The principal mechanism of action of memantine is believed to be the blockade of current flow through channels of N-methyl-d-aspartate (NMDA) receptors--a glutamate receptor subfamily broadly involved in brain function.
Continuous activation of the N-Methyl-D-aspartate (NMDA) receptors in the central nervous system caused by glutamate is thought to cause some of the Alzheimer's disease symptoms.

It is used for the treatment of patients with moderate to severe Alzheimer’s disease

Always take it exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose of the drug for adults and older people is 20 mg once a day. In order to reduce the risk of side effects this dose is achieved gradually
It should be administered orally once a day. To benefit from your medicine, you should take it regularly every day at the same time of the day.
The tablets should be swallowed with some water.
The tablets can be taken with or without food.
Continue to take the drug as long as it is of benefit to you. Your doctor should assess your treatment on a regular basis
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

Physical activity increases blood flow to your whole body, including your brain. This might help keep your memory sharp. For most healthy adults, it is recommended to exercise for about least 150 minutes a week of moderate aerobic activity
Just as physical activity helps keep your body in shape, mentally stimulating activities help keep your brain in shape and might keep memory loss at bay. Do crossword puzzles. Take alternate routes when driving.
Social interaction helps ward off depression and stress, both of which can contribute to memory loss.
Sleep plays an important role in helping you consolidate your memories, so you can recall them down the road. Make getting enough sleep a priority. Most adults need seven to nine hours of sleep a day.
A healthy diet might be as good for your brain as it is for your heart. Eat fruits, vegetables and whole grains. Choose low-fat protein sources, such as fish, beans and skinless poultry.
Ginkgo has been used for centuries in traditional Chinese medicine and currently is being used in Europe to alleviate cognitive symptoms associated with a number of neurological conditions. Gingko biloba extract can be purchased in liquid or capsule form for example Ginkozac Capsules
Follow your doctor's treatment recommendations for medical conditions, such as depression, high blood pressure, high cholesterol, diabetes and obesity

Talk to your doctor about all your medical conditions before taking this medicine including:

if you have a history of epileptic seizures
if you have recently experienced a myocardial infarction (heart attack)
if you are suffering from congestive heart failure or from an uncontrolled hypertension (high blood pressure)

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements

Store below 25°c
Don’t refrigerate
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

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