Drug General Information (ID: DDI6LXBA3N)
  Drug Name Moricizine Drug Info Rivastigmine Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiarrhythmic Agents Cholinesterase Inhibitors
  Structure

 Mechanism of Moricizine-Rivastigmine Interaction (Severity Level: Moderate)
     Increased risk of bradycardia Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Moricizine Rivastigmine
      Mechanism Bradycardia Bradycardia
      Key Mechanism Factor 1
Factor Name Bradycardia
Factor Description Bradycardia is a slow heart rate in which the heart beats less than 60 times per minute. If the heart rate is very slow and the heart is not pumping enough oxygen-rich blood to the body, and you may feel dizzy, very tired or weak, and short of breath.
      Mechanism Description
  • Increased risk of bradycardia by the combination of Moricizine and Rivastigmine 

Recommended Action
      Management Caution is advised if acetylcholinesterase inhibitors are used concomitantly with bradycardic drugs. Patients with underlying structural heart disease, preexisting conduction system abnormalities, ischemic heart disease, or cardiomyopathies may be at increased risk for developing cardiac conduction disturbances and atrioventricular block. Patients should be advised to notify their physician if they experience dizziness, lightheadedness, fainting, or irregular heartbeat.

References
1 Product Information. Cognex (tacrine). Parke-Davis, Morris Plains, NJ.
2 Product Information. Razadyne (galantamine). Johnson and Johnson Medical Inc, Arlington, TX.
3 Tiseo PJ, Perdomo CA, Friedhoff LT "Concurrent administration of donepezil HCI and digoxin: assessment of pharmacokinetic changes." Br J Clin Pharmacol 46(Suppl 1) (1998): 40-4