Patients w/ severe Alzheimer's dementia, other types of dementia or other types of memory impairment (eg, age-related cognitive decline). Exaggerate succinylcholine-type muscle relaxation during anaesth. Sick sinus syndrome or other supraventricular cardiac conduction conditions eg, SA or AV block. Patients at increased risk of developing ulcers eg, those w/ history of ulcer disease or those receiving concurrent NSAIDs should be monitored for symptoms. May cause bladder outflow obstruction. Exacerbate or induce extrapyramidal symptoms. Patients w/ history of asthma or obstructive pulmonary disease. Avoid concomitant use w/ other inhibitors of acetylcholinesterase, agonists or antagonists of the cholinergic system. Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Minor or moderate influence on the ability to drive & use machines. Severe hepatic impairment. Pregnancy & lactation. Not recommended for childn.