In the U.S., it's lumped in with dietary supplements, not meds, so the FDA doesnt really oversee the details
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Vicente-Zurdo D, Rosales-Conrado N, Len-Gonzlez ME, Brunetti L, Piemontese L, Pereira-Santos AR, Cardoso SM, Madrid Y, Chaves S, Santos MA (2022) Novel rivastigmine derivatives as promising multi-target compounds for potential treatment of Alzheimers disease