Namenda

— THERAPEUTIC CATEGORIES —
  • Alzheimer's dementia

Namenda Generic Name & Formulations

General Description

Memantine HCl 5mg, 10mg; tabs.

Pharmacological Class

NMDA receptor antagonist.

How Supplied

Tabs—60; Titration Pak (28 x 5mg + 21 x 10mg)—1; Oral soln—contact supplier; XR caps 7mg, 21mg—30; 14mg, 28mg—30, 90; XR Titration Pak (7 x 7mg + 7 x 14mg + 7 x 21mg + 7 x 28mg)—1

Manufacturer

Generic Availability

YES

Namenda Indications

Indications

Moderate-to-severe dementia of the Alzheimer's type.

Namenda Dosage and Administration

Adult

Initially 5mg once daily; titrate at intervals of at least 1 week to 5mg twice daily, then to 5mg and 10mg as separate doses, then to 10mg twice daily (prescribe Titration Pak for 1st 4 weeks). Severe renal impairment (CrCl 5–29mL/min): titrate to max 5mg twice daily.

Children

Not established.

Namenda Contraindications

Not Applicable

Namenda Boxed Warnings

Not Applicable

Namenda Warnings/Precautions

Warnings/Precautions

Severe hepatic impairment. Alkalinized urine (eg, renal tubular acidosis, severe UTI) increases memantine serum levels. Seizure disorder. Pregnancy. Nursing mothers.

Namenda Pharmacokinetics

Metabolism

Hepatic (partial).

Elimination

Renal. Half-life: ~60–80 hours.

Namenda Interactions

Interactions

Caution with other NMDA antagonists (eg, amantadine, ketamine, dextromethorphan). May affect or be affected by renally-excreted drugs (eg, triamterene, HCTZ, metformin, cimetidine, nicotine, ranitidine, quinidine). Plasma levels may be increased by urinary alkalinizers.

Namenda Adverse Reactions

Adverse Reactions

Headache, dizziness, confusion, diarrhea, constipation, hypertension, pain, somnolence, hallucination, urinary disorders, dyspnea.

Namenda Clinical Trials

See Literature

Namenda Note

Not Applicable

Namenda Patient Counseling

See Literature