Rivastigmine PatchGeneric Name:
Rivastigmine (RIV-a-STIG-meen)Brand Name:
Rivastigmine Patch is used for:
Treating mild to moderate dementia (eg, impairment of memory or judgement, abstract thinking, changes in personality) in patients with Alzheimer disease or Parkinson disease.
Rivastigmine Patch is a cholinesterase inhibitor. It works by increasing the amount of a certain substance (acetylcholine) in the brain. This may help reduce symptoms of dementia.
Do NOT use Rivastigmine Patch if:
- you are allergic to any ingredient in Rivastigmine Patch
- you are taking a cholinergic agent (eg, bethanechol) or another cholinesterase inhibitor (eg, donepezil)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Rivastigmine Patch:
Some medical conditions may interact with Rivastigmine Patch. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of kidney or liver problems, certain heart problems (eg, slow or irregular heartbeat, sick sinus syndrome), seizures (eg, epilepsy), stomach or bowel problems (eg, ulcer), lung or breathing problems (eg, asthma, chronic obstructive pulmonary disease [COPD]), or urinary blockage (trouble urinating)
- if you have tremors
- if you have dementia or other decreased mental ability that is not caused by Alzheimer disease or Parkinson disease
- if you are scheduled to have surgery or other medical procedures with general anesthesia
Some MEDICINES MAY INTERACT with Rivastigmine Patch. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of stomach or bowel bleeding may be increased
- Cholinergic agents (eg, bethanechol) or cholinesterase inhibitors (eg, donepezil) because they may increase the risk of Rivastigmine Patch's side effects
- Anticholinergics (eg, scopolamine) because their effectiveness may be decreased by Rivastigmine Patch
This may not be a complete list of all interactions that may occur. Ask your health care provider if Rivastigmine Patch may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Rivastigmine Patch:
Use Rivastigmine Patch as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Rivastigmine Patch. Talk to your pharmacist if you have questions about this information.
- Do not cut or tear the patch. Do not apply a patch that has been damaged.
- Apply the patch to the upper or lower back, upper arm, or chest. Use a new application site with each new patch. Do not use the same site within 14 days.
- Apply to dry, intact skin. Do not apply to an area of skin that is hairy, oily, irritated, broken, scarred, or calloused. Do not apply to an area where cream, lotion, or powder has recently been applied. Do not place the patch under tight clothing.
- Do not remove the patch from the sealed pouch until you are ready to apply it.
- To apply the patch, remove the protective liner from one side of the patch. Place the sticky side of the patch to the application site, then remove the second side of the protective liner. Press the patch down firmly until the edges stick well. If you have questions about how to apply the patch, check with your doctor or pharmacist.
- After 24 hours, remove the used patch. Do not touch the sticky side. Fold the patch in half with the sticky sides together. Discard patch out of the reach of children and away from pets.
- Wash your hands thoroughly with soap and water after applying or removing a patch. Do not touch your eyes before you have washed your hands.
- You may wear the patch while bathing, swimming, or showering. Make sure the patch does not come loose during these activities.
- Avoid exposing the application site to direct heat (eg, heating pads or electric blankets, heat lamps, saunas, hot tubs, heated water beds, prolonged direct sunlight) for long periods of time.
- Wear only one patch at a time. Change the patch at about the same time each day.
- Continue to use Rivastigmine Patch even if you feel well. Do not miss any doses.
- If your patch falls off or if you miss a dose of Rivastigmine Patch, apply a new patch to a new site, then return to your regular dosing schedule. Do not apply 2 patches at once. Contact your doctor if you miss applying the patch for several days. Your doctor may need to restart your medicine at a lower dose to avoid side effects.
Ask your health care provider any questions you may have about how to use Rivastigmine Patch.
Important safety information:
- Rivastigmine Patch may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Rivastigmine Patch with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Rivastigmine Patch is for external use only. Do not get it in your mouth.
- Do NOT use more than the recommended dose without checking with your doctor.
- When you begin taking Rivastigmine Patch, your doctor will increase your dose slowly over several months. This may help to decrease the risk of certain side effects (eg, nausea, vomiting, loss of appetite). Carefully follow the dosing schedule prescribed by your doctor.
- Tell your doctor or dentist that you take Rivastigmine Patch before you receive any medical or dental care, emergency care, or surgery.
- Rivastigmine Patch should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Rivastigmine Patch while you are pregnant. It is not known if Rivastigmine Patch is found in breast milk. Do not breast-feed while you are using Rivastigmine Patch.
Possible side effects of Rivastigmine Patch:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea; dizziness; headache; loss of appetite; nausea; stomach upset or pain; vomiting; weakness; weight loss.Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; bloody or black, tarry stools; chest pain; confusion; decreased coordination; decreased urination; fainting; fever; new or worsening mental or mood changes (eg, depression); new or worsening tremor or uncontrolled muscle movements; new or worsening trouble walking; seizures; severe or persistent dizziness, tiredness, or weakness; severe or persistent stomach pain or vomiting; slow or irregular heartbeat; slurred speech.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include fainting; increased saliva production; loss of consciousness; muscle weakness; seizures; severe dizziness; severe nausea or vomiting; severely increased sweating; slow heartbeat; slow or shallow breathing.Proper storage of Rivastigmine Patch:
Store Rivastigmine Patch at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Rivastigmine Patch out of the reach of children and away from pets.
- If you have any questions about Rivastigmine Patch, please talk with your doctor, pharmacist, or other health care provider.
- Rivastigmine Patch is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is a summary only. It does not contain all information about Rivastigmine Patch. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
- Rivastigmine Professional Patient Advice (Wolters Kluwer)
- rivastigmine Advanced Consumer (Micromedex) - Includes Dosage Information
- Exelon Prescribing Information (FDA)
- Exelon Detailed Consumer Information (PDR)
- Exelon Consumer Overview