Each patch is packed in a sachet and should be applied directly after the sachet has been opened. Parkinsons disease neupro can be used on its own or with another medicine. Although the patient suffered from no adverse effects, there have been cases wherein cut fentanyl patches led to serious harm including death. Hello i cannot find 2mg rotigotine neupro patch, but i found 4mg, can i cut it in half. Although the intention is simply to get a lower dosage, cutting fentanyl patches in half can actually put someone at risk of an overdose.
Where to stick the patch put the sticky side of the patch onto clean, dry, healthy skin on the following areas, as indicated by the grey areas in the picture shoulder upper arm belly thigh hip flank your side, between your ribs and your hip. Zacharisen on can you cut a nicotine patch in half. I would worry how the cut edge would affect absorption, and it seem it might also be more likely to fall off. This emedtv web selection presents more details on this medicated skin patch, with information on how it is used, possible side effects, safety concerns, and more.
If you have any further questions, ask your doctor, pharmacist or nurse. Considerations for optimal transdermal drug delivery. Do not touch the sticky surface because the medicine could come off on your fingers. I have some 4mg samples but my current dosage is 2mg. Figure a neupro should be applied right away after removing it from the protective pouch. The danger with cutting medication patches american. Neupro patch fda prescribing information, side effects.
Therefore, cutting a patch in half does not guarantee that the amount of drug in each half is equal. Information for the user neupro 2 mg24 h transdermal patch rotigotine read all of this leaflet carefully before you start using this medicine because it contains important information for you. Do not touch the sticky surface of your neupro patch because the medicine could come off on. Depending on the medication type, the cutting of a patch that uses a microreservoir system can be safe and appropriate, but some of the reservoirs will be destroyed when the patch is cut. Make sure that your neupro patch is flat against your skin. Do not damage or cut your neupro patch into smaller pieces choose the time of day or night that works best for you to apply your neupro patch. I have been on the combi patch 40150 and i feel lethargic like. Too much medicine could be absorbed into your body.
Especially tell your doctor if you take other medicines that can make you sleepy. Rotigotine, sold under the brand name neupro among others, is a dopamine agonist of the nonergoline class of medications indicated for the treatment of parkinsons disease pd and restless legs syndrome rls. I was started on 1 2mg patch, then after a long time upto 1 4mg patch. Do not cut the patch or use the patch if it appears broken, cut, or damaged. The patch was transderm scop patch, but he only gave 3, and said it was for short term use. We used up the 2mg pack starting on neupro, and now have no way to transition off. Neupro dosing information usual adult dose for parkinsons disease.
Neupro can be used to treat parkinsons disease or restless legs syndrome rls. Neupro side effects, uses, dosage, overdose, pregnancy. Do not cut it into smaller pieces and do not touch the sticky surface of the patch. When dosed intravenously, rotigotine has a short half life. Cutting a patch could result in the medication being releasing all at once and cause serious harm and even death from overdose. After removal of the patch, plasma levels decreased with a terminal halflife of 5 to 7 hours. Despite this, a number of references indicate that the patches may be cut in half. Apply the sticky half of your neupro patch to a clean area of your skin and. Your neupro patch still contains some medicine and could harm a child or pet. One half of the release liner should be removed and the sticky side should be applied and pressed firmly to the skin. There are currently two types of transdermal patches. Neupro 8 mg24 h transdermal patch patients leaflet.
Neupro, if cut in half, you should try to place it back in the original package bit came in. Bend the edges of your neupro patch away from you so that the sshaped cut in the liner opens up. The danger with cutting medication patches american pharmacists. In a case recently reported to the institute for safe medication practices ismp, a physician instructed staff from a hospice health care agency to cut a 50 mcgh fentanyl transdermal system patch in half and apply it to a patient to deliver a 25 mcgh dose. Evaluations from patients who take rotigotine patientslikeme. Peel off one half of the protective film and apply the sticky portion to the skin. Each patch should be carefully folded in half so that it. This technique can only be used when exact dosing is not critical. There should be no bumps or folds in your neupro patch. Is it safe to cut the 6mg neupro patch in half to help taper off. Whether to save money or to lower the dose, patients often ask if they can cut them.
Do keep the backing on the other half of the patch dont pull the backing off before you cut it in half and youll probably be fine, as far as not having things dry up on you. Neupro comes in 4 different size dose patches for parkinsons disease. That said, i would rather do that than not give the drug at all. Neupro should not be placed on skin that is red, irritated or damaged see section 4. You can cut the patch and the dosage, but only on the advice of your doctor. The reason you shouldnt cut the patch is because it alters the timerelease of nicotine due to the way the patch is constructed. Apply it at the same time each day wear your neupro patch for 24 hours.
