handling when required.

Benefits

This treatment can help with memory, attention, and daily task performance in some patients. Liquid dosing allows small adjustments during titration. Taking doses with food may improve comfort. The option of multiple forms lets clinicians adapt to swallowing issues or skin sensitivity.

Caregiver involvement can support adherence and monitoring. Symptom tracking journals may help clinicians evaluate response and tolerability.

For broader brain health education, see our article on Brain Health Lifestyle Choices.

Side Effects and Safety

• Nausea or vomiting
• Loss of appetite
• Weight loss
• Dizziness or headache
• Abdominal discomfort
• Fatigue

Serious effects are less common but can include severe vomiting, dehydration, bradycardia, fainting, and ulcer or bleeding risk, especially with NSAIDs. Allergic reactions can occur; stop the medicine and seek urgent care for swelling, breathing trouble, or a severe rash. People using insulin or sulfonylureas should monitor for low blood sugar symptoms, as concomitant illness or reduced intake can complicate management.

Drug Interactions and Cautions

Use caution with other cholinergic or anticholinergic medicines, as effects may increase or counteract. Beta-blockers and certain antiarrhythmics can add to bradycardia risk. NSAIDs may raise ulcer or bleeding risk. Discuss anesthesia plans, as succinylcholine-type agents can have enhanced effects. Alcohol can worsen dizziness or stomach irritation.

Tell your prescriber about all prescription drugs, OTC products, and supplements. Consider also recent weight changes, episodes of fainting, or new heart symptoms. For a broader list of neurological therapies, browse our Neurology category.

What to Expect Over Time

During the first weeks, some people notice queasiness or reduced appetite. Taking doses with meals, hydrating, and slow titration may help. Clinicians often monitor weight and tolerance at each step.

Benefits can include steadier cognition or daily function. Expectations should remain realistic; the condition may continue to progress. Care plans often include routines, safety measures, and caregiver support. Journaling symptoms and meal times can help identify patterns.

If swallowing is difficult, or tablets are refused, rivastigmine oral liquid provides a flexible option. Reassess with your healthcare professional if side effects persist or if daily function changes.

Read our guide on day-to-day challenges in Memory Loss Impact for practical planning tips.

Compare With Alternatives

Therapy selection depends on diagnosis, tolerance, and caregiver support. Two alternatives offered here include a patch form of rivastigmine and another cholinesterase inhibitor.

• Exelon® Patch once daily for those who prefer a transdermal option
• Donepezil Tablets for once-daily dosing

Discuss with the prescriber which option fits the person’s symptoms, routines, and tolerability history.

Pricing and Access

Canadian pharmacy pricing may help reduce overall costs for many families. If you are comparing options, ask your prescriber about therapeutic goals during titration. We also provide promotions that may apply to select items.

To compare options and estimate budgets, review the Exelon oral solution cost on our product page. Orders include US shipping from Canada to your address. For online checkout, your prescription is confirmed before dispensing, and we use encrypted checkout to protect your data.

Availability and Substitutions

Supply can vary by manufacturer and season. If the requested strength or bottle size is not available, a prescriber may recommend a suitable alternative. In some regions, generic rivastigmine oral solution may be considered if appropriate and available.

Pharmacists can also discuss whether a capsule or patch form is reasonable for a given situation. Any substitution should follow the prescriber’s direction and the patient’s clinical needs.

Patient Suitability and Cost-Saving Tips

People with advanced weight loss, frequent fainting, or severe nausea may not tolerate dose increases. Those with ulcers, heart rhythm issues, or significant liver disease need careful supervision. A clinician should individualize titration.

Cost planning tips include filling multi-month supplies when appropriate, using refill reminders, and aligning refills with caregiver schedules. Keep the dosing syringe and bottle together in a consistent place for easier adherence. When traveling, you can carry copies of prescriptions and keep the medication in original packaging.

Questions to Ask Your Clinician

• Starting dose plan and timing with meals
• Signs that the dose should not be increased
• What to monitor for dehydration or weight loss
• How to handle treatment gaps longer than three days
• When to consider switching to a patch or capsules
• Potential interaction concerns with current medicines

Authoritative Sources

• FDA DailyMed
• Health Canada Drug Product Database
• Manufacturer Information

Ready to order with confidence? Ships from Canada to US with prompt, express shipping. This information is educational and not a substitute for professional medical advice; always follow your prescriber’s directions and the official label.