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Rotigotine (roe TIG oh teen)

Adult Medication

Brand Names: U.S.

Neupro

Brand Names: Canada

Neupro

What is this drug used for?

  • It is used to treat Parkinson’s disease.
  • It is used to treat restless leg syndrome.

What do I need to tell my doctor BEFORE I take this drug?

  • If you have an allergy to rotigotine or any other part of this drug.
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
This drug may interact with other drugs or health problems.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug?

  • Tell dentists, surgeons, and other doctors that you use this drug.
  • Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you.
  • To lower the chance of feeling dizzy or passing out, rise slowly over a few minutes when sitting or lying down. Be careful climbing stairs.
  • Have your blood pressure and heart rate checked often. Talk with your doctor.
  • If you are allergic to sulfites, talk with your doctor. Some products have sulfites.
  • The patch may have metal. Take off the patch before an MRI or cardioversion.
  • Do not stop taking this drug all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop this drug, you will want to slowly stop it as ordered by your doctor.
  • Talk with your doctor before you drink beer, wine, mixed drinks, or use other drugs and natural products that slow your actions.
  • Avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your temperature may rise and cause too much drug to pass into your body.
  • The chance of a type of skin cancer called melanoma may be raised in people with Parkinson’s disease. It is not known if this drug may also raise the chance. Have skin exams while you take this drug. Talk with your doctor.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
Restless leg syndrome:
  • Tell your doctor if your signs become worse or start earlier in the day.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Strong urges that are hard to control (such as gambling or sex).
  • Very bad dizziness or passing out.
  • Change in thinking clearly and with logic.
  • A skin lump or growth.
  • Change in color or size of a mole.
  • Very bad headache.
  • Bad dreams.
  • A burning, numbness, or tingling feeling that is not normal.
  • Chest pain or pressure or a fast heartbeat.
  • A heartbeat that does not feel normal.
  • Mood changes.
  • Hallucinations.
  • Change in how you act.
  • Trouble controlling body movements that is new or worse.
  • Very bad skin irritation.
  • Weight gain.
  • Swelling in the arms or legs.
  • Ringing in ears.
  • Change in eyesight.
  • Some people have fallen asleep during activities like driving, eating, or talking. Some people did not feel sleepy and felt alert right before falling asleep. This has happened up to 1 year after this drug was started. If you fall asleep during activities, do not drive or do other tasks or actions that call for you to be alert while you take this drug. Call your doctor right away if this happens or you feel very sleepy.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
  • Upset stomach or throwing up.
  • Hard stools (constipation).
  • Not hungry.
  • Loose stools (diarrhea).
  • Dizziness.
  • Feeling sleepy.
  • Headache.
  • Sweating a lot.
  • Feeling tired or weak.
  • Not able to sleep.
  • Joint pain.
  • Irritation where this drug is used.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best taken?

Use this drug as ordered by your doctor. Read and follow the dosing on the label closely.
  • Use as you have been told, even if you feel well.
  • To gain the most benefit, do not miss doses.
  • Do not use patches that are cut or do not look right.
  • Wash your hands before and after use.
  • Put patch on clean, dry, healthy skin on the belly, hip, side, shoulder, upper leg, or upper arm.
  • Put patch on at the same time of day.
  • Shave hair at a site 3 days before putting a patch on it.
  • Press patch firmly in place for 30 seconds when putting it on.
  • Move the patch site with each new patch. Do not put on the same site for 14 days.
  • Be careful to not knock loose the patch while bathing or showering.
  • If the patch falls off, put a new one on.
  • If the patch loosens, put tape ONLY on the edges of the patch to hold it in place.
  • When patch is taken off, wash site with soap and water.

What do I do if I miss a dose?

  • Put on a missed patch as soon as you think about it after taking off the old one.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not put on more than 1 patch at a time.

How do I store and/or throw out this drug?

  • Store at room temperature.
  • Store patches in pouch until ready for use.
  • Store in a dry place. Do not store in a bathroom.
  • After you take off a skin patch, be sure to fold the sticky sides of the patch to each other.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else’s drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.