section name header

Pronunciation

doe-NEP-i-zill

Indications

REMS

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed after oral administration.

Distribution: Unknown.

Protein Binding: 96%.

Metabolism/Excretion: Partially metabolized by the liver (CYP2D6 and CYP3A4 enyzmes) and partially excreted by kidneys (17% unchanged). Two metabolites are pharmacologically active. The CYP2D6 enzyme system exhibits genetic polymorphism (7% of population may be poor metabolizers and may have significantly donepezil concentrations and an risk of adverse effects).

Half-life: 70 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: atrial fibrillation, hypertension, hypotension, vasodilation.

Derm: ecchymoses.

GI: diarrhea, nausea, anorexia, vomiting, weight gain (unusual).

GU: frequent urination.

Metab: hot flashes, weight loss.

MS: arthritis, muscle cramps.

Neuro: headache, abnormal dreams, depression, dizziness, drowsiness, fatigue, insomnia, syncope, sedation (unusual).

Interactions

Drug-Drug:

Drug-Natural Products:

Route/Dosage

Mild to Moderate Alzheimer's Disease

Severe Alzheimer's Disease

Implementation

US Brand Names

Aricept, Aricept ODT

Classifications

Therapeutic Classification: anti-Alzheimers's agents

Pharmacologic Classification: cholinergics (cholinesterase inhibitors)

Availability

(Generic available)

Time/Action Profile

(improvement in symptoms)

ROUTEONSETPEAKDURATION
POunknownseveral wk6 wk

†Return to baseline after discontinuation.

Assessment

Pot. Nursing Diagnoses

Patient/Family Teaching

Evaluation/Desired Outcomes

Pill Image

donepezil_319_128.jpg

Code

NDC Code*