NZ Formulary

Donepezil

doe-nep-eh-zil

What does it do?

Donepezil is used to treat symptoms of Alzheimer’s disease and dementia, such as confusion or memory loss.

Before you start

  • Tell your doctor if you have heart or bladder problems, or if you have ever had a stomach ulcer.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
  • Your doctor may do a heart test (ECG) before you start and while you are taking donepezil.

How should you take it?

Take donepezil regularly as directed with a glass of water. You can take it with or without food.

What if you forget a dose?

If it is nearly time for your next dose, skip the missed dose and take your next dose at the usual time. Otherwise, take the missed dose as soon as you remember. Do not take two doses at the same time.

Can you take other medicines?

Some medicines available without a prescription may react with donepezil including:

  • some antihistamines or anti-nausea medicines such as promethazine, chlorphenamine, hyoscine patches, or meclozine. These can also be in medicines for allergies and colds.

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products (e.g. St John's wort) or recreational drugs.

Important information continues on next page.

What side effects might you notice?

Side EffectsRecommended action

Coughing or vomiting of blood, vomit that looks like coffee grounds, red or black bowel motions

Symptoms of a slow or irregular heartbeat including: feeling your heart skips a beat, dizziness or fainting

Tell your doctor immediately

Nausea, vomiting, diarrhoea, indigestion, loss of appetite, weight loss

Dizziness, tremor

Low mood, strange dreams

Muscle cramps

Tell your doctor if troublesome

If you notice any other effects, discuss them with your doctor or pharmacist.

Other information:

  • Donepezil can impair your ability to do tasks such as driving or using machines. Alcohol makes this worse. Discuss your risk with your health professional. (search NZTA - Are you safe to drive?)