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It is FDA-approved for the treatment of mild-to-moderate dementia of the Alzheimer's type. The exact mechanism of galantamine's action is unknown, however, it is thought to exert its therapeutic effect by enhancing cholinergic function and thereby increasing the concentration of acetylcholine. Peak levels of galantamine are reached about 1 hour after oral administration. The volume of distribution of galantamine is L. The reminyl 4mg tablet half-life is approximately 1 hour, while the terminal elimination half-life is approximately 7 hours. Galantamine is metabolized by the cytochrome P 2D6 and 3A4; therefore, agents that inhibit or induce these isozymes may impact the hepatic clearance of galantamine.