What is rotigotine?

Rotigotine has some of the same effects as a chemical called dopamine, which occurs naturally in your body. Low levels of dopamine in the brain are associated with Parkinson’s disease.

Rotigotine is used to treat early signs and symptoms of Parkinson’s disease.

Rotigotine may also be used for purposes other than those listed in this medication guide.

Rotigotine skin patches were withdrawn from the U.S. market in April 2008.

Precautions

Do not use this medication if you are allergic to rotigotine, povidone, or silicone.

Before using rotigotine, tell your doctor if you have:

  • asthma or any allergies;
  • heart disease or congestive heart failure;
  • high blood pressure;
  • epilepsy or other seizure disorder; or
  • tremors (dyskinesia) or uncontrolled muscle movements.

FDA pregnancy category C. Rotigotine may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Rotigotine may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Rotigotine may cause you to fall asleep during normal daytime activities such as working, talking, eating, or driving. You may fall asleep suddenly, even after feeling alert. Tell your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medicine will affect you, be careful if you drive or do anything that requires you to be awake and alert.

You may have increased sexual urges, intense or unusual urges to gamble, or other intense urges while using rotigotine. It is not known whether the medicine actually causes this effect. Talk with your doctor if you believe you have any intense or unusual urges while you are using rotigotine.

Some people using medicines for Parkinson’s disease have developed skin cancer (melanoma). However, people with Parkinson's disease may have a higher risk than most people for developing melanoma. Talk to your doctor about your specific risk and what skin symptoms to watch for. You may need to have regular skin exams.

The rotigotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

Avoid touching your eyes after handling a rotigotine patch.

Do not use any cream, lotion, ointment, oil, or powder on the skin where you plan to apply a skin patch. The patch may not stick well to the skin.

Avoid applying heat to the skin where the patch is worn, because it may increase the amount of medicine your body absorbs. Heat sources include hot tubs, heating pads, heat lamps, saunas, heated water beds, and direct sunlight.

Rotigotine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of rotigotine is not likely unless you wear more than one patch at a time, or if you forget to remove a patch before putting on a new one.

Apply a skin patch as soon as you remember. If it is almost time to apply your next patch, skip the missed dose and apply a patch at your next regularly scheduled time. Do not use extra patches to make up the missed dose.

If a skin patch falls off, try sticking it back on. You may use bandage tape around the edges to hold the patch in place.

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Side Effects

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

Call your doctor at once if you have any of these serious side effects:

  • extreme drowsiness, falling asleep suddenly, even after feeling alert;
  • nausea, sweating, feeling light-headed, fainting;
  • breathing problems;
  • severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure;
  • hallucinations;
  • swelling in your hands or feet; or
  • restless muscle movements in your eyes, tongue, jaw, or neck.

Less serious side effects may include:

  • weight gain;
  • swelling, redness, or itching where the patch was applied.
  • urinating more than usual;
  • runny nose;
  • diarrhea, loss of appetite;
  • feeling dizzy, tired, or weak;
  • mild drowsiness or sleepiness;
  • headache;
  • sleep problems (insomnia);
  • blurred vision; or
  • swelling in your hands or feet.

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.

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Interactions

Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by rotigotine.

There may be other drugs that can affect rotigotine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Neupro and rotigotine

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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