Uses of Rivastigmine Patch:

• It is used to treat dementia in people with Alzheimer's disease.
• It is used to treat dementia in people with Parkinson's disease.

What do I need to tell my doctor BEFORE I take Rivastigmine Patch?

• If you have an allergy to rivastigmine or any other part of rivastigmine patch.
• If you are allergic to rivastigmine patch; any part of rivastigmine patch; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
• If you have had a skin reaction to rivastigmine patch or another form of rivastigmine patch in the past.
• If you are taking any of these drugs: Acebutolol, atenolol, betaxolol, bisoprolol, carvedilol, esmolol, labetalol, metoclopramide, metoprolol, nadolol, nebivolol, penbutolol, pindolol, propranolol, sotalol, or timolol.
• If you take other drugs called anticholinergics, like ipratropium or oxybutynin. Ask your doctor if you are not sure if any of your drugs are anticholinergic.
• If the patient is a child. Do not give rivastigmine patch to a child.

This is not a list of all drugs or health problems that interact with rivastigmine patch.

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 rivastigmine patch 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 Rivastigmine Patch?

• Tell all of your health care providers that you take rivastigmine patch. This includes your doctors, nurses, pharmacists, and dentists.
• Avoid driving and doing other tasks or actions that call for you to be alert until you see how rivastigmine patch affects you.
• Talk with your doctor before you drink alcohol.
• 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 patch may have metal. Take off the patch before an MRI.
• It is common to have diarrhea, loss of appetite, nausea, throwing up, or weight loss with rivastigmine patch. Long-term diarrhea or throwing up may lead to dehydration. Call your doctor if any of these side effects are very bad, bother you, or do not go away. Call your doctor right away if you have signs of dehydration like dry skin, mouth, or eyes; thirst; fast heartbeat; dizziness; fast breathing; or confusion.
• Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.

How is this medicine (Rivastigmine Patch) best taken?

Use rivastigmine patch as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Do not take rivastigmine patch by mouth. Use on your skin only.
• Keep using rivastigmine patch as you have been told by your doctor or other health care provider, even if you feel well.
• 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 upper or lower back. If you are not able to do this, put on upper arm or chest.
• Put patch on a site without hair.
• Do not put on skin where you have just used creams, oils, lotions, powder, or other skin products. The patch may not stick as well.
• Do not put on skin that is irritated or damaged. Do not put on an area with skin folds or skin that will be rubbed by tight clothes.
• Move the patch site with each new patch. Do not put on the same site for 14 days.
• If the patch falls off, put a new one on.
• Put patch on at the same time of day.
• Do not put on more than 1 patch at a time. Take off the old patch before you put a new one on. Wearing more than 1 patch at a time can lead to very bad and sometimes deadly overdose.
• Be careful to not knock loose the patch while bathing or showering.
• After you take off a skin patch, be sure to fold the sticky sides of the patch to each other. Throw away used patches where children and pets cannot get to them.
• If you get rivastigmine patch in your eyes, wash right away with water. If you have eye irritation that lasts or a change in eyesight, call your doctor.

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.
• Do not put on 2 doses or extra doses.
• If you miss taking rivastigmine patch for a few days in a row, call your doctor before you start taking it again.

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, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often or right away, fever, lower stomach pain, or pelvic pain.
• Trouble controlling body movements that is new or worse.
• Shakiness, trouble moving around, or stiffness.
• Very bad dizziness or passing out.
• Seizures.
• Feeling confused.
• Low mood (depression).
• Black, tarry, or bloody stools.
• Throwing up blood or throw up that looks like coffee grounds.
• Slow heartbeat.
• Trouble passing urine.
• Skin irritation.
• Falls.
• Blisters or sores that ooze, drain, or crust over.

What are some other side effects of Rivastigmine Patch?

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.
• Not hungry.
• Weight loss.
• Stomach pain or diarrhea.
• Feeling dizzy, sleepy, tired, or weak.
• Headache.
• Trouble sleeping.
• Anxiety.

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 the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

If OVERDOSE is suspected:

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.

How do I store and/or throw out Rivastigmine Patch?

• Store at room temperature.
• Store in a dry place. Do not store in a bathroom.
• Store patches in pouch until ready for use.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer Information Use and Disclaimer

• 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.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about rivastigmine patch, please talk with your doctor, nurse, 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.