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Molecule

Donepezil

Also known as donepezil hydrochloride
Available on requestPsychiatry
Presentations
8
Brands
1
Manufacturers
1
Available from stock
0

Donepezil is a cholinesterase inhibitor indicated for the treatment of dementia of the Alzheimer’s type. It is available as tablets and orally disintegrating tablets. MedsAcross supplies Donepezil for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Cholinesterase Inhibitor, Cholinesterase Inhibitors
ATC classification
N06DA02 Donepezil · Antidementia agent, subgroup N06DA
US FDA first approval
25 November 1996
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Orally disintegrating tablet
Identifiers
UNII 8SSC91326PRxCUI 135447CAS 120014-06-4DrugBank DB00843Q415081

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

ARICEPT is indicated for the treatment of dementia of the Alzheimer’s type. Efficacy has been demonstrated in patients with mild, moderate, and severe Alzheimer’s disease. ARICEPT is an acetylcholinesterase inhibitor indicated for the treatment of dementia of the Alzheimer’s type.

Source: US FDA prescribing information

How it works

Current theories on the pathogenesis of the cognitive signs and symptoms of Alzheimer’s disease attribute some of them to a deficiency of cholinergic neurotransmission. Donepezil hydrochloride is postulated to exert its therapeutic effect by enhancing cholinergic function. This is accomplished by increasing the concentration of acetylcholine through reversible inhibition of its hydrolysis by acetylcholinesterase. There is no evidence that donepezil alters the course of the underlying dementing process.

Source: US FDA prescribing information

Dosing overview

Mild to Moderate Alzheimer’s Disease: 5 mg to 10 mg once daily. Moderate to Severe Alzheimer’s Disease: 10 mg to 23 mg once daily Dosing in Mild to Moderate Alzheimer’s Disease The recommended starting dosage of ARICEPT is 5 mg administered once per day in the evening, just prior to retiring. The maximum recommended dosage of ARICEPT in patients with mild to moderate Alzheimer’s disease is 10 mg per day. A dose of 10 mg should not be administered until patients have been on a daily dose of 5 mg for 4 to 6 weeks. Dosing in Moderate to Severe Alzheimer’s Disease The recommended starting dosage of ARICEPT is 5 mg administered once per day in the evening, just prior to retiring. The maximum recommended dosage of ARICEPT in patients with moderate to severe Alzheimer’s disease is 23 mg per day.

Source: US FDA prescribing information

Contraindications

ARICEPT is contraindicated in patients with known hypersensitivity to donepezil hydrochloride or to piperidine derivatives. Known hypersensitivity to donepezil hydrochloride or to piperidine derivatives

Source: US FDA prescribing information

Warnings and precautions

Cholinesterase inhibitors are likely to exaggerate succinylcholine-type muscle relaxation during anesthesia. Cholinesterase inhibitors may have vagotonic effects on the sinoatrial and atrioventricular nodes manifesting as bradycardia or heart block. ARICEPT can cause vomiting. Patients should be observed closely at initiation of treatment and after dose increases. Patients should be monitored closely for symptoms of active or occult gastrointestinal (GI) bleeding, especially those at increased risk for developing ulcers. The use of ARICEPT in a dose of 23 mg once daily is associated with weight loss. Cholinomimetics may cause bladder outflow obstructions. Cholinomimetics are believed to have some potential to cause generalized convulsions. Cholinesterase inhibitors should be prescribed with care to patients with a history of asthma or obstructive pulmonary disease

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described below and elsewhere in the labeling: Cardiovascular Conditions Nausea and Vomiting Peptic Ulcer Disease and GI Bleeding Weight Loss Genitourinary Conditions Neurological Conditions: Seizures Pulmonary Conditions Most common adverse reactions in clinical studies of ARICEPT are nausea, diarrhea, insomnia, vomiting, muscle cramps, fatigue, and anorexia

Source: US FDA prescribing information

Interactions

Cholinesterase inhibitors have the potential to interfere with the activity of anticholinergic medications. A synergistic effect may be expected with concomitant administration of succinylcholine, similar neuromuscular blocking agents, or cholinergic agonists

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

8 presentations of Donepezil, sorted by availability.

MedicineManufacturerRegisterAvailability
Donepezil 5 mg tabletOralGeneric name—US FDAAvailable on request
Donepezil 10 mg tabletOralGeneric name—US FDAAvailable on request
Donepezil 23 mg tabletOralGeneric name—US FDAAvailable on request
Donepezil 10 mg orally disintegrating tabletOralGeneric name—US FDAAvailable on request
Donepezil 5 mg orally disintegrating tabletOralGeneric name—US FDAAvailable on request
Aricept 10 mg tabletOralEisaiUS FDAAvailable on request
Aricept 23 mg tabletOralEisaiUS FDAAvailable on request
Aricept 5 mg tabletOralEisaiUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 25 November 1996Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Donepezil in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Donepezil available for export from India?

Yes, on request. MedsAcross lists 8 presentations of Donepezil and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Donepezil have?

The catalogue lists 1 brand names for Donepezil, including Aricept.

Is Donepezil approved by the US FDA?

Yes. The US FDA first approved Donepezil on 25 November 1996, according to Drugs@FDA.

Does Donepezil need cold chain shipping?

No listed presentation of Donepezil is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Donepezil in?

Donepezil is classified under ATC code N06DA02 (Donepezil).

References

  1. Aricept prescribing information (Eisai). U.S. National Library of Medicine, DailyMed. Retrieved 30 December 2021

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