Exelon rivastigmine dosing, indications, interactions. Rivastigmine is a pseudoirreversible acetyland butyrlcholinesterase inhibitor with a phenylcarbamate structure which is an effective treatment option in mildtomoderate alzheimers disease ad 1. Carefully cut the pouch along the dotted line to open and remove the exelon patch. You can use the same zone a or b or c or d or e or f or g or h, but do not use the same exact spot within the same zone. Do not use the same skin area twice within 14 days. The usual dose is exelon patch 10 or exelon patch 15 applied once a day, depending on individual condition. Exelon patch is a prescription medicine used to treat. Choose a different place on your body to wear the patch each time you put on a new one. Rivastigmine works by restoring the balance of natural substances called neurotransmitters in the brain. Side effects of exelon patch 5 include weight loss, vomiting, weakness, dizziness, diarrhea, and increased.
Exelon rivastigmine tartrate side effects, images, uses. Monthly tracker exelon patch rivastigmine transdermal system. The following chart displays the adverse events leading to. Always remove an old patch before putting on a new one.
He has been so much better about remembering and confusion that i feel the patch has helped him a great deal. Rivastigmine exelon transdermal patch is indicated for the symptomatic treatment of mild to moderately severe alzheimers dementia. The exelon transdermal patch comes in three strengths, which deliver different amounts of the drugs over the course of 24 hours. Its important to apply the neupro rotigotine transdermal system patch correctly so you get the dose of medicine your doctor prescribed. Do not wear more than one rivastigmine patch at a time. Compare prices, print coupons and get savings tips for rivastigmine generic exelon and other parkinsons disease and alzheimers disease drugs at cvs. Symptoms of acd may be intense and include itching, redness, swelling, warmth or tenderness of the skin, or peeling or. Patch placement map this body map shows the areas where you can apply neupro. The exelon patch is used to treat dementia related to alzheimers and parkinsons disease. Check the body map as there may be multiple patches on the individual that should be removed recommendations the residents care plan should contain a clear indication for treatment and intended outcomes use a personalised patch application template for all patches. The exelon patch provides the benefits of oncedaily dosing and a continuous release of the medication. The rate of discontinuation due to adverse events in controlled clinical trials of exelon rivastigmine tartrate was 15% for patients receiving 6 mg to 12 mg per day compared to 5% for patients on placebo during forced weekly dose titration. Take a few minutes to watch the video and read through the instructions on how to apply the neupro patch.
Do not apply exelon patch to skin that has cream, lotion, or powder on it. The drug also comes in patch form see exelon patch side effects for more information about the side effects of this product. Avoid putting the patch on areas where it could be rubbed off by tight clothing. Apply one new patch in one of the zones as illustrated in the diagram every day. Exelon rivastigmine transdermal uses, side effects. You should not take this medicine if you are allergic to rivastigmine or similar medicines, such as felbamate, meprobamate, or carisoprodol. As this emedtv web page explains, while most side effects are mild, some may require prompt medical attention, such as anxiety, depression, or severe weight loss.
Hold the patch with both hands, with the protective liner on top. Exelon rivastigmine side effects, dosage, interactions. Mean patient body weight remained stable at the end of the 25week study. Use the downloadable exelon patch monthly tracker sheets for helpful guidance on when and where to apply your loved ones medication. Only apply exelon patch to healthy skin that is clean, dry, hairless, and free of redness, irritation, burns or cuts. It is important to know that the exelon patch may cause severe gastrointestinal reactions, interfere with your ability to drive or operate heavy machinery, and cause significant weight loss. Exelon patch will not work properly or may not be safe if it is damaged in any way. The patch goes on every morning in a different place on his chest or back. Exelon rivastigmine patch, extended release dailymed. The drug from the patch is absorbed into your body over a period of time. Care home transdermal patch placement chart adapted by john dicomidis and beth walton, complex care, abuhb and alex kelleher, care inn ltd the patch should be checked on a daily basis to make sure it is still in place. Avoid applying exelon patch to areas on your body that will be rubbed against tight clothing. Order exelon patch dosage, price canadapharmacyonline. Use the figures below to track your patch placement over 14 days.
Exelon patches release rivastigmine onto the skin where the body absorbs it. Switching from oral donepezil to rivastigmine transdermal. Applying the neupro rotigotine transdermal system patch. Your doctor will advise you which exelon patch is more suitable for you. Alzheimers, dementia and diffuse lewy body disease. Rivastigmine transdermal patches choice and medication.
