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Rivastigmine is an antidementia. Dementia is the totality of all psychological changes , which cause different causes to a loss of neurons in the brain . Half of all dementias are caused by Alzheimer’s disease. Cause here are deposits on the nerve cells, leading to a lack of the neurotransmitter acetylcholine. Rivastigmine is a cholinesterase inhibitor. It prevents acetylcholine is broken down by the body by the enzyme cholinesterase . Thus, this defect are at least partially compensated. Rivastigmine is only useful for mild or moderate disease, because a residual function of nerve cells is a prerequisite for its effectiveness.