Exelon (rivastigmine): Patch vs Capsules — what to expect

This month we published a hands-on guide to Exelon, a common medicine for dementia and Alzheimer’s. If someone you care for is starting Exelon or you’re weighing patch versus capsule, this summary gives clear, practical points fast. You’ll learn how the drug works, what benefits are realistic, common side effects, and everyday tips for using it safely.

How Exelon works and what it can do

Exelon contains rivastigmine, a drug that boosts brain chemicals involved in memory and thinking. It won’t cure Alzheimer’s, but clinical trials and routine use show it can slow decline for some people and help with daily tasks. Expect modest improvements in attention, short-term memory, and the ability to handle daily routines — usually noticeable over weeks to months. Doctors often start low and increase the dose to find the best balance between benefits and side effects.

Patch or capsule? Patches provide steady delivery over 24 hours and reduce stomach upset for many people. Capsules are taken twice daily with food and let you change dose quickly. Your doctor will pick the form based on side effects, lifestyle, and how easily the person or caregiver can manage treatment.

Side effects and practical tips for caregivers

Common side effects are nausea, vomiting, loss of appetite, weight loss, and diarrhea. The patch can cause skin redness or irritation where it’s placed. Less common but important issues include slow heart rate, fainting, and increased sweating. Monitor weight, eating, and any fainting or dizziness — report those to the prescriber right away.

Practical tips: if using capsules, give them with a meal to lower nausea. For patches, apply to clean, dry skin on the upper back, chest, or upper arm; rotate sites and check for irritation each day. Keep a consistent schedule — same times each day for capsules, and change the patch every 24 hours. If a dose is missed by a short time, take it as soon as you remember; if it’s almost time for the next dose, skip the missed one and don’t double up.

Watch for interactions: other drugs that affect heart rate or cause drowsiness can make side effects worse. Always tell the prescriber about all medicines and supplements. If severe side effects occur — fainting, very slow heartbeat, severe vomiting, or sudden confusion — seek medical care immediately.

This post aims to help you have a clear talk with the prescriber and feel confident managing day-to-day treatment. If you want, read the full article for step-by-step dosing examples, caregiver checklists, and notes on switching between patch and capsule forms.