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Molecule

Galantamine

Also known as galantamine hydrobromide
Available on requestPsychiatry
Presentations
7
Brands
0
Manufacturers
0
Available from stock
0

Galantamine is a cholinesterase inhibitor indicated for the treatment of mild to moderate dementia of the Alzheimer’s type. It is available as tablets, extended-release capsules and oral solution. MedsAcross supplies Galantamine 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
N06DA04 Galantamine · Antidementia agent, subgroup N06DA
US FDA first approval
28 February 2001
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, Extended-release capsule, Oral solution
Identifiers
UNII MJ4PTD2VVWRxCUI 4637CAS 357-70-0DrugBank DB00674Q412690

Clinical information

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

Uses

Galantamine tablets are indicated for the treatment of mild to moderate dementia of the Alzheimer’s type. Galantamine Tables are a cholinesterase inhibitor indicated for the treatment of mild to moderate dementia of the Alzheimer’s type

Source: US FDA prescribing information

How it works

Although the etiology of cognitive impairment in Alzheimer's disease (AD) is not fully understood, it has been reported that acetylcholine-producing neurons degenerate in the brains of patients with Alzheimer's disease. The degree of this cholinergic loss has been correlated with degree of cognitive impairment and density of amyloid plaques (a neuropathological hallmark of Alzheimer's disease). Galantamine, a tertiary alkaloid, is a competitive and reversible inhibitor of acetylcholinesterase. While the precise mechanism of galantamine's action is unknown, it 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 cholinesterase.

Source: US FDA prescribing information

Dosing overview

Galantamine tablets: Recommended starting dosage is 4 mg twice daily, increase to initial maintenance dosage of 8 mg twice daily after a minimum of 4 weeks. Based on clinical benefit and tolerability, dosage may be increased to 12 mg twice daily after a minimum of 4 weeks at 8 mg twice daily. Take with meals, ensure adequate fluid intake during treatment. Hepatic impairment: should not exceed 16 mg/day for moderate hepatic impairment, do not use in patients with severe hepatic impairment. Renal impairment: should not exceed 16 mg/day for creatinine clearance 9 to 59 mL/min, do not use in patients with creatinine clearance less than 9 mL/min

Source: US FDA prescribing information

Contraindications

Galantamine tablets are contraindicated in patients with known hypersensitivity to galantamine hydrobromide or to any excipients used in the formulation. Known hypersensitivity to galantamine hydrobromide or any excipients

Source: US FDA prescribing information

Warnings and precautions

Serious skin reactions: discontinue at first appearance of skin rash. All patients should be considered at risk for adverse effects on cardiac conduction, including bradycardia and AV block, due to vagotonic effects on sinoatrial and atrioventricular nodes. Active or occult gastrointestinal bleeding: monitor, especially those with an increased risk for developing ulcers. Cholinomimetics may cause bladder outflow obstruction. Monitor for respiratory adverse events in patients with a history of severe asthma or obstructive pulmonary disease

Source: US FDA prescribing information

Side effects

Serious adverse reactions are discussed in more detail in the following sections of the labeling: Serious skin reactions Cardiovascular Conditions Gastrointestinal Conditions Genitourinary Conditions Neurological Conditions Pulmonary Conditions Deaths in subjects with mild cognitive impairment (MCI) The most common adverse reactions (≥ 5%) were nausea, vomiting, diarrhea, dizziness, headache, decreased appetite, and weight decreased

Source: US FDA prescribing information

Interactions

Potential to interfere with the activity of anticholinergic medications. Synergistic effect expected when given concurrently with succinylcholine, other cholinesterase inhibitors, similar neuromuscular blocking agents, or cholinergic agonists

Source: US FDA prescribing information

Storage

Galantamine Tablets USP should be stored at 25°C (77°F), excursions permitted between 15°C to 30°C (59°F to 86°F).

Source: US FDA prescribing information

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

All presentations

7 presentations of Galantamine, sorted by availability.

MedicineManufacturerRegisterAvailability
Galantamine 4 mg tabletOralGeneric name—US FDAAvailable on request
Galantamine 16 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Galantamine 24 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Galantamine 8 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Galantamine 8 mg tabletOralGeneric name—US FDAAvailable on request
Galantamine 12 mg tabletOralGeneric name—US FDAAvailable on request
Galantamine 4 mg/mL oral solutionOralGeneric name—US FDAAvailable on request

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 28 February 2001Drugs@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 Galantamine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Galantamine available for export from India?

Yes, on request. MedsAcross lists 7 presentations of Galantamine and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Galantamine approved by the US FDA?

Yes. The US FDA first approved Galantamine on 28 February 2001, according to Drugs@FDA.

Does Galantamine need cold chain shipping?

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

Which ATC class is Galantamine in?

Galantamine is classified under ATC code N06DA04 (Galantamine).

References

  1. Galantamine prescribing information (Slate Run Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 1 June 2026

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