RIVASTIGMINE (ri va STIG meen) is used to treat mild to moderate dementia caused by Parkinson's disease and mild to severe Alzheimer's disease.
This medicine is for external use only. Follow the directions on the prescription label. Always remove the old patch before you apply a new one. Apply to skin right after removing the protective liner. Do not cut or trim the patch. Apply to an area of the upper arm, chest, or back that is clean, dry and hairless. Avoid injured, irritated, oily, or calloused areas or where the patch will be rubbed by tight clothing or a waistband. Do not place over an area where lotion, cream, or powder was recently used. Press firmly in place until the edges stick well. To prevent skin irritiation, do not apply to the same place more than once every 14 days. Change your patch at the same time each day. Do not use more often than directed. Do not stop using except on your doctor's advice.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
application site reaction (such as skin redness, blisters, or swelling under or around the patch site)
changes in vision or balance
feeling faint or lightheaded, falls
increase in frequency of passing urine or incontinence
nervousness, agitation, or increased confusion
redness, blistering, peeling or loosening of the skin, including inside the mouth
slow heartbeat or palpitations
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
indigestion or heartburn
loss of appetite
mild diarrhea, especially when starting treatment
antihistamines for allergy, cough, and cold
certain medicines for bladder problems like oxybutynin, tolterodine
certain medicines for Parkinson's disease like benztropine, trihexyphenidyl
certain medicines for stomach problems like dicyclomine, hyoscyamine
certain medicines for travel sickness like scopolamine
medicines that relax your muscles for surgery
other medicines for Alzheimer's disease
If you miss a dose, apply a new patch immediately. Then, apply the next patch at the usual time the next day after removing the previous patch. Do not apply 2 patches to make up for the missed one. If treatment is missed for 3 or more days, contact your healthcare provider for further instructions.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Store in original pouch until just prior to use. Throw away any unused medicine after the expiration date. Dispose of used patches properly. Since used patches may still contain active medicine, fold the patch in half so that it sticks to itself prior to disposal.
They need to know if you have any of these conditions:
application site reaction during previous use of rivastigmine patch
lung or breathing disease, like asthma
slow, irregular heartbeat
stomach or intestine disease, ulcers, or stomach bleeding
trouble passing urine
an unusual or allergic reaction to rivastigmine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Visit your doctor or health care professional for regular checks on your progress. Check with your doctor or health care professional if your symptoms do not start to get better or if they get worse.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
Avoid saunas and prolonged exposure to sunlight. You may bathe, swim, shower, or participate in any of your normal activities while wearing this patch. If the patch falls off, apply a new patch for the rest of the day, then replace the patch the next day at the usual time.
If you are going to have a magnetic resonance imaging (MRI) procedure, tell your MRI technician if you have this patch on your body. It must be removed before a MRI.