Namzaric Titration Pack

Name: Namzaric Titration Pack

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Commonly used brand name(s)

In the U.S.

Namzaric
Namzaric Titration Pack

Available Dosage Forms:

Capsule, Extended Release
Capsule, Delayed Release

Therapeutic Class: Central Nervous System Agent

Pharmacologic Class: Memantine

Uses For Namzaric Titration Pack

Memantine and donepezil combination is used to treat dementia (memory loss and mental changes) associated with moderate or severe Alzheimer's disease. Memantine and donepezil will not cure Alzheimer's disease, however, it may improve thinking ability, behavior, or functional ability.

This medicine is available only with your doctor's prescription.

Before Using Namzaric Titration Pack

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of memantine and donepezil combination in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of memantine and donepezil combination in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Amifampridine
Amisulpride
Bepridil
Cisapride
Dronedarone
Fluconazole
Ketoconazole
Mesoridazine
Pimozide
Piperaquine
Posaconazole
Saquinavir
Sparfloxacin
Terfenadine
Thioridazine
Ziprasidone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Abiraterone
Acetazolamide
Acetophenazine
Aclidinium
Acrivastine
Alcaftadine
Alfentanil
Alfuzosin
Amantadine
Ambenonium
Amdinocillin
Amdinocillin Pivoxil
Amineptine
Aminophylline
Amiodarone
Amitriptyline
Amitriptylinoxide
Amoxapine
Amphetamine
Ampicillin
Anagrelide
Anisotropine
Antazoline
Apomorphine
Aripiprazole
Aripiprazole Lauroxil
Arsenic Trioxide
Asenapine
Astemizole
Atazanavir
Atomoxetine
Atropine
Azatadine
Azelastine
Azithromycin
Azlocillin
Bacampicillin
Baclofen
Bedaquiline
Belladonna Alkaloids
Benperidol
Benzphetamine
Bepotastine
Bornaprine
Brinzolamide
Bromodiphenhydramine
Bromperidol
Brompheniramine
Buclizine
Bupivacaine
Buprenorphine
Bupropion
Buserelin
Butorphanol
Butriptyline
Butylscopolamine
Carbenicillin
Carbinoxamine
Chlorambucil
Chloroquine
Chlorotrianisene
Chlorpheniramine
Chlorphenoxamine
Chlorpromazine
Cimetropium
Cinacalcet
Cinnarizine
Ciprofloxacin
Citalopram
Clarithromycin
Clemastine
Clemizole
Clidinium
Clobazam
Clomipramine
Cloxacillin
Clozapine
Cobicistat
Cocaine
Codeine
Conjugated Estrogens
Crizotinib
Cyclacillin
Cyclizine
Cyclobenzaprine
Cyclopentolate
Cyclosporine
Cyproheptadine
Dabrafenib
Darifenacin
Dasatinib
Degarelix
Delamanid
Demecarium
Desipramine
Deslorelin
Desvenlafaxine
Deutetrabenazine
Dexbrompheniramine
Dexchlorpheniramine
Dextroamphetamine
Dextromethorphan
Dibenzepin
Dicloxacillin
Dicyclomine
Dienestrol
Diethylstilbestrol
Difenoxin
Dihydrocodeine
Dimenhydrinate
Dimethindene
Diphenhydramine
Diphenylpyraline
Disopyramide
Distigmine
Dixyrazine
Dofetilide
Dolasetron
Domperidone
Dorzolamide
Dothiepin
Doxepin
Doxylamine
Droperidol
Duloxetine
Ebastine
Echothiophate
Edrophonium
Efavirenz
Eliglustat
Emedastine
Enflurane
Epinastine
Eribulin
Erythromycin
Escitalopram
Esterified Estrogens
Estradiol
Estramustine
Estriol
Estrone
Estropipate
Ethinyl Estradiol
Ethopropazine
Etravirine
Famotidine
Felbamate
Fentanyl
Fesoterodine
Fingolimod
Flavoxate
Flecainide
Floxacillin
Flunarizine
Fluoxetine
Fluphenazine
Fluvoxamine
Formoterol
Foscarnet
Fosphenytoin
Galantamine
Gatifloxacin
Gemifloxacin
Glycopyrrolate
Gonadorelin
Goserelin
Granisetron
Guanidine
Halofantrine
Haloperidol
Hetacillin
Histrelin
Homatropine
Hydrocodone
Hydromorphone
Hydroquinidine
Hydroxyamphetamine
Hydroxychloroquine
Hyoscyamine
Ibutilide
Iloperidone
Imipramine
Indalpine
Iprindole
Isoflurophate
Isoniazid
Isopropamide
Itraconazole
Ivabradine
Ketamine
Ketotifen
Lapatinib
Leuprolide
Levocabastine
Levofloxacin
Levomilnacipran
Levorphanol
Lidocaine
Lindane
Lisdexamfetamine
Lithium
Lofepramine
Loxapine
Lumefantrine
Mebeverine
