MEMANTINA 10 mg Film-Coated Tablets
How to use MEMANTINE ALTER 10 mg FILM-COATED TABLETS
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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.
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Introduction
Package Leaflet: Information for the User
Memantina Alter 10 mg Film-Coated Tablets EFG
Memantine Hydrochloride
Read the entire package leaflet carefully before starting to take this medication because it contains important information for you.
- Keep this package leaflet, as you may need to read it again.
- If you have any questions, consult your doctor or pharmacist.
- This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
- If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this package leaflet. See section 4.
Contents of the Package Leaflet:
- What Memantina Alter is and what it is used for.
- What you need to know before taking Memantina Alter.
- How to take Memantina Alter.
- Possible side effects.
- Storage of Memantina Alter.
- Contents of the pack and further information
1. What Memantina Alter is and what it is used for
Memantina Alter contains the active substance memantine hydrochloride. It belongs to a group of medications known as anti-dementia medications.
Memory loss in Alzheimer's disease is due to an alteration in brain signals. The brain contains so-called N-methyl-D-aspartate (NMDA) receptors that participate in the transmission of important nerve signals in learning and memory.
Memantine belongs to the group of medications called NMDA receptor antagonists. Memantine acts on these receptors, improving the transmission of nerve signals and memory.
Memantina Alter is used in the treatment of patients with moderate to severe Alzheimer's disease.
2. What you need to know before taking Memantina Alter
Do not take Memantina Alter
- if you are allergic to memantine or any of the other components of this medication (listed in section 6).
Warnings and Precautions
Consult your doctor or pharmacist before starting to take Memantina Alter:
- if you have a history of epileptic seizures
- if you have recently suffered a myocardial infarction (heart attack), if you suffer from congestive heart failure, or if you have uncontrolled hypertension (high blood pressure).
In these situations, treatment should be carefully supervised, and your doctor should regularly reassess the clinical benefit of memantine.
If you have kidney problems, your doctor should closely monitor your kidney function and, if necessary, adjust the dose of memantine.
If you have renal tubular acidosis (RTA, excess of acid-producing substances in the blood due to kidney dysfunction) or severe urinary tract infections, your doctor may need to adjust the dose of the medication.
The use of memantine with other medications such as amantadine (for the treatment of Parkinson's disease), ketamine (a medication generally used as an anesthetic), dextromethorphan (a medication for the treatment of cough), and other NMDA antagonists should be avoided.
Children and Adolescents
The use of Memantina Alter is not recommended in children and adolescents under 18 years of age.
Taking Memantina Alter with other medications
Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.
In particular, the administration of Memantina Alter may produce changes in the effects of the following medications, so your doctor may need to adjust the doses:
- amantadine, ketamine, dextromethorphan,
- dantrolene, baclofen,
- cimetidine, ranitidine, procainamide, quinidine, quinine, nicotine,
- hydrochlorothiazide (or any combination with hydrochlorothiazide),
- anticholinergics (substances generally used to treat movement disorders or intestinal spasms),
- anticonvulsants (substances used to prevent and eliminate convulsions),
- barbiturates (substances generally used to induce sleep),
- dopaminergic agonists (substances such as L-dopa, bromocriptine),
- neuroleptics (substances used in the treatment of mental illnesses),
- oral anticoagulants.
If you are hospitalized, inform your doctor that you are taking Memantina Alter.
Taking Memantina Alter with food and drinks
You should inform your doctor if you have recently changed or plan to change your diet substantially (e.g., from a normal diet to a strict vegetarian diet), as your doctor may need to adjust the dose of the medication.
Pregnancy and Breastfeeding
If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.
Pregnancy:The use of memantine is not recommended in pregnant women.
Breastfeeding:Women taking memantine should not breastfeed.
Driving and Using Machines
Your doctor will inform you if your condition allows you to drive and use machines safely. Additionally, memantine may alter your reaction ability, so driving or operating machines may be inappropriate.
Memantina Alter contains sodium
This medication contains less than 1 mmol of sodium (23 mg) per tablet; i.e., it is essentially "sodium-free".
3. How to take Memantina Alter
Follow the administration instructions of this medication exactly as indicated by your doctor. If in doubt, consult your doctor or pharmacist again.
The recommended dose of memantine in adult patients and elderly patients is 20 mg administered once daily. To reduce the risk of side effects, this dose is gradually achieved following the daily scheme:
Week 1 | half a 10 mg tablet |
Week 2 | one 10 mg tablet |
Week 3 | one and a half 10 mg tablets |
Week 4 and onwards | two 10 mg tablets once daily |
The normal starting dose is half a tablet once daily (1 x 5 mg) the first week. It is increased to one tablet daily (1 x 10 mg) the second week and to one and a half tablets once daily in the third week. From the fourth week onwards, the normal dose is two tablets administered once daily (1 x 20 mg).
Dosage for patients with renal impairment
If you have kidney problems, your doctor will decide on the appropriate dose for your condition. In this case, your doctor should periodically monitor your kidney function.
