Product image of Micol (Galantamine) supplied by GNH India

Micol

Active Ingredient:
Galantamine
Origin:
EU

Micol (Galantamine)

Galantamine, the active ingredient in Micol, is an acetylcholinesterase inhibitor presented as an oral tablet for systemic use. It is indicated for the symptomatic treatment of mild to moderate Alzheimer’s disease in adult patients, helping to improve cognitive function and daily activities.

GNH India supplies Micol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to this Alzheimer’s therapy across global markets.

Manufacturer / TM Owner

Raldex Enterprises Ltd

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Indications & Clinical Uses

  • Galantamine acts on the cholinergic pathway to address cognitive decline in Alzheimer’s disease.
  • Mild to moderate Alzheimer’s disease: improves cognitive symptoms and functional abilities in affected adults.

How It Works

  • Galantamine reversibly inhibits acetylcholinesterase, increasing synaptic acetylcholine levels, and allosterically modulates nicotinic acetylcholine receptors, enhancing cholinergic neurotransmission in the brain. This dual action supports neuronal signaling that is typically reduced in Alzheimer’s disease, thereby modestly improving cognition and daily functioning.

Side Effects

Galantamine may cause a range of adverse reactions, from mild gastrointestinal upset to rare but serious events.

Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Loss of appetite
  • Dizziness
  • Weight loss

Serious or Rare Side Effects

  • Bradycardia or heart block
  • Severe liver injury
  • Seizures
  • Hallucinations or psychosis
  • Severe allergic reactions (e.g., angioedema, anaphylaxis)
  • Persistent vomiting leading to dehydration

Precautions & Warnings

When prescribing galantamine, clinicians should consider several safety factors.

  • Dose adjustment in renal impairment: reduce dose as needed based on renal function.
  • Monitor hepatic function: assess liver enzymes regularly during therapy.
  • Avoid in patients with severe cardiac conduction disorders: risk of bradyarrhythmia.
  • Caution in patients with asthma or COPD: cholinergic effects may exacerbate bronchospasm.
  • Pregnancy and lactation: safety not established; use only if benefit outweighs risk.
  • Store at ambient temperature: keep below 25°C, protect from moisture and light.

Avoid Interactions

Galantamine interacts with several drug classes that may alter its efficacy or safety.

Major Interactions (Avoid)

  • Anticholinergic drugs: reduce galantamine’s therapeutic effect.
  • Beta‑blockers: may increase risk of bradycardia.
  • CYP2D6 inhibitors (e.g., quinidine, fluoxetine): raise galantamine plasma levels.

Moderate Interactions (Monitor Closely)

  • Other cholinergic agents (e.g., donepezil): additive cholinergic effects may increase side‑effects.
  • NSAIDs: may heighten gastrointestinal irritation.
  • Alcohol: can enhance dizziness and sedation.

Frequently Asked Questions

Micol contains galantamine, which is prescribed for the symptomatic treatment of mild to moderate Alzheimer’s disease. It helps improve cognition and daily functioning in adult patients by enhancing cholinergic neurotransmission in the brain.

Galantamine works by reversibly inhibiting acetylcholinesterase, the enzyme that breaks down acetylcholine, thereby increasing acetylcholine levels. It also allosterically modulates nicotinic acetylcholine receptors, further supporting cholinergic signaling that is reduced in Alzheimer’s disease.

The dosage of Micol is individualized by the prescribing clinician based on the patient’s age, renal and hepatic function, and tolerability. The prescriber determines the appropriate starting dose and any subsequent titration.

Safety of galantamine in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Micol, submit an enquiry on the product page at gnhindia.com with 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 cold‑chain requirements) and import documentation.

Micol (galantamine) belongs to the acetylcholinesterase inhibitor class, similar to donepezil and rivastigmine. While all increase acetylcholine, galantamine also modulates nicotinic receptors, which may offer a slightly different side‑effect profile. Choice of therapy depends on efficacy, tolerability, patient comorbidities and clinician preference.

Micol should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Micol is taken orally, usually with food to reduce gastrointestinal upset. The tablet should be swallowed whole with a glass of water and not chewed or crushed unless specifically instructed by a healthcare professional.

Serious risks include bradycardia or heart block, severe liver injury, seizures, hallucinations, and rare allergic reactions such as angioedema or anaphylaxis. Patients should be monitored for these events, especially during dose escalation.

Micol should be avoided in patients with known hypersensitivity to galantamine, severe cardiac conduction disorders (e.g., sick‑sinus syndrome, second‑ or third‑degree AV block), uncontrolled asthma or COPD, and those taking potent anticholinergic medications that would negate its effect.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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