Why is this medication prescribed?

Exelon Patch, which contains the active ingredient Rivastigmine. Exelon Patch is prescribed primarily for the treatment of mild to moderate dementia associated with Alzheimer’s disease and Parkinson’s disease. Rivastigmine belongs to a class of medications called cholinesterase inhibitors, which work by increasing the levels of a neurotransmitter called acetylcholine in the brain. Acetylcholine is involved in memory, thinking, and reasoning processes, which are often impaired in dementia.

How should this medicine be used?

Exelon Patch (Rivastigmine Transdermal Patch) is typically used according to the following guidelines:

• Application Site: Clean, dry, and hairless skin on the upper or lower back, upper arm, or chest is usually chosen for patch application. Avoid areas with cuts, irritation, or bony prominences.
• Application Frequency: The patch is usually applied once a day, typically in the morning or evening. It should be left in place for 24 hours before replacing it with a new one.
• Rotation of Application Site: To prevent skin irritation, it’s important to rotate the site of application with each new patch. Do not reapply a patch to the same site for at least 14 days.
• Preparation: Before applying the patch, make sure the skin is clean, dry, and free of any lotions, oils, or powders. Do not cut the patch.
• Application: Remove the patch from its packaging and peel off the protective liner. Apply the sticky side of the patch to the chosen site, pressing firmly to ensure good adhesion.
• Hand Hygiene: Wash your hands thoroughly with soap and water after applying or removing the patch to prevent accidental transfer of medication.
• Avoidance of Contact: Avoid touching the sticky side of the patch with your fingers to prevent contamination. If accidental contact occurs, wash the affected area with soap and water.
• Disposal: Used patches should be folded in half with the sticky sides together and disposed of safely, out of reach of children and pets.
• Dosage: Follow the dosage instructions provided by your healthcare provider carefully. The appropriate dosage will depend on factors such as the severity of dementia and individual response to the medication.
• Consultation with Healthcare Provider: If you have any questions or concerns about how to use Exelon Patch, or if you experience any side effects or difficulties with application, consult your healthcare provider for guidance and assistance.

Always follow the specific instructions provided by your healthcare provider or pharmacist, as they may tailor the usage instructions based on your individual needs and medical history.

Other uses for this medicine

Exelon Patch (Rivastigmine Transdermal Patch) is primarily prescribed for the treatment of mild to moderate dementia associated with Alzheimer’s disease and Parkinson’s disease. However, it may also be used for other conditions or purposes as determined by your healthcare provider.

What special precautions should I follow?

Some special precautions to keep in mind when using Exelon Patch include:

• Allergies: Inform your healthcare provider if you have any allergies to rivastigmine, other medications, or any other substances.
• Medical History: Disclose your complete medical history, including any liver or kidney problems, heart conditions, stomach or intestinal disorders, seizures, asthma, or urinary tract problems.
• Medication Interactions: Inform your healthcare provider about all the medications, vitamins, and herbal supplements you are currently taking, as Exelon Patch may interact with certain drugs, including other cholinesterase inhibitors, anticholinergic medications, and medications metabolized by certain liver enzymes.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Exelon Patch with your healthcare provider.
• Skin Irritation: Watch for signs of skin irritation or allergic reactions at the site of patch application, such as redness, itching, swelling, or rash. Rotate the application site as directed and avoid applying the patch to areas with skin irritation or damage.
• Heat Exposure: Avoid exposure to excessive heat, such as saunas, hot tubs, or prolonged sun exposure, as heat can increase the absorption of rivastigmine from the patch and may lead to an overdose.
• Driving and Operating Machinery: Exelon Patch may cause dizziness, drowsiness, or blurred vision, which can impair your ability to drive or operate machinery. Use caution until you know how the medication affects you.
• Alcohol: Limit or avoid alcohol consumption while using Exelon Patch, as it can increase the risk of side effects such as dizziness or drowsiness.
• Surgery: If you are scheduled to undergo surgery, inform your healthcare provider or surgeon that you are using Exelon Patch, as it may need to be temporarily discontinued before the procedure.

Always follow your healthcare provider’s instructions and recommendations regarding the use of Exelon Patch, and consult them if you have any questions or concerns about its use or potential side effects.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Exelon Patch. However, it’s generally recommended to maintain a healthy and balanced diet to support overall health and well-being.

What should I do if I forget a dose?

• If it’s within a few hours of the usual time for application, apply the patch as soon as you remember. Then continue with your regular schedule.
• If it’s close to the time for your next scheduled dose, skip the missed dose and apply the next patch at the usual time.
• Do not apply extra patches to make up for a missed dose.

What side effects can this medication cause?

Exelon Patch (Rivastigmine Transdermal Patch) may cause side effects in some individuals. Common side effects include:

• Skin Irritation: Redness, itching, swelling, or rash at the application site. Rotating application sites can help minimize this side effect.
• Gastrointestinal Symptoms: Nausea, vomiting, diarrhea, or loss of appetite.
• Dizziness: Feeling lightheaded or dizzy, especially when standing up quickly.
• Headache: Mild to moderate headaches may occur, particularly at the beginning of treatment.
• Fatigue: Feeling tired or weak.
• Insomnia: Difficulty falling asleep or staying asleep.
• Muscle Weakness: Weakness or tiredness in the muscles.
• Increased Sweating: Experiencing more sweating than usual.
• Changes in Heart Rate: Some individuals may experience changes in heart rate, including fast or irregular heartbeats.
• Weight Loss: Some people may experience weight loss as a side effect.
• Urinary Symptoms: Changes in urinary frequency or urgency.
• Psychiatric Symptoms: Mood changes, agitation, anxiety, or hallucinations may occur, particularly in individuals with dementia.
• Allergic Reactions: Rarely, severe allergic reactions such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing may occur. Seek immediate medical attention if you experience any of these symptoms.

It’s important to note that not all individuals will experience these side effects, and some may experience different or more severe side effects. If you experience any side effects while using Exelon Patch, it’s important to inform your healthcare provider. They can provide guidance on managing side effects or adjust your treatment if necessary. Additionally, if you experience severe or concerning side effects, seek medical attention promptly.

What should I know about storage and disposal of this medication?

Storage and disposal of Exelon Patch:

• Storage: Store Exelon Patch at room temperature away from light and moisture. Keep the patches in their original sealed pouch until ready to use. Do not store in the bathroom. Keep all medications out of reach of children and pets.
• Disposal: Dispose of used patches properly by folding them in half with the sticky sides together and disposing of them safely in the trash. Do not flush patches down the toilet or drain.

In case of emergency/overdose

• Symptoms: Symptoms of overdose may include severe nausea, vomiting, diarrhea, sweating, slow heart rate, difficulty breathing, seizures, or fainting.
• Seek Medical Help: If you suspect an overdose or experience any severe symptoms, seek emergency medical attention immediately by calling your local emergency services or going to the nearest emergency room.

What other information should I know?

• Regular Monitoring: Your healthcare provider may periodically monitor your response to Exelon Patch and adjust your dosage as needed.
• Dose Titration: Exelon Patch is typically started at a low dose and gradually increased to minimize side effects. Follow your healthcare provider’s instructions regarding dose titration.
• Adherence to Treatment: It’s important to use Exelon Patch as directed by your healthcare provider. Do not stop using the patch or change your dosage without consulting your healthcare provider.
• Follow-up Visits: Attend follow-up visits with your healthcare provider as scheduled to monitor your progress and discuss any concerns or side effects.
• Interactions: Inform your healthcare provider about all medications, vitamins, and supplements you are taking, as Exelon Patch may interact with certain drugs.
• Pregnancy and Breastfeeding: Inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding, as the safety of Exelon Patch during pregnancy and breastfeeding has not been established.
• Driving and Machinery: Exelon Patch may cause dizziness or drowsiness, which can impair your ability to drive or operate machinery. Use caution until you know how the medication affects you.
• Storage: Store Exelon Patch at room temperature away from light and moisture, and keep it out of reach of children and pets.

Always follow your healthcare provider’s instructions and recommendations regarding the use of Exelon Patch, and consult them if you have any questions or concerns.