Galantamine Dosage Guidelines for Adults and Children

Background and Overview

Galantamine is a medication used to slow cognitive and functional decline in mild to moderate Alzheimer’s disease.​ As a reversible acetylcholinesterase inhibitor and allosteric nicotinic receptor modulator, it helps restore the balance of neurotransmitters in the brain. The dosage typically starts low and is gradually increased based on clinical benefit and tolerability.​ However, the dosage for children must be determined by a healthcare provider. Galantamine is available in various forms such as tablets, extended-release capsules, and solution, and should be taken with food according to specific instructions.​

Dosage Recommendations for Adults

Galantamine dosage for adults typically starts at 8 milligrams (mg) taken once a day with food٫ and after a minimum of 4 weeks٫ the dose may be increased to 16 mg per day.​ Further dosage adjustments may be made to reach a maximum of 24 mg per day based on the individual’s response and tolerability to the medication.​ It is important to follow the specific dosing instructions provided by a healthcare provider to ensure optimal treatment outcomes.​

Galantamine Dosage for Children

The use and dosage of galantamine in children should be determined by a healthcare provider. It is essential to follow the specific guidance given by a healthcare professional when administering galantamine to children.​ The medication comes in various forms such as tablets, extended-release capsules, and solutions, with dosages tailored based on the child’s individual needs and condition.​

Administration Instructions

Galantamine comes in various forms, including tablets, extended-release capsules, and a liquid solution, all taken orally. The tablets and liquid are usually taken twice a day, ideally with morning and evening meals.​ On the other hand, extended-release capsules are typically taken once daily in the morning.​ It is crucial to take galantamine around the same time each day for consistency.​ If a dose is missed, it should be taken as soon as remembered, unless it’s close to the next scheduled dose.​ Avoid double dosing. In case of missing the medication for a few days in a row, consulting a healthcare provider before resuming is recommended.​

Missed Dose Guidelines

If a dose of galantamine is missed, it should be taken as soon as remembered with food.​ However, if it is almost time for the next scheduled dose, the missed dose should be skipped and the regular dosing schedule resumed.​ It is important not to double up on doses to make up for a missed one.​ In the event of missing the medication for several days in a row, consulting a healthcare provider before resuming the medication is advisable to ensure safe and effective treatment.​

Special Populations⁚ Hepatic Impairment

In individuals with hepatic impairment, there are no significant differences in the pharmacokinetics of galantamine after ingesting a single 4 mg dosage of galantamine compared to healthy individuals.​ Despite hepatic impairment, the drug is expected to behave similarly in terms of absorption, distribution, metabolism, and excretion.​ It is important to consult a healthcare provider for proper assessment and monitoring when administering galantamine to individuals with hepatic impairment to ensure appropriate dosing and treatment efficacy.

Potential Side Effects and Considerations

Common side effects of galantamine may include nausea, vomiting, diarrhea, dizziness, drowsiness, loss of appetite, and weight loss.​ These side effects may improve as the body adjusts to the medication.​ However, if any of these symptoms persist or worsen, it is essential to inform your healthcare provider.​ Some serious side effects include slow heartbeat, difficult urination, seizures, gastrointestinal issues, heart problems, and allergic reactions. If you experience any of these severe side effects, seek immediate medical attention.​

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