Symptoms of ACD may be intense and include itching, redness, swelling, warmth or tenderness of the skin, or peeling or blistering of the skin, which may ooze, drain, or crust over. Extrapyramidal symptoms e. EXELON PATCH should not be taken at the same time as metoclopramide used to treat heartburn, nausea, and vomiting and with medicines that have a similar effect on the body and the brain cholinomimetic agents or with anticholinergic medicines. You are encouraged to report negative side effects of prescription drugs to the FDA.
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Use of website is governed by the Terms of Use and Privacy Statement. All rights reserved. Getting the Right Exelon Patch Dose. Follow-Up Visits. Rivastigmine may improve cognitive function memory, orientation, and language and general ability to perform activities of daily living. The rivastigmine patch may take several weeks to begin working, and individual response varies. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here.
As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it. Nonmedicinal ingredients: acrylic copolymer, poly butylmethacrylate, methyl-methacrylate , silicone adhesive applied to a flexible polymer backing film, silicone oil, and vitamin E.
The usual recommended starting dose is to apply one patch of the lowest dose 4. Your doctor may increase the dose after 4 weeks of treatment. The highest dose recommended is Apply the patch to clean, dry, non-irritated skin on a flat body surface such as the chest, upper back, lower back, or upper arm.
Make sure there is no hair, powder, oil, moisturizer, or lotion at the application site. Press the patch firmly in place with the palm of the hand for approximately 30 seconds, making sure the contact is complete, especially around the edges.
Each patch may be worn continuously for 24 hours, after which time the old patch should be removed and a new patch should be applied. Apply the new patch on a different skin site after removal of the previous one and do not apply a new patch to the same spot for at least 2 weeks. Consult the package insert, your doctor, or your pharmacist for specific instructions on how to use and properly dispose of the medication. Only one patch may be worn at a time. After 24 hours, there is still medication remaining in the patch.
If two patches are worn at the same time, there is a high likelihood of severe side effects occurring, including heart attack and death. Do not use the patch if it is cut, damaged, or altered in any way. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is important to use this medication exactly as prescribed by your doctor. If you forget to apply a new rivastigmine patch, remove the old one and apply a new patch as soon as possible. Continue with your regular dosing schedule for your next patch. Do not apply two patches to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. If you miss more than 3 days of applying the rivastigmine patch, consult your doctor first before you begin to apply the next patch.
Store this medication at room temperature, in the original packaging. Protect it from light and heat, and keep it out of the reach of children. Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Wash the area with soap and warm water. Rinse off all of the soap and dry the area with a clean towel.
Be sure the skin is free of powders, oil, and lotions. Select a patch in a sealed pouch and cut open the pouch open with scissors. Be careful not to cut the patch. Remove the patch from the pouch and hold it with the protective liner facing you.
Peel the liner off one side of the patch. Be careful not to touch the sticky side with your fingers. A second strip of liner should remain stuck to the patch. Press the patch firmly onto your skin with the sticky side down. Remove the second strip of protective liner and press the rest of the sticky side of the patch firmly against your skin. Be sure that the patch is pressed flat against the skin with no bumps or folds and the edges are firmly attached to the skin.
Wash your hands with soap and water after you handle the patch. After you have worn the patch for 24 hours, use your fingers to peel the patch off slowly and gently. Fold the patch in half with the sticky sides together and dispose of it safely, out of reach of children and pets. Apply a new patch to a different area immediately by following steps 1 to 8. Other uses for this medicine.
What special precautions should I follow? Before using transdermal rivastigmine, tell your doctor and pharmacist if you are allergic to rivastigmine, neostigmine Prostigmin , physostigmine Antilirium, Isopto Eserine , pyridostigmine Mestinon, Regonol , or any other medications. Be sure to mention any of the following: antihistamines; bethanechol Duvoid, Urecholine ; ipratropium Atrovent ; and medications for Alzheimer's disease, glaucoma, irritable bowel disease, motion sickness, myasthenia gravis, Parkinson's disease, ulcers, or urinary problems.
If you become pregnant while using transdermal rivastigmine, call your doctor. Unless your doctor tells you otherwise, continue your normal diet. Transdermal rivastigmine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: nausea vomiting diarrhea loss of appetite stomach pain weight loss depression headache anxiety dizziness weakness excessive tiredness difficulty falling asleep or staying asleep.
If you experience any of these symptoms, call your doctor immediately: black and tarry stools red blood in stools bloody vomit vomiting material that looks like coffee grounds difficulty urinating painful urination seizures. Symptoms of overdose may include: nausea vomiting diarrhea increased saliva sweating slow heartbeat dizziness muscle weakness difficulty breathing fainting seizures. What other information should I know?
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