Donep 23 mg Tablet SR

Donep 23 mg Tablet SR is a prescription medicine that contains 23 mg of donepezil in each tablet. It belongs to the cholinesterase inhibitor class and is used to help treat symptoms of moderate to severe Alzheimer’s disease. Donep 23 mg Tablet SR does not cure Alzheimer’s disease, but it may help support memory, thinking, and daily function in some people. This product is the 23 mg tablet strength from Alkem Laboratories, India, supplied as a strip/box of 10 tablets.

How it works: Donepezil works by helping preserve a chemical messenger called acetylcholine in the brain, which plays a role in memory and learning. As a tablet, Donep 23 mg Tablet SR is swallowed so the medicine can be absorbed and work throughout the body and brain.

Donep 23 mg Tablet SR is a higher-strength donepezil tablet meant for people a doctor has already assessed and who need this specific dose, not for starting treatment in most patients. Compared with lower-strength donepezil tablets, the 23 mg tablet may be chosen when a doctor wants a stronger maintenance dose after the lower dose has been tolerated. It may also be more likely to cause stomach-related side effects than lower strengths, so the dose needs careful medical supervision.

• Moderate to severe Alzheimer’s disease
• Help with memory and thinking problems
• Support for daily functioning in Alzheimer’s disease
• Maintenance treatment when a doctor prescribes the 23 mg strength

• Swallow Donep 23 mg Tablet SR whole with water; do not crush, split, or chew it unless your doctor specifically tells you to.
• Take it exactly as prescribed, usually once daily if your doctor chooses this strength.
• It may be taken with or without food, but taking it after a meal may help reduce stomach upset.
• Try to take it at the same time each day to help you remember doses.
• If you miss a dose, follow your prescriber’s instructions; do not take two tablets at once.
• Because this is a higher-strength tablet, do not change to or from Donep 23 mg Tablet SR without medical advice.

Each Donep 23 mg Tablet SR provides 23 mg of donepezil in one tablet. This strength is typically taken once daily, and the maximum usual amount is 23 mg per day unless the prescriber gives different instructions. The doctor decides whether this higher-strength tablet is appropriate, based on the person’s condition and how they tolerated lower donepezil doses.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Donepezil may include:

• Nausea, which may be more noticeable with the 23 mg strength
• Vomiting
• Diarrhea
• Loss of appetite
• Weight loss
• Dizziness
• Trouble sleeping or vivid dreams

• Donep 23 mg Tablet SR is a higher-strength donepezil tablet and should only be used if a doctor has decided this dose is appropriate.
• Tell your doctor if you have heart rhythm problems, a history of fainting, or slow pulse, because donepezil can affect the heart.
• Use caution if you have stomach ulcers, GI bleeding, asthma, COPD, seizures, or urinary problems.
• Alcohol can worsen dizziness, sleepiness, or confusion, so ask your clinician whether it is safe for you.
• Be careful when driving or using machinery until you know how Donep 23 mg Tablet SR affects you.
• Tell your prescriber about all medicines you take, especially other drugs that can slow the heart rate or increase dizziness.
• Do not stop or change the dose on your own, since symptoms may worsen or side effects may change.

• Other medicines that slow the heart rate, such as beta blockers
• Anticholinergic medicines, which may reduce donepezil’s effect
• NSAIDs like ibuprofen or naproxen, which may raise stomach bleeding risk
• Certain antidepressants or antipsychotics that can affect heart rhythm
• Alcohol, which may increase dizziness or confusion

Store Donep 23 mg Tablet SR in the original strip or box at room temperature, away from moisture, heat, and direct light, and keep it out of reach of children.