Instructions for use of exelon patch rivastigmine transdermal system 1,2 these instructions for use and medication record sheets are essential to ensure the safe and effective use of exelon patch. Read the instructions for use that comes with your neupro patch before you start using it and each time you get a refill. Bend the edges of the patch away from you so the sshaped cut. Use exelon rivastigmine patch as ordered by your doctor. A patient who is on a total daily dose of 6 mg to 12 mg of oral rivastigmine can be switched to the 9. Good practice guidance for care homes guidance for. This segment from the emedtv library offers a more indepth look at exelon and weight loss, including information on how common this side effect appears to be and what you can do about it. Remove the patch from its pouch and peel off half of its protective liner. Before he was forgetting how to get from room to room and saying things unrelated to anything. A sudden change in your usual smoking habit can also change the effects of exelon patch. Exelon patch is for transdermal use on intact skin.
The related drug information index provides comprehensive access to all drug information related to a specific drug types of content include full prescribing information, drug summaries, full prescribing information continuing medication education full pi cme, medication guides, risk evaluation and mitigation strategies rems summaries, rems continuing medication education rems cme, and. Instruct patients or caregivers to apply the first patch on the day following the last oral dose. After a minimum of four weeks of treatment and if well tolerated, this dose should be increased to exelon patch 9. Rivastigmine belongs to a family of medications called cholinesterase inhibitors. You should not take oral rivastigmine if you have ever had severe redness, itching, or skin irritation caused by wearing a rivastigmine transdermal skin patch. Do not use the patch if the pouch seal is broken or the patch is cut, damaged, or changed in any way. If you have not taken exelon patch for more than 3 days, do not start taking it again until you have talked with a doctor. Fatigue, insomnia, and vomiting are some of the most common exelon patch side effects. Feel free to just click on the table to change the dates for your own use. Pathological changes in dementia eg, alzheimers disease involve cholinergic neuronal pathways that project from the basal forebrain to the cerebral cortex and hippocampus. Exelon patch rivastigmine belongs to family of medications known as cholinesterase inhibitors. Remove the exelon patch from the pouch see figure c.
Apply the patch to a clean, dry, and hairless skin area on your upper or lower back, upper arm, or chest. Rotation for transdermal medication patches patient. Exelon patch rivastigmine transdermal system side effects. Visual hallucinations due to rivastigmine transdermal. While on a maintenance dose, the rates were 6% for patients on exelon compared to 4% for those on placebo. For this reason, treatment should be initiated with exelon patch at a dose of 4. Compare donepezil vs exelon comprehensive analysis by treato. It is important that you take it regularly so as to reap most benefit out of it.
Read the patient information leaflet if available from your pharmacist before you start using this medication and each time you get a refill. There are several exelon patch warnings and precautions to be aware of before starting the medication. Stop using exelon patch and call your health care provider right away if you experience reactions that spread beyond the patch size, are intense in nature, and do not improve within 48 hours after the patch is removed. Her new doctor affiliated with the dementia unit where she resides, has suggested that we give the exelon patch a try.
If a patch falls off, apply a new patch and wear it for the rest of the day. See our handy chart to help you compare the main medicines, how they work. Side effects of exelon rivastigmine tartrate, warnings, uses. We are placing a copy of the this in her emergency care book. The diagram represents areas on the body where exelon patch may be applied. It is a central nervous system cns drug used to treat people with dementia or memory loss caused by mild to moderate alzheimers disease or parkinsons disease. Each exelon patch 5, patch 10 or patch 15 contains respectively 9 mg, 18 mg or 27mg of the active ingredient rivastigmine. Caution when exelon patch is given together with betablockers medicines such as. Rivastigmine buy exelon patch canadian pharmacy king. Using extra skin patches will not make the medication more effective. My mothers cognition has really declined over the last two months and i am feeling a bit remiss in not allowing a try on it, but i.
Exelon is the brand name for the active ingredient rivastigmine. This article refers to the oral forms of exelon capsules and oral solution. Im also willing to upload what im using for that if anyone. If you have any questions or require more information, please read the package information leaflet that came with the medicine. Remove the skin patch after 24 hours and replace it with a new one. Press the skin patch firmly with the palm of your hand for at least 30 seconds, making sure it adheres to the skin, especially at the edges. The exelon patch contains medicine called rivastigmine, which is absorbed through the skin.
Since rivastigmine is beneficial in improving patients cognitive, behavioral, and daily functioning, it is found to be effective in mild to moderate dementia associated. Remove old patch or patches dispose off safely before applying new one. Medicationhavering memory service nelft nhs foundation trust. Both are extremely expensive and i ended up with the priced right time release 4. Apply the patch right away after removing it from the protective pouch. Weight loss appears to be a possible side effect of exelon. Do not cut it into smaller pieces and do not touch. Exelon patch 5 is taken by mouth with the morning and evening meals. Do not put the patch over rashes, cuts, or irritated skin. A transdermal patch is a patch that attaches to your skin and contains medication. The dosage usually starts out low and is then increased after about two to four weeks.