DRUG NAME MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE NURSING

ACTION EFFECTS RESPONSIBILITIES

Aricept Binds reversibly to Used to help Hypersensitivity to Possible side  Advise patient to
(Donepezil) acetylcholinesterase improve mental donepezil or to piperidine effects: take donepezil just
and inhibits the function in derivatives. before going to
CLASSIFICATIO hydrolysis of people with CNS: bed.
N: acetylcholine, thus Alzheimer's Anxiey  Inform him that
Therapeutic: increasing the disease. Depression drug may be taken
Anti-alzheimers/ availability of Dizziness with or without
Cholinergics acetylcholine at the Insomnia food.
synapses, enhancing  Instruct patient to
DOSE/ROUTE/ cholinergic CV: avoid hazardous
FREQUENCY: transmission. Abnormal activities, such as
5 mg 1 tab ODHS Donepezil becomes ECG  driving, until drugs
less effective as Chest pain CNS effects are
Alzheimer’s disease Edema known.
progresses and the Heart failure  Encourage to take
number of intact safety precautions
cholinergic neurons GI: to prevent falling if
declines Abdominal client experiences
pain adverse reactions,
Constipation such as dizziness.
Diarrhea
Nausea
Vomiting

GU:
Hematuria
Urinary
frequency
UTI

HEMA:
 Anemia

SKIN:
Pruritus
Rash
Ulceration

Namenda Binds to CNS N- Used to treat Memantine hypersensitivity Possible side Tell the patient and
(Memantine) methyl-D-aspartate moderate to or hypersensitivity to any effects: caregiver that it is
receptor sites, severe confusion inactive ingredients or CNS: important that the
CLASSIFICATIO preventing binding of (dementia) excipients contained within Dizziness patient swallow
N: glutamate, an related to the products. Fatigue extended release
Therapeutic: excitatory Alzheimer's Headache capsules whole; do
Anti-Alzheimer’s neurotransmitter. disease. It does Sedation not crush, chew or
agents not cure divide. Capsules
Alzheimer's CV: may be opened,
DOSE/ROUTE/ disease, but it Hypertension sprinkled on apple
FREQUENCY: may improve sauce, and
5mg OD memory, Derm: swallowed. Entire
awareness, and Rash contents of each
the ability to capsule should be
perform daily GI: consumed; do not
functions. Diarrhea divide dose.
Weight gain  Instruct patient and
caregiver on how
GU: and when to
Urinary administer
frequency memantine. Take
missed doses as
Hema: soon as
Anemia remembered but not
just before next
 dose; do not double
doses.
 Advise patient and
caregiver to read
Patient Instructions
sheet.
 Caution patient and
caregiver that
memantine may
cause dizziness.
 Advise patient and
caregiver to notify
health care
professional of all
Rx or OTC
medications,
vitamins, or herbal
products being
taken and to consult
with healthcare
professional before
taking other
medications.
 Teach patient and
caregivers that
improvement in
cognitive
functioning may
take months;
degenerative
process is not
reversed.