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 treats Alzheimer's disease and Parkinson's disease dementia in adults.
GNH India supplies Ivastine as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

Ivastine is a cholinesterase inhibitor used to address cognitive decline in dementia-related conditions.

  • Alzheimer's disease: improves cognition, memory, and daily functioning in mild to moderate stages.
  • Parkinson's disease dementia: helps alleviate cognitive symptoms associated with Parkinsonian dementia.
  • Dementia associated with other neurodegenerative disorders: provides symptomatic relief of cognitive deficits.

How It Works

  • Rivastigmine reversibly inhibits both acetylcholinesterase and butyrylcholinesterase enzymes in the central nervous system. By blocking these enzymes, it reduces the breakdown of acetylcholine, leading to increased synaptic acetylcholine levels and enhanced cholinergic neurotransmission, which can improve cognitive function in dementia.

Side Effects

Ivastine may cause a range of adverse reactions, most of which are related to its cholinergic activity or the transdermal delivery system.

Common Side Effects

  • Nausea
  • Vomiting
  • Loss of appetite
  • Dizziness
  • Headache
  • Skin irritation at the patch site

Serious or Rare Side Effects

  • Severe skin reactions (e.g., rash, dermatitis)
  • Bradycardia or syncope
  • Gastrointestinal bleeding or ulceration
  • Seizures
  • Anaphylactic or severe allergic reactions
  • Hepatotoxicity (rare).

Precautions & Warnings

Before initiating Ivastine therapy, clinicians should consider several safety measures.

  • Dose titration: start with a low‑dose patch and increase gradually as tolerated.
  • Cardiovascular monitoring: observe for bradycardia or syncope in patients with cardiac disease.
  • Gastrointestinal caution: monitor for nausea, vomiting, or ulcer risk.
  • Skin assessment: inspect the application site regularly for irritation or allergic reaction.
  • Pregnancy and lactation: use only if the potential benefit justifies the uncertain risk.
  • Store at room temperature: keep below 30°C, protect from moisture and direct sunlight, retain in the original pouch.

Avoid Interactions

Rivastigmine can interact with several drug classes, requiring careful review of a patient’s medication list.

Major Interactions (Avoid)

  • Anticholinergic agents: may diminish rivastigmine efficacy.
  • Beta‑blockers: increased risk of bradycardia.
  • Other cholinesterase inhibitors: additive cholinergic effects may be unsafe.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: potential for increased bleeding.
  • NSAIDs: may exacerbate gastrointestinal side effects.
  • CYP450 inhibitors or inducers: may alter metabolism of concomitant medications.

Frequently Asked Questions

Ivastine is a transdermal patch containing rivastigmine, prescribed for the symptomatic treatment of mild to moderate dementia associated with Alzheimer’s disease and Parkinson’s disease dementia. It helps improve cognition, memory, and daily functioning in affected adults.

Rivastigmine reversibly inhibits both acetylcholinesterase and butyrylcholinesterase enzymes in the brain. By blocking these enzymes, it prevents the breakdown of acetylcholine, increasing its concentration at synaptic junctions and enhancing cholinergic signaling, which is typically reduced in Alzheimer’s and Parkinson’s disease dementia.

The specific dose of Ivastine is determined by the prescribing healthcare professional based on the patient’s clinical condition, tolerability, and response. The transdermal patch is available in defined strengths, and the prescriber will select the appropriate patch size and schedule, adjusting as needed during treatment.

Safety data for rivastigmine in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers should discuss the uncertainties and consider alternative therapies when appropriate.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Ivastine. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team then provides pricing, availability, shipping details, and any necessary import documentation.

Ivastine delivers rivastigmine via a transdermal patch, offering steady drug exposure and potentially fewer gastrointestinal side effects compared with oral cholinesterase inhibitors such as donepezil or galantamine. The patch also provides convenience of once‑daily application, but individual response and tolerability vary, so clinicians choose the agent best suited to each patient.

Store Ivastine at room temperature, preferably below 30 °C, in its original packaging. Protect the patches from moisture, direct sunlight, and extreme temperatures. Keep them out of reach of children and do not use patches that appear damaged or expired.

The patch is applied to clean, dry, hair‑free skin on the upper back, upper arm, or chest. Press the patch firmly for several seconds to ensure good contact, then replace it with a new patch according to the prescribed schedule, typically every 24 hours. Rotate application sites to minimize skin irritation.

Serious adverse reactions may include severe skin reactions such as rash or dermatitis, bradycardia, syncope, gastrointestinal bleeding, and rare cases of anaphylaxis. Patients should be monitored for these events, and any signs of severe side effects require immediate medical attention and possible discontinuation of therapy.

Ivastine is contraindicated in individuals with known hypersensitivity to rivastigmine or any component of the patch. It should also be avoided in patients with severe cardiac conduction disorders, uncontrolled asthma, or active gastrointestinal ulcer disease. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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