<prompt> Which of the following drugs should not be used with rivastigmine in patients with alzheimers disease -SSRITricyclic antidepressantRIMAAtypical antidepressants  <response>: Ans. is b i.e., Tricyclic antidepressant Rivastigmine cholinesterase inhibitor should not be used with drugs that have cholinergic antagonistic activity like tricyclic antidepressants TCA as the combination is counter productive. 