Product image of Ivastine (Rivastigmine) supplied by GNH India

Ivastine

Active Ingredient:
Rivastigmine
Origin:
EU

Ivastine (Rivastigmine)

Rivastigmine, the active ingredient in Ivastine, is a cholinesterase inhibitor presented as a transdermal patch for transdermal use. It is indicated for the treatment of mild to moderate Alzheimer’s disease and Parkinson’s disease dementia in adult patients, helping to improve cognitive function and daily activities.

GNH India supplies Ivastine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to EU GMP standards and provides regulatory‑approved batches to meet global demand. Logistics are managed with temperature‑controlled shipping where required, ensuring product integrity from manufacture to delivery.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

  • Rivastigmine, marketed as Ivastine, is used in the management of dementia‑related conditions by enhancing cholinergic neurotransmission.
  • Alzheimer’s disease: improves cognition and functional abilities in mild to moderate stages.
  • Parkinson’s disease dementia: helps mitigate cognitive decline associated with Parkinson’s disease.
  • Mild to moderate dementia: provides symptomatic relief of memory and attention deficits.

How It Works

  • Rivastigmine reversibly inhibits both acetylcholinesterase and butyrylcholinesterase enzymes in the central nervous system. By blocking the breakdown of acetylcholine, it increases the concentration of this neurotransmitter at synaptic clefts, enhancing cholinergic transmission. The elevated acetylcholine levels improve neuronal communication involved in memory, learning, and attention, thereby alleviating the cognitive deficits characteristic of Alzheimer’s disease and Parkinson’s disease dementia, overall contributing to clinical benefit.

Side Effects

Rivastigmine transdermal therapy may be associated with a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Skin irritation at the application site
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness

Serious or Rare Side Effects

  • Severe skin reactions such as rash or bullous dermatitis
  • Bradycardia or syncope
  • Gastrointestinal bleeding or ulceration

Precautions & Warnings

  • When prescribing Ivastine, clinicians should consider several precautionary measures to ensure safe use.
  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: use with caution in patients with liver disease.
  • Cardiovascular disease: observe for bradycardia or syncope.
  • Gastrointestinal disorders: assess risk of nausea, vomiting, or ulceration.
  • Skin application site: rotate patch locations to minimize irritation.
  • Store at room temperature: keep in original packaging, protect from moisture and direct heat.

Avoid Interactions

Rivastigmine may interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Anticholinergic drugs: reduce therapeutic effect of rivastigmine.
  • Concurrent use of other cholinesterase inhibitors: increase risk of cholinergic toxicity.
  • Beta‑blockers: may exacerbate bradycardia when combined.

Moderate Interactions (Monitor Closely)

  • SSRIs or other antidepressants: may increase nausea or gastrointestinal upset.
  • Antihypertensive agents: potential additive hypotensive effect.
  • CYP3A4 inhibitors or inducers (e.g., ketoconazole, rifampicin): may modify rivastigmine plasma concentrations.

Frequently Asked Questions

Ivastine contains rivastigmine and is prescribed for the symptomatic treatment of mild to moderate Alzheimer’s disease and Parkinson’s disease dementia. It works by enhancing cholinergic neurotransmission, which can improve cognition, memory, and daily functioning in patients with these neurodegenerative conditions.

Rivastigmine is a reversible inhibitor of both acetylcholinesterase and butyrylcholinesterase. By blocking these enzymes, it prevents the breakdown of acetylcholine, increasing its concentration in the brain. The higher acetylcholine levels support neuronal communication involved in learning, memory, and attention.

The prescribed dose of Ivastine is determined by the treating physician based on the patient’s clinical condition and tolerability. Typically, treatment starts with a low‑strength transdermal patch and may be titrated upward, with each patch replaced once every 24 hours as directed by the prescriber.

Safety data for rivastigmine during pregnancy and lactation are limited. The product should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers usually advise against routine use in pregnant or nursing women.

To place an order, submit an enquiry on the Ivastine product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any temperature‑controlled requirements), and necessary import documentation.

Ivastine (rivastigmine) is a cholinesterase inhibitor similar to donepezil and galantamine but is available as a transdermal patch, which can improve adherence and reduce gastrointestinal side effects. Its dual inhibition of acetylcholinesterase and butyrylcholinesterase may offer broader enzyme coverage, though clinical choice depends on patient tolerance, comorbidities, and physician preference.

Ivastine patches should be stored at room temperature, below 25 °C, in their original sealed packaging. Protect them from moisture, direct sunlight, and excessive heat. Do not expose the patches to freezing temperatures, and keep them out of reach of children.

The patch is applied to clean, dry, hair‑free skin on the upper back, chest, or upper arm. Once applied, it should remain in place for 24 hours before being removed and replaced with a new patch at a different site to avoid skin irritation. Hands should be washed after handling the patch.

Serious adverse events include severe skin reactions such as rash or bullous dermatitis, significant bradycardia or syncope, and gastrointestinal bleeding or ulceration. Patients should be instructed to seek immediate medical attention if they experience any of these symptoms while using the patch.

Ivastine is contraindicated in individuals with known hypersensitivity to rivastigmine or any patch components, severe cardiac conduction disorders (e.g., sick‑sinus syndrome), active skin disease at the intended application site, or in patients who have experienced severe cholinergic toxicity with other cholinesterase inhibitors.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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