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Adlarity
Adlarity is a brand name for the transdermal patch form of Donepezil HCl, a medication primarily used to treat mild to moderate Alzheimer's disease. Donepezil is an acetylcholinesterase inhibitor that works by increasing levels of acetylcholine in the brain, a neurotransmitter involved in memory and cognition. By inhibiting the enzyme that breaks down acetylcholine, Adlarity helps improve cognitive function and slows the progression of symptoms in Alzheimer's patients.
Adlarity is available by prescription and comes in the form of a transdermal patch, which is applied to the skin and worn for a week. It is not classified as a controlled substance, meaning it does not have a high potential for abuse or dependence. However, like all prescription medications, it should be used under the guidance of a healthcare provider, especially for patients with Alzheimer's disease who may require additional supervision.
Adlarity belongs to the formal drug class of acetylcholinesterase inhibitors. Informally, it may also be referred to as a cognitive enhancer or Alzheimer's medication. These classifications are related to its function in enhancing memory and cognitive function by increasing acetylcholine levels in the brain.
Drug Class: Calcineurin Inhibitor
Therapeutic Class: Monoclonal Antibodies (Cancer, Immune Disorders)
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Frequently Asked Questions
How long does it take for Adlarity to start working?


The effects of Adlarity may take several weeks to become noticeable. It is important to continue using the medication as prescribed and to have regular follow-ups with your healthcare provider.
Can I shower or swim while wearing the Adlarity patch?


Yes, the Adlarity patch is designed to stay on during normal activities, including showering and swimming. However, avoid soaking in hot tubs or exposing the patch to excessive heat.
What should I do if the patch falls off?


If the Adlarity patch falls off, apply a new patch as soon as possible and continue with your regular dosing schedule. Do not apply two patches at once to make up for the missed dose.
Can Adlarity be used in combination with other Alzheimer's medications?


In some cases, Adlarity may be used in combination with other Alzheimer's medications, such as Memantine HCl (Namenda). Your healthcare provider will determine the best treatment plan based on your needs.
Are there any dietary restrictions while using Adlarity?


here are no specific dietary restrictions while using Adlarity, but maintaining a healthy diet can help manage side effects such as nausea and loss of appetite.
Comprehensive Drug Guide
How Does Adlarity Work?
Adlarity works by inhibiting the enzyme acetylcholinesterase, which breaks down acetylcholine, a neurotransmitter that plays a key role in memory and learning. By preventing the breakdown of acetylcholine, Adlarity helps increase its availability in the brain, which can improve cognitive function in individuals with Alzheimer's disease. Although Adlarity does not cure Alzheimer's, it can help manage symptoms and slow the progression of the disease.
What is Adlarity Used For?
Common Dosages
Adlarity is typically available as a transdermal patch that delivers donepezil over the course of a week. The patch is available in different strengths, including 5 mg/24 hours and 10 mg/24 hours. The appropriate dosage will depend on the patient's condition and the healthcare provider's recommendation.
The typical dosing for Adlarity involves applying one patch to the skin once a week. The patch should be placed on clean, dry, and hairless skin, typically on the back, upper arm, or chest. It is important to rotate the application site with each new patch to avoid skin irritation. Patients should follow their healthcare provider's instructions closely and avoid missing doses.
Typical Dosing
FDA Approved Indications
Adlarity is FDA-approved for the treatment of mild to moderate Alzheimer's disease. It is used to improve cognitive function, memory, and the ability to perform daily activities.
Off-Label Uses
Off-label uses of donepezil (the active ingredient in Adlarity) may include the treatment of other cognitive disorders, though these uses should be discussed with a healthcare provider.
Who Shouldn't Take Adlarity?
- Individuals are allergic to donepezil or any of the ingredients used in its formulation.
- Those having a history of stomach ulcers are at risk as donepezil may exacerbate this condition.
- People with heart rhythm disorders like "sick sinus syndrome" (SSS) or certain types of blockades should also veer off from this drug unless specifically advised by a doctor.
- Patients with lung diseases like asthma or COPD should take it with caution.
- Individuals with seizure disorders, difficulty urinating due to an enlarged prostate, or those with liver or kidney disease should use this drug judiciously.
Advice From The Pharmacist
When using Adlarity, it is important to apply the patch as directed and to rotate the application site to prevent skin irritation. Avoid exposing the patch to heat sources, such as heating pads or direct sunlight, as this can increase the absorption of the medication. If the patch falls off or if you miss a dose, apply a new patch as soon as possible and continue with your regular schedule. Be sure to inform your healthcare provider of any other medications or supplements you are taking, as donepezil can interact with certain drugs. Regular follow-up appointments are important to monitor the effectiveness of the treatment and to manage any side effects.
Side Effects of Adlarity
Common Side Effects
Common side effects of Adlarity may include:
- Nausea
- Diarrhea
- Insomnia
- Muscle cramps
- Fatigue
- Loss of appetite
Uncommon/Severe Side Effects
Serious side effects, though rare, may include:
- Bradycardia (slow heart rate)
- Fainting
- Gastrointestinal bleeding
- Seizures
If any serious side effects occur, seek medical attention immediately.
Risks and Warnings of Adlarity
The major risks associated with Adlarity include the potential for heart-related issues, such as bradycardia and fainting. Patients with a history of heart disease or arrhythmias should use this medication with caution. Additionally, gastrointestinal side effects, such as bleeding or ulcers, may occur, particularly in patients with a history of stomach issues. It is important to regularly monitor the patient's condition and report any concerning symptoms to a healthcare provider.
Interactions with Adlarity
Common Drug Interactions
Adlarity can interact with several medications, including:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of gastrointestinal bleeding
- Anticholinergic drugs, which can reduce the effectiveness of donepezil
- Certain antidepressants and antipsychotics
- Medications that affect heart rhythm
It is essential to inform your healthcare provider of all medications, including over-the-counter drugs and supplements, to avoid potential interactions.
Common Food Interactions
Alternatives to Adlarity
Alternative treatments for Alzheimer's disease include other acetylcholinesterase inhibitors such as Rivastigmine (Exelon) and galantamine (Razadyne). Additionally, Memantine HCl (Namenda), an NMDA receptor antagonist, is another option for managing symptoms of moderate to severe Alzheimer's disease. Non-drug therapies, such as cognitive rehabilitation and lifestyle interventions, may also be considered as part of a comprehensive treatment plan.