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Exelon Patch

Active Ingredients:Rivastigmine

Follow all directions given to you by your doctor and pharmacist carefully.

These instructions may differ from the information contained in this leaflet.

If you do not understand the instructions on the label, ask your doctor or pharmacist for help.

How much to use

Your doctor will tell you which Exelon Patch is more suitable for you. Treatment usually starts with one Exelon Patch 5 daily. After about four weeks of treatment the usual daily dose is Exelon Patch 10.

During the course of the treatment your doctor may adjust the dose to suit your individual needs.

Do not wear more than one Exelon

Patch at a time. If for any reason you stop using Exelon Patch for more than several days, tell your doctor before you start taking Exelon Patch again.

Your doctor will restart you at the lowest dose to help prevent side effects such as nausea and vomiting.

How to use it

Read the "How to use" leaflet carefully.

A "How to use" leaflet is enclosed in Exelon Patch cartons. This leaflet contains pictures and instructions showing how to apply the patch properly.

How long to use it

Apply a new patch every day.

Exelon patch should be replaced by a new one after 24 hours.

Apply the new patch at about the same time each day.

Change your patch at the same time each day to obtain the best effect from your medicine. It will also help you remember when to take it.

Continue using Exelon Patch for as long as your doctor tells you to.

This medicine helps to slow the progression of Alzheimer's disease but does not cure it. Your treatment can be continued for as long as it benefits your condition. Your doctor can give you more information.

Do not stop using Exelon Patch or change your dose without talking with your doctor.

If you forget to use it

If it is almost time for you to apply the next patch dose, skip the patch you missed and apply the next patch when you are meant to.

Otherwise, apply a new patch as soon as you remember, and then go back to your usual schedule.

Do not apply two Exelon patches to make up for the one you missed.

This may increase the chance of you getting an unwanted side effect.

Tell your doctor if you have not applied your Exelon Patch for several days. Do not apply the next patch before you have talked to your doctor.

Your doctor will restart you at the lowest dose to help prevent side effects such as nausea and vomiting.

If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.

If your Exelon Patch falls off

If your Exelon Patch falls off, apply a new patch for the rest of the day. Replace this patch the next day at the same time as usual.

Do not re-apply the used patch.

Applying a new patch ensures that your body keeps getting the medicine it needs.

If you use too much (overdose)

If you think that you or anyone else may have applied accidentally more than one Exelon Patch at a time or swallowed a patch, immediately telephone your doctor or the Poisons Information Centre (telephone number 13 11 26), or go to Accident and Emergency at your nearest hospital. Do this even if there are no signs of discomfort or poisoning.

Keep the telephone numbers for these places handy.

Because of the way this medicine is used, an intentional overdose is unlikely.

Applying more than one patch or swallowing a patch may cause

  • nausea (feeling sick)
  • vomiting
  • diarrhoea
  • high or low blood pressure
  • fainting
  • salivation
  • sweating
  • increasing muscle weakness
  • hallucinations (hearing or seeing things that are not there)
  • unusually slow heart beat
  • breathing difficulties
  • convulsions.

Things you must do

Be sure to keep all of your doctor's appointments so your progress can be checked.

You and your caregiver can help to produce the maximum benefit from your treatment by keeping in close contact with your doctor.

Tell your doctor if you smoke.

Nicotine can affect the amount of Exelon that is in your body. A sudden change in your usual smoking habit can also change the effects of Exelon Patch.

Make sure you or your caregiver tells your doctor if you experience considerable nausea, vomiting or diarrhoea with loss of appetite and weight loss.

You may become dehydrated (losing too much fluid) if vomiting or diarrhoea are prolonged.

If you become pregnant while taking Exelon Patch, tell your doctor.

There is not enough information to recommend the use of this medicine during pregnancy. Your doctor can discuss with you the risks and benefits involved.

If you are going to have surgery, tell your doctor and anaesthetist that you are using Exelon Patch.

Exelon Patch may affect some medicines you receive during surgery.

If you are about to be started on any new medicine, remind your doctor and pharmacist that you are using Exelon Patch.

Tell any other doctor, dentist or pharmacist who treats you that you are using Exelon Patch.

Things you must not do

Do not give this medicine to anyone else even if their condition seems similar to yours.

Do not use Exelon Patch to treat any other complaints unless your doctor tells you to.

Do not expose the patch to any external heat sources (excessive sunlight, saunas, solarium) for long periods of time.

Your doctor will tell you whether your illness allows you to drive vehicles and use machines safely.

Exelon Patch may cause dizziness and somnolence, mainly at the start of treatment or when increasing the dose. Therefore, you should wait to know what effects the drug may cause before engaging in such activities. If you feel dizzy or drowsy, do not drive, use machines or perform any other tasks that require your attention.

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