Table 3

 Dosing requirements for cholinesterase inhibitors

• Donepezil
– start on 5 mg once a day
– if tolerated, increase to 10 mg once a day
– maximum dose: 10 mg a day
• Galantamine
– start on 4 mg twice a day and after 4 weeks increase to 8 mg twice a day
– according to response and tolerance, increase to 12 mg twice a day
– maximum dose: 12 mg twice a day
• Rivastigmine
– start on 1.5 mg twice a day and after 2 weeks, increase to 3 mg twice a day
– after at least another 2 weeks consider increasing dose to 4.5 mg twice a day
– according to response and tolerance the dose can be increased to 6 mg twice a day
– maximum dose: 6 mg twice a day