Do not use neupro if you are allergic to rotigotine or any of the ingredients in. Press your neupro patch firmly with the palm of your hand for 30 seconds to make sure there is good contact with your skin, especially around the edges. Cutting in half will destroy the prolonged activity. Information for the user neupro 2 mg24 h transdermal patch. I have been on the combi patch 40150 and i feel lethargic.
After removing a patch, fold it in half so it sticks together and throw it away in a place where children or pets cannot get to it. Used to control pain, lidoderm patches can be cut into smaller pieces. In a case recently reported to the institute for safe medication practices ismp, a physician instructed staff from a hospice health care agency to cut a 50 mcgh fentanyl transdermal system patch in half and. Apply the sticky half of the patch to a clean area of skin and remove the remaining liner. Do not damage or cut your neupro patch into smaller pieces. Going back to mirapex from neupro ask the pharmacist. However, you can peeloff half of the backing and apply it, then rotate to the other exposed half the next day. The second half of the patch cannot be kept for future use. The reservoir formulation is less and less seen, since there is a risk of overdosing in case of a leak. Can you cut a nuepro patch in half answers on healthtap.
Neupro should be applied right away after removing it from the protective pouch. Can transdermal patches be cut in half so that you effectively get half the dose. The only patch that you may be able to cut safely is lidoderm. Neupro rotigotine transdermal system may treat, side effects, dosage, drug. Neupro 2 mg24 h transdermal patch summary of product. Slowly and carefully peel off your used neupro patch. After 24 hours, remove your neupro patch and apply a new one right away to a different area of skin. Do not cut it into smaller pieces and do not touch the sticky surface of the. Avoid exposing the neupro patch you are wearing to heating pads, electric blankets, heat lamps, saunas, hot tubs, heated water beds, and direct sunlight. I called his nurse and she let me know that they usually recommend that you can cut them in half to reduce the dosage but shed run it by my doctor to make sure. After removing a used patch, fold the patch in half with the sticky. My doc prescribed the 50 mcghr mylan fentanyl patch and it is feeling a bit strong.
It is formulated as a oncedaily transdermal patch which provides a slow and constant supply of the drug over the course of 24 hours. Doctors give trusted answers on uses, effects, sideeffects, and cautions. Can transdermal patches be cut in half so that you. I then experimented and cut the patch in half and then into quarters which seemed to be the right. The literature that comes with the product and the website both state that you should not cut a neupro patch, however, they do not say why. Bend the edges of the patch away from you so that the sshaped cut in the liner opens. Depending on the type of transdermal patch, you may be able to cut it in half, can transdermal patches be cut in half so that you effectively get half the dose. Neupro rotigotine transdermal system drug overview and. Regarding the tse risk, neupro does not contain any ingredient of ruminant origin. Hold your neupro patch with both hands, with the protective liner on top. Then for extra security so that none of the medicine leaks out, you should place the original place the original package in a seal tight sandwich bag. Also, do not wear neupro during medical procedures called magnetic resonance imaging mri or cardioversion because this could cause skin burns. Dont restick a patch that has come off, apply a new one as soon as possible and carry on as normal the next day. Can you cut an exelon patch in half to decrease dosage.
When changing your patch, carefully remove the old patch, fold it in half with the sticky side together, and throw it away in the trash away from children and pets. Each neupro patch is sealed in a pouch that protects it until you are ready to apply it. I agree that cutting a patch is not the right thing, although i disagree you can t cut a patch in half as accurately as cutting a pill. He also gave me meclizine, but since the anxiety attack at the dr. Please check with the pharmacist or prescribing doctor. The warmth of your hand helps the adhesive on the patch stick to your skin.
Daniel rose conducted a study showing the transdermal nicotine patch reduced cigarette cravings in smokers. Apply the patch to a clean, dry, intact, and healthy skin area on your stomach, thigh, hip, flank side of the body between the ribs and the pelvis, shoulder, or upper arm. Bella, with any extended release medication whether transdermal or oral, the mfg states to never cut a patch or pill in half. Choose the time of day or night that works best for you to apply your neupro patch. Even though some brands of fentanyl patches are available in a matrix patch system and can theoretically be cut, ismp suggests that where exact. If you forget to apply a new climara patch, you should apply. Common questions and answers about transderm scop cut in half. When cutting them in half the patient is at risk of either getting too much or too little of the medication. Can you cut a nicotine patch in half things you didnt know. The licensed dose is the application of a single patch which may be applied for 72 hours. Rotigotine transdermal route proper use mayo clinic. Avoiding touching the medication on the patch, remove the remaining half of the film and hold the palm of your hand firmly over the patch for 30 seconds.