Galamer 4 Tablet is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness that gradually affects memory and thinking. It does not cure this illness but may help improve memory, awareness, and other symptoms. Your doctor will explain how to take Galamer 4 Tablet. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You may take it with food, preferably at night before going to bed. It can take up to a few weeks for symptoms to improve so keep taking your medicine regularly. You should not stop taking this medicine without consulting your doctor. The most common side effects of this medicine are nausea and vomiting. It may also cause diarrhea, decreased appetite, hallucination, depression, fainting, dizziness, headache, sleepiness, fatigue, indigestion, and abdominal pain. Some people may experience dizziness, increase in blood pressure, or slow heart rate. You may have side effects more often when you start your treatment or when your dose is increased. Usually, the side effects will slowly go away as your body gets used to the Galamer 4 Tablet. If they are severe or will not go away, you should contact your doctor. Before using Galamer 4 Tablet, you should tell your doctor if you have ever had heart problems, stomach ulcers, epilepsy, or asthma. It may also affect, or be affected by, some other drugs you are using so let your doctor know what these are to be safe. During pregnancy, this medicine should only be taken if it is advised.

• Vomiting
• Diarrhea
• Headache
• Dizziness
• Decreased appetite
• Depression
• Indigestion
• Lethargy
• Fainting
• Abdominal pain
• Hallucination
• Slow heart rate
• High blood pressure
• Sleepiness

If you miss a dose of Galamer 4 Tablet, skip it and continue with your normal schedule. Do not double the dose.

• Q. Q. Is Galamer 4 Tablet an antipsychotic??
  Ans: No, it is not an antipsychotic. Galamer 4 Tablet is a cholinesterase inhibitor used for the treatment of mild to moderate Alzheimer’s dementia.
• Q. Q. What are the symptoms of overdose of Galamer 4 Tablet??
  Ans: An overdose of Galamer 4 Tablet can lead to muscle weakness, muscle twitching, severe nausea, vomiting, abdominal pain, decrease in blood pressure, collapse, and convulsions (sudden irregular movement of body). It may also cause watery eyes, slow heartbeat and excessive production of saliva, urine, stools, and sweat.
• Q. Q. Why more fluids are necessary during Galamer 4 Tablet therapy??
  Ans: During Galamer 4 Tablet therapy various side effects like nausea, vomiting, diarrhea, anorexia, weight decrease can be observed. The impact of these adverse events can be reduced if Galamer 4 Tablet is taken with food and adequate fluid intake is ensured. Use of antiemetic agents can also be equally helpful.
• Q. Q. Does Galamer 4 Tablet affect weight of a patient??
  Ans: Yes, treatment with cholinesterase inhibitors, including Galamer 4 Tablet, has been associated with weight loss in patients with Alzheimer's disease. So during Galamer 4 Tablet therapy, weight should be monitored for such patients.
• Q. Q. Does Galamer 4 Tablet have any effect on heart??
  Ans: Yes, Galamer 4 Tablet do affect heart. Galamer 4 Tablet decreases heart rate, which can be seen as a common side effect of this medicine. Other uncommon side effects include AV block, palpitations, and superaventricular extrasystoles (a type of cardiac arrythmia).
• Q. Q. How Galamer 4 Tablet affect blood pressure??
  Ans: Use of Galamer 4 Tablet may result in an increase in blood pressure which is a common side effect of this medicine. On the contrary, uncommon side effect of Galamer 4 Tablet is decrease in blood pressure. So, for a hypertensive patient a regular monitoring of blood pressure is required.
• Q. Q. Can I continue with Galamer 4 Tablet if I have to undergo surgery??
  Ans: If you are going to have surgery, inform the surgeon or anaesthetist beforehand that you are taking this medicine. The doctor will advise you how to proceed further or may even stop Galamer 4 Tablet.
• Q. Q. Can I stop Galamer 4 Tablet on my own??
  Ans: No, do not stop taking Galamer 4 Tablet without consulting your doctor. Continue to take Galamer 4 Tablet even if you feel well. If you do stop taking Galamer 4 Tablet for a few days or longer, call your doctor before starting Galamer 4 Tablet again. Your doctor will probably advise you to start with the lowest dose of Galamer 4 Tablet and gradually increase your dose to the dose you had been taking.
• Q. Q. What is dementia??
  Ans: Dementia is a syndrome in which there is deterioration in memory, thinking, behaviour, and the ability to perform everyday activities. Alzheimer disease is the most common form of dementia and may contribute to 60–70% of cases. Dementia is one of the major causes of disability and dependency among older people worldwide.
• Q. Q. Can I take paroxetine with Galamer 4 Tablet??
  Ans: You should avoid taking Galamer 4 Tablet with paroxetine. Medicines like quinidine, paroxetine or fluoxetine, ketoconazole or ritonavir interfere with the working of Galamer 4 Tablet. This interaction may increase the levels of Galamer 4 Tablet in the body that may result in nausea and vomiting. Under these circumstances, a reduction of the Galamer 4 Tablet maintenance dose can be considered, based on tolerability of this medicine.

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