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Two medicines, side by side

Galantamine vs memantine

Galantamine and memantine are both labeled for alzheimer's disease. Drugs@FDA records approvals of galantamine since 2001 and of memantine since 2003. Pharmacies paid $0.294 per galantamine hbr 4 mg tablet and $0.063 per memantine HCl 10 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, galantamine is a cholinesterase inhibitor and memantine a n-methyl-d-aspartate receptor antagonist.

Check it at the source: the galantamine FDA label on DailyMed (effective June 1, 2026); the memantine FDA label on DailyMed (effective November 1, 2018).

Highlights of the galantamine record

Galantamine (Razadyne) · label of June 1, 2026

Used for

From the label: indications

Galantamine tablets are indicated for the treatment of mild to moderate dementia of the Alzheimer’s type. Galantamine Tables are a cholinesterase inhibitor indicated for the treatment of mild to moderate dementia of the Alzheimer’s type

On the market

Earliest approval on file
February 28, 2001
Generic labelers
9 labelers
Pharmacy cost
$0.294 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the memantine record

Memantine (Namenda) · label of November 1, 2018

Used for

From the label: indications

Memantine hydrochloride tablets are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride tablets are an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type.

On the market

Earliest approval on file
October 16, 2003
Generic labelers
38 labelers
Pharmacy cost
$0.063 per tablet

Supply and safety

Shortage
No current entry
Recalls
7

Source: FDA drug labels via openFDA (Galantamine label of June 1, 2026, Memantine label of November 1, 2018); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do galantamine and memantine differ on the record?

In FDA's classes, galantamine is a cholinesterase inhibitor and memantine a n-methyl-d-aspartate receptor antagonist.

How each works, in its label's words: Galantamine, “Although the etiology of cognitive impairment in Alzheimer's disease (AD) is not fully understood, it has been reported that acetylcholine-producing neurons degenerate in the brains of patients with …”; Memantine, “Persistent activation of central nervous system N-methyl-D-aspartate (NMDA) receptors by the excitatory amino acid glutamate has been hypothesized to contribute to the symptomatology of Alzheimer’s …”

Generics: galantamine since 2008; memantine since 2010 (Drugs@FDA).

GalantamineMemantine
Labeled forAlzheimer's diseaseAlzheimer's disease
Pharmacologic classCholinesterase InhibitorN-methyl-D-aspartate Receptor Antagonist
How it works (label)Although the etiology of cognitive impairment in Alzheimer's disease (AD) is not fully understood, it has been reported that acetylcholine-producing neurons degenerate in the brains of patients with Alzheimer's disease.Persistent activation of central nervous system N-methyl-D-aspartate (NMDA) receptors by the excitatory amino acid glutamate has been hypothesized to contribute to the symptomatology of Alzheimer’s disease.
Half-life (label)Galantamine has a terminal half-life of about 7 hours.n/a
Earliest approval on file (Drugs@FDA)February 28, 2001October 16, 2003
First generic approvedAugust 28, 2008April 14, 2010
Generic labelers (NDC)9 labelers38 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.294 per tablet (Galantamine hbr 4 mg tablet)$0.063 per tablet (Memantine HCl 10 mg tablet)
12-month price change-10%-1%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded07
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)3,18813,605
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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