You should not use this medicine if you have had an allergic reaction to tacrine or if you are allergic to acridine medicines such as Monacrin® (used to treat skin infection or to clean wounds). You should not use this medicine if you developed yellowing of your skin or eyes while taking tacrine in the past.
Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to. Never decrease your dose or suddenly stop this medicine unless your doctor tells you to.
It is best to take this medicine on an empty stomach.Take tacrine at least one hour before meals. If it upsets your stomach, talk with your doctor, you may be able to take tacrine with food.
If a dose is missed:
This medicine should be given on a fixed schedule. If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Tell your doctor if you are taking theophylline (Slo-Bid®, Theo-Dur®), or if you are taking pain or arthritis medicine (sometimes called "NSAIDs") such as aspirin, ibuprofen (Advil®), or naproxen (Aleve®, Naprosyn®). Taking NSAID medicines while you are using tacrine may increase your risk of having stomach ulcers.
Make sure your doctor knows if you using dicyclomine (Bentyl®), scopolamine (Transderm Scop®), fluvoxamine (Luvox®), cimetidine (Tagamet®), or bethanechol (Urecholine®). Tell your doctor knows if you are using other medicine that is similar to tacrine.
There are other medicines that may interact with tacrine. Make sure your doctor knows about all other medicines you are using.
Make sure your doctor knows if you are pregnant or breast feeding, or if you have heart disease or problems with your heart rhythm. Tell your doctor if you have a history of stomach ulcers, liver disease, or asthma.
Make sure any doctor or dentist who treats you knows that you are using this medicine. Tacrine may interact with some anesthesia medicine used during certain surgeries or medical procedures.
Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
This medicine might reduce your ability to sweat. Your body could get too hot if you do not sweat enough. If your body gets too hot, you might feel dizzy, weak, tired, or confused. You might vomit or have an upset stomach. Do not get too hot while you are exercising. Avoid places that are very hot. Call your doctor if you are too hot and cannot cool down.
Do not suddenly stop taking this medicine, or take less medicine than your doctor ordered, without asking your doctor. Suddenly decreasing the amount of medicine you take may cause severe behavior changes, and make your Alzheimer's symptoms worse.