Mebhydrolin
Meclizine
Mefenamic Acid
Mefloquine
Melitracen
Melperone
Mepenzolate
Meperidine
Mestranol
Methadone
Methamphetamine
Methantheline
Methazolamide
Methdilazine
Methicillin
Methixene
Methotrimeprazine
Methylphenidate
Metopimazine
Metronidazole
Mezlocillin
Mifepristone
Milnacipran
Mizolastine
Moricizine
Morphine
Moxifloxacin
Nafarelin
Nafcillin
Nalbuphine
Nalidixic Acid
Nefazodone
Nelfinavir
Neostigmine
Niaprazine
Nilotinib
Norfloxacin
Nortriptyline
Octreotide
Ofloxacin
Olanzapine
Olopatadine
Ondansetron
Opipramol
Orphenadrine
Oxacillin
Oxatomide
Oxybutynin
Oxycodone
Oxymorphone
Paliperidone
Panobinostat
Paroxetine
Pasireotide
Pazopanib
Peginterferon Alfa-2b
Penicillin G
Penicillin V
Pentamidine
Pentazocine
Perazine
Periciazine
Perphenazine
Phenindamine
Pheniramine
Phenylpropanolamine
Phenyltoloxamine
Physostigmine
Pimavanserin
Pinaverium
Pipamperone
Piperacillin
Pipotiazine
Pirenzepine
Pitolisant
Pivampicillin
Pizotyline
Polyestradiol Phosphate
Probucol
Procainamide
Procaine
Prochlorperazine
Promazine
Promestriene
Promethazine
Propafenone
Propantheline
Propicillin
Propiverine
Propizepine
Propoxyphene
Protriptyline
Pyrilamine
Quetiapine
Quinestrol
Quinidine
Quinine
Ranolazine
Remifentanil
Ribociclib
Rilpivirine
Risperidone
Ritonavir
Rivastigmine
Scopolamine
Sertindole
Sertraline
Sevoflurane
Sibutramine
Sodium Bicarbonate
Sodium Phosphate
Sodium Phosphate, Dibasic
Sodium Phosphate, Monobasic
Solifenacin
Sorafenib
Sotalol
Succinylcholine
Sufentanil
Sulbenicillin
Sulpiride
Sultamicillin
Sunitinib
Tacrine
Tacrolimus
Tamoxifen
Tapentadol
Telaprevir
Telavancin
Telithromycin
Temocillin
Terbinafine
Tetrabenazine
Theophylline
Thiethylperazine
Thiopropazate
Thioproperazine
Thonzylamine
Tianeptine
Tibolone
Ticarcillin
Timiperone
Tiotropium
Tizanidine
Tolterodine
Toremifene
Tramadol
Trazodone
Trifluoperazine
Triflupromazine
Trimeprazine
Trimipramine
Tripelennamine
Triprolidine
Triptorelin
Tropicamide
Trospium
Umeclidinium
Valethamate
Vandetanib
Vardenafil
Vemurafenib
Venlafaxine
Vilanterol
Vinflunine
Voriconazole
Vorinostat
Zuclopenthixol

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Ramelteon

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

Bitter Orange
Grapefruit Juice

Proper Use of memantine and donepezil

This section provides information on the proper use of a number of products that contain memantine and donepezil. It may not be specific to Namzaric Titration Pack. Please read with care.

Take this medicine exactly as directed by your doctor in order to improve your condition as much as possible. Do not take more of it or less of it, and do not take it more or less often than your doctor ordered.

This medicine comes with a patient information insert. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.

You may take this medicine with or without food.

Swallow the delayed-release capsule whole. Do not crush, divide, or chew it.

If you have trouble swallowing the capsules, you may open it and sprinkle the contents on applesauce. This mixture must be swallowed immediately without chewing. Do not chew or crush it.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For oral dosage form (delayed-release capsules):
- For moderate to severe Alzheimer's disease:
  - Adults—One capsule once a day at bedtime.
  - Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Namzaric Titration Pack Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Bloody or black, tarry stools
chest pain or discomfort
decreased urination
lightheadedness, dizziness, or fainting
pain in the lower abdomen, groin, upper back or sides
seizures
severe stomach pain
slow or irregular heartbeat
sweating
trouble breathing
unusual tiredness
vomiting of blood or material that looks like coffee grounds

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: