(roe TIG oh teen) Brand: Neupro
• Some people taking rotigotine have fallen asleep during usual daytime activities such as working, talking, eating, or driving. You may fall asleep suddenly, even after feeling alert. Speak your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medication will affect you, be careful if you drive or do anything that requires you to be awake and alert.
• You may have heighten sexual urges, unusual urges to gamble, or another intense urges while taking this medicine. Conversation with your doctor if you believe you have any intense or unusual urges while taking rotigotine.
• If you are taking this medicine for rest leg syndrome (RLS), speak your doctor if your symptoms get worse, if they occur in the morning or earlier than normal in the evening, or if you feel restless symptoms in your hands or arms.
• Do not stop using rotigotine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using rotigotine.
• Cool or allergy medication, narcotic pain medication, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety can add to sleepiness caused by rotigotine. Speak your doctor if you regularly use any of these another medicines.
• Drinking alcohol can magnify determined side effects of rotigotine.
• The rotigotine patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch till undergoing such a test.
• Rotigotine may reason hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you have hallucinations.
• Rotigotine has some of the same effects as a chemical called dopamine, which occurs naturally in your body. Low levels of dopamine in the brain are associated with Parkinson's disease.
• Rotigotine transdermal (skin patch) is used to treat symptoms of Parkinson's malady, such as stiffness, tremors, muscle spasms, and poor muscle control. Rotigotine is also used to treat restless legs syndrome (RLS).
• Rotigotine may also be used for purposes not listed in this medicine guide.
• You must not use rotigotine if you are allergic to it.
• Some people using rotigotine have fallen asleep during usual daytime activities such as working, talking, eating, or driving. You may fall asleep suddenly, even after feeling alert. Speak your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medication will affect you, be careful if you drive or do anything that requires you to be awake and alert.
• To create certain you can safely use rotigotine, speak your doctor if you have any of these another conditions:
· asthma or sulfite allergy;
· tall or low blood pressure;
· heart malady, congestive heart failure, or heart rhythm disorder;
· kidney disease;
· schizophrenia, bipolar mess, or another mental illness;
· narcolepsy or another sleep mess; or
· tremors (dyskinesia) or uncontrolled muscle movements.
• You may have heighten sexual urges, unusual urges to gamble, or another intense urges while taking rotigotine. It is not known whether the medication actually causes this effect. Conversation with your doctor if you believe you have any intense or unusual urges while taking rotigotine.
• Some people taking Parkinson's malady medications have developed skin cancer (melanoma). However, people with Parkinson's malady may have a higher risk of melanoma. Conversation to your doctor about this risk and what skin symptoms to watch for. You may need to have regular skin exams.
• FDA pregnancy category C. It is not known whether rotigotine will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.
• It is not known whether rotigotine passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.
• Rotigotine may reason hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you have hallucinations.
• Use exactly as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your doze to create certain you get the excellent results.
• This medicine comes with patient instructions for safety and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
• To use the patch, open the sealed pouch and remove the protective liner. Apply the patch to clean, dry, hairless, and healthy skin on your stomach, thigh, hip, side, shoulder, or upper hand. Your medicine instructions will show you the excellent places on your body to wear the patch. Avoid placing the patch on a skin area that will be rubbed by a waistband or tight clothing.
• Press the patch firmly into seat for about 30 seconds to create certain it sticks. You may leave the patch on while bathing, showering, or swimming.
• Leave the patch in seat and wear it for 24 hours. Remove the skin patch after 24 hours and replace it with a new one. Try to apply a new patch at the same time every day.
• Choose a various seat on your body to wear the patch every time you put on a new one. Do not use the same skin area twice within 14 days.
• If a patch falls off, try sticking back into seat. If it does not stick well, put on a new patch.
• After removing a patch, fold it in half so it sticks together and throw it away in a seat where children or pets can't get to it.
• Use child oil or mild soap and water to remove any adhesive residue that stays on your skin. Avoid using harsh soaps, alcohol, nail polish remover, or another solvents that could irritate your skin.
• Wash your hands with soap and water after applying or removing the patch.
• Do not wear more than one rotigotine patch at a time. Using extra skin patches will not create the medicine more effective. Never cut a skin patch.
• If you are using this medicine for RLS, speak your doctor if your symptoms get worse, if they occur in the morning or earlier than normal in the evening, or if you feel restless symptoms in your hands or arms.
• The rotigotine patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch till undergoing such a test.
• Do not stop using rotigotine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using rotigotine.
• Hold the rotigotine transdermal patch in its sealed pouch before you are ready to use it. Store the pouches at room temperature away from heat and moisture.
• If you forget to change a patch on your scheduled day, remove and replace the patch as soon as you remember. Wear the new patch before your following regular patch-changing time. Do not change your schedule, even if you wear the new patch for smaller than 24 hours.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• Overdose symptoms may include severe forms of some of the side effects listed in this medicine guide.
• Avoid applying a patch to skin that is oily or irritated.
• Do not expose the skin patch to heat while you are wearing it. This includes a hot tub, heating pad, sauna, or heated water bed. Heat can magnify the amount of drug you absorb through your skin and may reason deleterious effects.
• Avoid getting up too quick from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Stop taking rotigotine and call your doctor at once if you have any of these serious side effects:
· severe skin irritation that does not clear up within different hours after removing a skin patch;
· extreme drowsiness, falling asleep suddenly, even after feeling alert;
· feeling like you might pass out;
· chest discomfort, dry cough, feeling short of breath;
· feeling weak or weary, loss of appetite, rapid weight loss;
· hallucinations;
· swelling in your hands or foots, rapid weight gain;
· tremors, twitching or uncontrollable movements of your eyes, lips, tongue, person, arms, or legs; or
· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, quick or uneven heartbeats, seizure).
• Smaller serious side effects may include:
· nausea, vomiting, loss of appetite;
· headache, dizziness, drowsiness;
· heighten sweating;
· sleep problems (insomnia); or
· mild redness where the patch was worn.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Cool or allergy medication, sedatives, narcotic pain medication, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety can add to sleepiness caused by rotigotine. Speak your doctor if you regularly use any of these medicines, or any another medicines for Parkinson's disease.
• Speak your doctor about all another medicines you use, especially:
· amantadine (Symmetrel);
· medication to prevent or treat nausea and vomiting, such as metoclopramide (Reglan, Metozolv) or promethazine (Pentazine, Phenergan, Anergan, Antinaus); or
· medication to treat psychiatric disorders, such as chlorpromazine (Thorazine), fluphenazine (Permitil, Prolixin), haloperidol (Haldol), thiothixene (Navane), thioridazine (Mellaril), and others.
• This list is not complete and another drugs may interact with rotigotine. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about rotigotine.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.