Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Donepezil (Aricept) and memantine (Namenda) are both used to treat dementia related to Alzheimer's disease, but they have some key differences. Donepezil is a cholinesterase inhibitor that is FDA-approved for all stages of Alzheimer's, while memantine is an NMDA antagonist approved only for moderate-to-severe stages. Donepezil works by preventing the breakdown of acetylcholine, a chemical important for memory and learning, whereas memantine slows down overly active chemical messengers to prevent nerve damage. Donepezil is typically taken once daily at night, while memantine can be taken once or twice daily depending on the form. Common side effects of donepezil include nausea, diarrhea, and headaches, while memantine may cause dizziness, headaches, and confusion. Both medications are available in generic forms and can be taken together as a combination medication called Namzaric.
Donepezil (Aricept)
Memantine (Nameda)
Donepezil (Aricept)
Memantine (Nameda)
Summary of Aricept vs. Nameda
Summary for Cholinesterase inhibitor
Prescription only
Donepezil (Aricept) is a medication that's used to help adults with symptoms of dementia related to Alzheimer's disease (AD). It belongs to the drug class called cholinesterase inhibitors. Donepezil (Aricept) is taken once a day. It comes as both a brand-name and generic tablet that you swallow. There's also a generic orally disintegrating tablet (ODT) that melts on the tongue. Possible side effects include nausea, diarrhea, and trouble sleeping.
Summary for NMDA antagonist
Prescription only
Memantine (Nameda) is an NMDA antagonist used to treat moderate-to-severe dementia linked to Alzheimer's disease. It works by slowing down certain chemical activities in the brain to prevent nerve damage. Memantine (Nameda) is taken by mouth once or twice daily, depending on if you're taking the extended-release capsules, or the regular-release tablet or oral solution. Some side effects of memantine (Nameda) include dizziness, headaches, and confusion.