Administration
Memantina Alter should be administered orally once daily. To get the most out of your medication, you should take it every day and at the same time. The tablets should be swallowed with a little water. The tablets can be taken with or without food.
Duration of treatment
Continue taking Memantina Alter as long as it is beneficial for you. Your doctor should periodically evaluate the effects of your treatment.
If you take more Memantina Alter than you should
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
- Generally, taking an excessive amount of memantine should not cause you any harm. You may experience an increase in the symptoms described in section 4 "Possible side effects".
- If you take an overdose of memantine, contact your doctor or seek medical advice, as you may need medical attention.
If you forget to take Memantina Alter
- If you realize you have forgotten to take your dose of Memantina Alter, wait and take the next dose at the usual time.
- Do not take a double dose to make up for the forgotten dose.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
4. Possible side effects
Like all medications, this medication can cause side effects, although not everyone gets them.
Generally, side effects are classified as mild to moderate.
Frequent (affecting 1 to 10 in every 100 patients):
- Headache, drowsiness, constipation, elevated liver function tests, dizziness, balance disorder, difficult breathing, high blood pressure, and hypersensitivity to the medication.
Uncommon (affecting 1 to 10 in every 1,000 patients):
- Fatigue, fungal infections, confusion, hallucinations, vomiting, gait disturbance, heart failure, and venous thrombosis/thromboembolism.
Rare (affecting less than 1 in every 10,000 patients):
- Seizures.
Frequency not known (frequency cannot be estimated from the available data):
- Pancreatitis, hepatitis, and psychotic reactions.
Alzheimer's disease has been associated with depression, suicidal ideation, and suicide. These events have been reported in patients treated with memantine.
Reporting of side effects
If you experience any side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medication.
If you consider any of the side effects you are experiencing to be serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.
5. Storage of Memantina Alter
Keep this medication out of the sight and reach of children.
This medication does not require special storage conditions.
Do not use this medication after the expiration date stated on the packaging after "EXP". The expiration date is the last day of the month indicated.
Medications should not be disposed of via wastewater or household waste. Place the packaging and any unused medication in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.
6. Contents of the pack and further information
Composition of Memantina Alter
The active substance is memantine hydrochloride. Each film-coated tablet contains 10 mg of memantine hydrochloride, equivalent to 8.31 mg of memantine.
The other components are Microcrystalline cellulose, Povidone K-25, Sodium croscarmellose, Magnesium stearate, Hydroxypropylcellulose, and Talc.
Appearance of the product and pack contents
Memantina Alter 10 mg are film-coated tablets, white in color, oblong in shape, biconvex, and with a break line.
The tablet can be divided into two equal halves.
Blister pack formed by PVC+PCTFE+PVC and Aluminum. The blister packs contain 56 and 112 tablets.
Other presentations:
Memantina Alter 20 mg film-coated tablets EFG
Marketing Authorization Holder and Manufacturer
Marketing Authorization Holder
Laboratorios Alter S.A.
Mateo Inurria, 30
28036 Madrid
Manufacturer
Laboratorio Alter, S.A.
C/ Mateo Inurria 30
28036 Madrid
Spain
The last revision of this package leaflet:December2023
Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/
- Country of registration
- Dosage formTABLET, 10 mg
- ATC codeN06DX01
- Active substance
- Prescription requiredYes
- Manufacturer
- CompositionCROSCARMELOSA SODICA (11,00 mg mg)
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to MEMANTINE ALTER 10 mg FILM-COATED TABLETSDosage form: TABLET, 10 mgActive substance: memantineManufacturer: Merz Pharmaceuticals GmbhPrescription requiredDosage form: TABLET, 10 mgActive substance: memantineManufacturer: Merz Pharmaceuticals GmbhPrescription requiredDosage form: TABLET, 20 mgActive substance: memantineManufacturer: Merz Pharmaceuticals GmbhPrescription required
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Frequently Asked Questions
Is a prescription required for MEMANTINE ALTER 10 mg FILM-COATED TABLETS?
MEMANTINE ALTER 10 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in MEMANTINE ALTER 10 mg FILM-COATED TABLETS?
The active ingredient in MEMANTINE ALTER 10 mg FILM-COATED TABLETS is memantine. This information helps identify medicines with the same composition but different brand names.
Who manufactures MEMANTINE ALTER 10 mg FILM-COATED TABLETS?
MEMANTINE ALTER 10 mg FILM-COATED TABLETS is manufactured by Laboratorios Alter S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of MEMANTINE ALTER 10 mg FILM-COATED TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether MEMANTINE ALTER 10 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
How to buy MEMANTINE ALTER 10 mg FILM-COATED TABLETS in Spain?
Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.
You can buy MEMANTINE ALTER 10 mg FILM-COATED TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.
To obtain a prescription, you can use Oladoctor:
What are the alternatives to MEMANTINE ALTER 10 mg FILM-COATED TABLETS?
Other medicines with the same active substance (memantine) include AXURA 10 mg FILM-COATED TABLETS, AXURA 10 mg FILM-COATED TABLETS, AXURA 20 mg FILM-COATED TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
