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galantamine

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Brand names: Razadyne

Acetylcholinesterase Inhibitor Rx

Galantamine extended-release capsules help treat mild to moderate Alzheimer's disease. It can improve memory and thinking.

Drug Pricing (NADAC)

Generic Price

$0.85/unit

Generic Available

Yes (5 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine treats mild to moderate Alzheimer's disease.

Common side effects

Nausea, Vomiting, Diarrhea

Key warnings

Stop taking galantamine right away if you get a skin rash.

How It Works

Galantamine is a cholinesterase inhibitor. It works by increasing the amount of a certain chemical in the brain. This chemical helps nerve cells communicate better.

How to Take It

Take galantamine capsules once a day in the morning, preferably with food. Swallow the capsule whole; do not crush or chew it. Be sure to drink enough fluids while taking this medicine. The usual starting dose is 8 mg per day.

Pregnancy & Breastfeeding

It is not known if galantamine is safe to take during pregnancy. Animal studies suggest a risk to the fetus. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if galantamine passes into breast milk, so talk to your doctor if you are breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time.

Storage

Store galantamine capsules at room temperature, away from moisture and heat, and keep out of reach of children.

Side Effects (from patient reports)

Based on 2,823 FDA adverse event reports.

Falling
375
Problems with thinking
306
Difficulty pooping
291
Problems with balance
285
Low blood pressure
285
Low blood pressure when standing up
280
Feeling sleepy
263
Pain
247
Harm from different substances
246
Decreased alertness
245

FDA Adverse Event Report Analysis

Detailed analysis of 1,577 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

1,577

Death-Related Reports

191

Hospitalization Reports

810

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 852 (60%)
Male 549 (39%)

Age Distribution

0–17 3
18–44 19
45–64 122
65–74 203
75+ 811

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 FALL 375
2 COGNITIVE DISORDER 306
3 CONSTIPATION 291
4 BALANCE DISORDER 285
5 HYPOTENSION 285
6 ORTHOSTATIC HYPOTENSION 280
7 SEDATION 263
8 PAIN 247
9 TOXICITY TO VARIOUS AGENTS 246
10 DEPRESSED LEVEL OF CONSCIOUSNESS 245
11 SEDATION COMPLICATION 232
12 CREATININE RENAL CLEARANCE DECREASED 231
13 BLOOD CALCIUM DECREASED 230
14 MOBILITY DECREASED 226
15 DRUG INTERACTION 123

Reactions in Death Reports

DEATH 53
DRUG INEFFECTIVE 31
OFF LABEL USE 25
CONDITION AGGRAVATED 21
CARDIAC ARREST 17
FALL 15
PARKINSON^S DISEASE 12
CONFUSIONAL STATE 11
ASTHENIA 10
DEHYDRATION 10

Reactions in Hospitalization Reports

FALL 337
COGNITIVE DISORDER 290
HYPOTENSION 278
ORTHOSTATIC HYPOTENSION 276
CONSTIPATION 272
BALANCE DISORDER 267
SEDATION 254
DEPRESSED LEVEL OF CONSCIOUSNESS 240
TOXICITY TO VARIOUS AGENTS 234
SEDATION COMPLICATION 232

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Stop taking galantamine right away if you get a skin rash. This medicine can cause serious skin reactions. This medicine can also slow your heart rate or cause fainting.

Known Drug Interactions

7.2 Use with Cholinomimetics and Other Cholinesterase Inhibitors A synergistic effect is expected when cholinesterase inhibitors are given concurrently with succinylcholine, other cholinesterase inhibitors, similar neuromuscular blocking agents or cholinergic agonists such as bethanechol [see Clinical Pharmacology ( 12.3 )] .

Mechanism: Both drugs increase the activity of a specific chemical in the body's nervous system. Taking them together can make their effects much stronger than usual.

What to do: Your doctor should watch you closely for extra side effects if you take both. They may need to change your dose to keep you safe.

Alitretinoin (oral) Cabergoline Cannabinoids Cinacalcet Galantamine Ivacaftor Monitor for adverse reactions.

Mechanism: Itraconazole slows the breakdown of galantamine in your body. This can cause the medicine to build up to higher levels than intended.

What to do: You should be monitored for side effects while taking these two drugs at the same time.

Common Questions

What should I do if I feel sick to my stomach?
Take galantamine with food to help reduce nausea. Talk to your doctor if nausea continues.
Can I drive while taking this medicine?
Galantamine may cause dizziness or drowsiness. Be careful driving or operating machinery until you know how this medicine affects you.
How long will it take to see if this medicine is working?
It may take several weeks to notice any improvement. Talk to your doctor about what to expect.
What if I have kidney problems?
If your kidneys don't work well, your dose should not be higher than 16mg per day. If your kidneys don't work very well, you should not take this medicine.
What if I have liver problems?
If your liver doesn't work moderately well, your dose should not be higher than 16mg per day. If your liver doesn't work very well, you should not take this medicine.
Can I stop taking this medicine suddenly?
Talk to your doctor before stopping galantamine. Stopping suddenly may cause unwanted effects.
Will this medicine cure Alzheimer's disease?
Galantamine does not cure Alzheimer's disease, but it may help improve symptoms.
What other medicines might interact with Galantamine?
Galantamine can interfere with anticholinergic medications. A synergistic effect is expected when given with succinylcholine, other cholinesterase inhibitors, similar neuromuscular blocking agents, or cholinergic agonists.
What should I do if I notice a skin rash?
Stop taking galantamine and tell your doctor right away if you develop a skin rash.
What dose of Galantamine is effective?
The dosage of galantamine shown to be effective in a controlled clinical trial is 16 to 24 mg/day.
What are the common side effects of galantamine?
The most commonly reported side effects of galantamine include Nausea, Vomiting, Diarrhea, Dizziness, Headache. Based on 2,823 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does galantamine interact with other medications?
Yes, galantamine has 2 known drug interactions. Notable interactions include bethanechol, itraconazole. Always inform your doctor about all medications you are taking.
What drug class is galantamine?
galantamine belongs to the Acetylcholinesterase Inhibitor drug class. It requires a prescription (Rx). This medicine treats mild to moderate Alzheimer's disease.
Is galantamine safe during pregnancy?
It is not known if galantamine is safe to take during pregnancy. Animal studies suggest a risk to the fetus. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for galantamine

The FDA label for galantamine (sold under brand names such as Razadyne) classifies it as a prescription-only medication in the Acetylcholinesterase Inhibitor class. This medicine treats mild to moderate Alzheimer's disease. Official labeling lists 6 commonly reported side effects, including Nausea, Vomiting, Diarrhea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 2,823 voluntary reports. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.85.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: September 12, 2025

All federal data sources used on this page