Table 2. Dosage Administration
   Donepezil Galantamine Rivastigmine Tacrine
Initial Dose 5 mg QD 4 mg BID 1.5 mg BID 10 mg QID
Titration Increase to 10 mg QD after 4 to 6 weeks Titrate slowly
over intervals of 4 weeks
Increase to 3 mg BID, 4.5 mg BID, then 6 mg BID daily at 2-week intervals as tolerated Increase to 20 mg QID, then 30 mg QID, and 40 mg QID at 4-week intervals as tolerated (monitor transaminase levels)
Maximum Dose
10 mg QD
24 mg/day 6 mg BID
(12 mg/day)
40 mg QID
(160 mg/day)
Time of Administration Bedtime Morning and evening Morning and evening Ideally administered between meals QID
Food With or without Take with food Take with food Between meals if possible, can be taken with food to improve tolerability, but reduces plasma levels 30 to 40%
Product Formulations Tablet Tablet Capsule Capsule

QD = once daily; BID = twice daily; QID = four times daily

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