Rotigotine transdermal

Generic name: Rotigotine (transdermal)
Brand names: Neupro
Dosage form: transdermal film, extended release (1 mg/24 hr; 2 mg/24 hr; 3 mg/24 hr; 4 mg/24 hr; 6 mg/24 hr; 8 mg/24 hr)
Drug class: Dopaminergic antiparkinsonism agents

Usage of Rotigotine transdermal

Rotigotine transdermal (skin patch) is used to treat symptoms of Parkinson's disease, 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 medication guide.

Rotigotine transdermal side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Rotigotine may cause serious side effects. Call your doctor at once if you have:

severe skin irritation that does not clear up within several hours after removing a skin patch;

extreme drowsiness, falling asleep suddenly, even after feeling alert;

a light-headed feeling, like you might pass out;

agitation, confusion, hallucinations, paranoia (most commonly in elderly people);

fast heart rate;

increased sexual urges, unusual urges to gamble, or other intense urges;

unusual thoughts or behavior; or

uncontrolled muscle movements.

Some people using rotigotine have fallen asleep during normal daytime activities such as working, talking, eating, or driving. Tell your doctor if you have any problems with daytime sleepiness or drowsiness.

Common side effects of rotigotine may include:

nausea, vomiting, loss of appetite;

headache, dizziness, drowsiness;

vision problems;

swelling in your hands or feet, rapid weight gain;

increased sweating;

sleep problems (insomnia); or

redness, itching, or swelling where a 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 report side effects to FDA at 1-800-FDA-1088.

Before taking Rotigotine transdermal

You should not use rotigotine if you are allergic to it.

Tell your doctor if you have ever had:

asthma or a sulfite allergy;

high or low blood pressure;

heart problems;

kidney disease;

schizophrenia, bipolar disorder, or psychosis;

narcolepsy or other sleep disorder; or

if you feel light-headed or nauseated when you stand up.

People with Parkinson's disease may have a higher risk of skin cancer (melanoma). Talk to your doctor about this risk and what skin symptoms to watch for.

It is not known whether rotigotine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

You should not breast-feed while using rotigotine.

Relate drugs

How to use Rotigotine transdermal

Usual Adult Dose for Parkinson's Disease:

Initial doses: Early-stage Parkinson's disease: Apply 2 mg topically once a dayAdvanced-stage Parkinson's disease: Apply 4 mg topically once a dayMaintenance dose: Increase weekly in 2 mg/24 hours increments if additional therapeutic effect is needed Lowest effective dose: 4 mg/24 hoursMaximum dose for Early-stage Parkinson's disease: 6 mg/24 hoursMaximum dose for Advanced-stage Parkinson's disease: 8 mg/24 hoursComments: -Upon discontinuation, reduce the daily dose by a maximum of 2 mg every 24 hours, if possible; reduce the dose every other day until withdrawal is complete. Use: Treatment of Parkinson's disease

Usual Adult Dose for Restless Legs Syndrome:

Initial dose: Apply 1 mg topically once a dayMaintenance dose: Increase weekly in 1 mg/24 hours increments if additional therapeutic effect is needed Lowest effective dose: 1 mg/24 hoursMaximum dose: 3 mg/24 hoursComments: -Upon discontinuation, reduce the daily dose by a maximum of 1 mg every 24 hours, if possible; reduce the dose every other day until withdrawal is completeUse: Treatment of moderate-to-severe primary Restless Legs Syndrome

Warnings

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

What other drugs will affect Rotigotine transdermal

Using rotigotine with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Other drugs may affect rotigotine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Disclaimer

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