Side Effects:

Common Dizziness, Headache, Confusion, Constipation.

Expert advice for Nemdaa Tablet
Nemdaa slows down the progression of the disease; it doesn't stop or reverse it. Inform your doctor if you have ever been diagnosed with any heart problems (high blood pressure, heart attack, heart failure, slow or irregular heart rate). Inform your doctor if you have ever been diagnosed with any epileptic seizures. Nemdaa may raise the chances of seizure if you had in the past. Inform your doctor if you are pregnant or planning to conceive or breastfeeding. Inform your doctor if you have ever been diagnosed with kidney or liver problems.

Frequently Asked Questions

Q. Is Nemdaa a psychotropic drug?
A psychotropic drug is a medicine affecting the mind, emotions, and behaviour. Nemdaa has a beneficial effect on the behavioural symptoms of patients with moderate to severe Alzheimer's Disease. Therefore it is considered as a psychotropic agent.

Q. Is Nemdaa a narcotic?
No. Nemdaa is not a narcotic. It does not have habit forming potential.

Q. Is Nemdaa a mood stabiliser?
No. Mood stabilisers are used to treat mania and bipolar disorder. Nemdaa is not approved for these conditions yet, although studies are going on for the role of Nemdaa in these diseases also.

Q. Is Nemdaa a nootropic.
No. Nemdaa does not fit in the generally accepted "Nootropic" descriptor for healthy people. Nootropics are drugs which increase cognition/ motivation/ creativity in healthy individuals. Nemdaa, on the other hand, improves cognition in patients with Alzheimer's Disease.

Q. Is Nemdaa a cholinesterase inhibitor?
No. Nemdaa does not function by inhibiting the cholinesterase enzyme found in the endings of nerve cells. Rather, it acts by preventing the toxicity of an excitatory substance called glutamate in the brain.

Q. Is Nemdaa a NMDA receptor antagonist?
Yes. Nemdaa acts as an antagonist at the NMDA receptor. This is the receptor in the brain through which glutamate, an excitatory substance, damages the nerve cells in the brain, which is found in Alzheimer's disease.

Q. What is Cmax of Nemdaa?
Cmax (Peak plasm concentration) of Nemdaa is 35-40 ng/ml.

Q. Can I take Nemdaa with vitamin D?
It has been reported in some studies that a combination of Nemdaa and Vitamin D improves cognition in Alzheimer's Disease. However, more studies are required to confirm this finding.

Q. Can I take Nemdaa with vitamin E?
Some studies have reported that among patients with mild to moderate Alzheimer's disease, taking alpha-tocopherol (Vitamin E) with Nemdaa slows the progressive functional decline. However, more studies are required to confirm this finding.

Q. When to start Nemdaa?
Nemdaa is started when a person starts suffering from moderate to severe Alzheimer's Disease and has failed other options. Despite years of research for mild Alzheimer's Disease, Nemdaa has not been found to be useful in it.

Q. Why is Nemdaa prescribed?
Nemdaa is prescribed to improve the cognitive (memory) function in patients with Alzheimer's Disease when other treatment options like cholinesterase enzyme inhibitors have failed.

Q. What is the interaction of Nemdaa with metformin?
The interaction between Nemdaa and Metformin is minor. Nemdaa oral increases the level or effect of metformin by nonacidic drugs competing for the same pathway through the kidney.

Q. What is the interaction of Nemdaa with warfarin?
No known interaction between Nemdaa and Warfarin has been found.

Q. Can Nemdaa used in dementia with Lewy bodies?
The role of Nemdaa in Lewy Body Dementia (LBD) is controversial. Some studies suggest that it is safe and efficacious in this disease whereas others have shown exacerbation of LBD due to Nemdaa. Nemdaa is not approved for use in Lewy Body Dementia.

Q. Can Nemdaa combined with donepezil?
A combination of Nemdaa and Donepezil can be given in moderate to severe Alzheimer's Disease. It has been shown that the combination may have additive effects i.e. effects of both drugs are added when given together in some studies.

Q. Can Nemdaa be used with rivastigmine?
Nemdaa in combination with rivastigmine is safe and beneficial in patients with Alzheimer's Disease. Patients have improvement or stabilisation on dual therapy.

Q. Can Nemdaa be used for chronic pain?
Nemdaa is not indicated for use in chronic pain. It has been proposed as a medication for the treatment of neuropathic pain for its mechanism, safety, lack of serious adverse effects, and the relatively rapid onset of action. However, studies have not been promising so far and its routine use in neuropathic pain is not currently recommended.

Q. Can Nemdaa be used for opiate withdrawal?
Nemdaa is not indicated for use in Opioid withdrawal. In a number of small studies, it has been seen that Nemdaa decreased the expression of opioid physical dependence in humans but there is a need for more studies in this field.

Q. Can Nemdaa be used for autism?
Nemdaa has failed to demonstrate clinical efficacy in autism. Studies are currently in progress for other clinical applications.

Q. Can Nemdaa use for dementia?
Nemdaa has failed to demonstrate clinical efficacy in vascular dementia although it was well-tolerated.