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Things you should do
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Remind any doctor, dentist or pharmacist you visit that you are using Neupro®.
Contact your doctor if you find your symptoms worsen. For example, some people taking
Neupro® to treat Restless Legs Syndrome find their symptoms may start earlier in the
day than usual or be more intense.
Contact your doctor if you notice any problems with your vision or have a serious
skin reaction.
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Things you should not do
|
Do not stop using this medicine or lower the dose, without first checking with your
doctor.
Do not cut Neupro® patches into pieces
Do not give your medicine to anyone else.
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Driving or using machines
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If you feel very drowsy, or experience episodes of falling asleep suddenly without
feeling sleepy, do not drive or operate machinery or perform any other dangerous activities,
and contact your doctor.
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Drinking alcohol
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Tell your doctor if you drink alcohol. Combining Neupro® and alcohol can make you
more drowsy. Your doctor may suggest you avoid alcohol while you are being treated
with Neupro®.
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Looking after your medicine
|
Keep your patches in their package until it is time to use them.
Store below 30°C in a cool dry place away from moisture, heat or sunlight.
Keep Neupro® out of reach of children.
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Serious potential side effects: hallucinations, compulsive behaviour, psychotic disorders including abnormal thinking about reality and behaviour, confusion, disorientation, allergic reaction (shortness of breath, wheezing or difficulty breathing, swelling of the face and lips, tongue or other body parts, rash, itching or hives on the skin), irregular heartbeat, increased heart rate (palpitations), involuntary muscle spasms (seizure, convulsion), loss of consciousness, visual disturbances such as seeing colours or lights or blurred vision, falling, fainting.
For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.
Do not use Neupro® if:
Check with your doctor if you:
Pregnancy and breastfeeding
Children and Adolescents
How much to take / use
Parkinson's Disease
Restless Legs Syndrome
When to take / use Neupro®
Where to apply the patch
How to apply Neupro®
1. To open the sachet, hold the two sides of the sachet. Peel apart the foil and open the sachet.
2. Take the patch out of the sachet.
3. The sticky side of the patch is covered by a transparent protective liner. Hold the patch in both hands with the protective liner facing you.
4. Bend the patch in half so that the S-shaped break in the liner opens.
5. Peel off one side of the protective liner. Don’t touch the sticky side of the patch with your fingers.
6. Hold the other half of the rigid protective liner and put the sticky surface of the patch onto your skin. Press the sticky side of the patch firmly into place.
7. Fold back the other half of the patch and remove the other side of the protective liner.
8. Press the patch down firmly with the palm of your hand for about 20 - 30 seconds to make sure the patch is touching the skin and that the edges stick well.
How to change Neupro®
If you forget to use Neupro®
If you use too much Neupro®
(by calling 13 11 26), or
Call your doctor straight away if you:
Things you should not do
Driving or using machines
Drinking alcohol
Looking after your medicine
When to discard your medicine
Getting rid of any unwanted medicine
Less serious side effects
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Less serious side effects
|
What to do
|
|---|---|
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Nervous-System Related
dizziness or lightheadedness when standing up quickly
vertigo (sensation of spinning)
headache
abnormal movements including muscle twitching or spasms (which may occur in Parkinson's
disease patients and may or may not resemble Parkinson’s symptoms)
Sleep Related:
feeling sleepy, falling asleep suddenly, being unable to sleep, nightmares, unusual
dreams
Gastrointestinal Related
nausea, vomiting
constipation
indigestion, stomach discomfort and pain
dry mouth
Mood Related
anxiety
agitation
Application Site Reaction
skin irritations under the patch such as redness and itching
Other
headache
feeling weak or tired
increased sweating
hiccups
swelling of legs and feet
weight loss or weight increase
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
|
Serious side effects
|
What to do
|
|---|---|
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Psychiatric Related
seeing or hearing things that are not real (hallucinations)
compulsive behaviour such as an unusual urge to carry out a certain activity including
excessive gambling, repetitive meaningless actions, increased sex drive, compulsive
spending, buying or eating
psychotic disorders including abnormal thinking about reality and behaviour (paranoid
psychosis)
confusion, disorientation
Nervous-System Related
involuntary muscle spasms (seizure, convulsion)
loss of consciousness
visual disturbances such as seeing colours or lights or blurred vision
falling, fainting
Heart Related
:
irregular heartbeat, increased heart rate (palpitations)
Allergic Reaction
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
|
Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Reporting side effects
What Neupro® contains
|
Active ingredient
(main ingredient)
|
Rotigotine
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|---|---|
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Other ingredients
(inactive ingredients)
|
povidone
sodium metabisulfite
DL-α-tocopherol
ascorbyl palmitate
silicone adhesives (BIO-PSA Q7-4301 and BIO-PSA Q7-4201)
Backing layer:
polyester film
silicone
aluminium
colour coated with a pigment layer (titanium dioxide, pigment yellow 95, pigment red
166) and imprinted (pigment red 144, pigment yellow 95, pigment black 7).
Protective liner:
polyester film
fluoropolymer
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