What is Rotigotine?

Category: Prescription Drugs

Most popular types: Neupro Patch

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Rotigotine, a dopamine agonist drug delivered slowly across the skin by means of a transdermal patch, is worn for 24hrs at a time. The aim is to provide a slow, steady stream of dopamine in order to reduce symptoms and on/off fluctuations.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Parkinson's disease 1939 209
Restless legs syndrome 29 20
Stiffness/spasticity 21 10
Tremor in hands 5 18
Tremor(s) 4 2
Essential tremor 2 1

Show all 25 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 19
Moderate 52
Mild 64
None 88

Commonly reported side effects and conditions associated with Rotigotine

Side effect Patients Percentage
Nausea 14
Skin irritation under patch 8
Itching 5
Anxious mood 4
Fatigue 4
Headaches 4

Show all 64 reported side effects

Dosages

Based on patients currently taking Rotigotine

Dosage Patients Percentage
6 mg/24 hr daily 4
2 mg daily 2
8 mg daily 2
0.0417 mg daily 1
0.0833 mg daily 1
0.125 mg daily 1
1 mg daily 1
3 mg daily 1

Why patients stopped taking Rotigotine

Multiple reasons could be selected

Reason Patients Percentage
Other 68
Side effects too severe 65
Did not seem to work 53
Doctor's advice 38
Expense 13
Course of treatment ended 7
Personal research 4
Change in health plan coverage 2
See all 194 patients who've stopped taking Rotigotine

Duration

Currently taking Rotigotine

Duration Patients Percentage
6 months - 1 year 1
1 - 2 years 1
2 - 5 years 5
5 - 10 years 6

Stopped taking Rotigotine

Duration Patients Percentage
Less than 1 month 46
1 - 6 months 65
6 months - 1 year 42
1 - 2 years 23
2 - 5 years 13
5 - 10 years 2
10 years or more 2
Adherence
Adherence Evaluations Percentage
Always 180
Usually 30
Sometimes 3
Never taken as prescribed 10
Burden
Burden Evaluations Percentage
Very hard to take 5
Somewhat hard to take 32
A little hard to take 52
Not at all hard to take 134
Cost per month
Cost per month Evaluations Percentage
$200+ 24
$100-199 10
$50-99 36
$25-49 11
< $25 66
Not specified 76

What people switch to and from

Patients started taking Rotigotine after stopping:

Treatment Patients Percentage
Pramipexole (Mirapex) 20
Ropinirole (Requip) 16
Carbidopa-Levodopa (Sinemet) 6
Amantadine (Symmetrel) 3
Carbidopa-Entacapone-Levodopa (Stalevo) 2

Show all 11 treatments patients report switching from

Patients stopped taking Rotigotine and switched to:

Treatment Patients Percentage
Carbidopa-Levodopa (Sinemet) 16
Ropinirole (Requip) 15
Pramipexole (Mirapex) 11
Carbidopa Levodopa ER (Rytary XR) 4
Amantadine (Symmetrel) 1

Show all 10 treatments patients report switching to

Last updated:

15 patient evaluations for Rotigotine

Jul 15, 2017 (Started Sep 15, 2012)

  • Effectiveness
    Major (for Increase effect of another treatment)
  • Effectiveness
    Moderate (for Medication management)
  • Effectiveness
    Major (for Parkinson's disease)
  • Effectiveness
    None (for falls)
  • Effectiveness
    Moderate (for lethargic in the evening)
  • Side effects
    Severe
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 1 PATCH Daily
Advice & Tips: When my physician switched me to RYTARY from carbidopa-levodopa in July 2017 I began experiencing excessive movements, imbalance and falls. I fell more in the four months after I began taking Rytary and using the neupro patch than I had in the four previous years. I left off the patch for a week and the excessive movements and imbalance symptoms gradually faded, but the wearing off returned. I then experimented and cut the patch in half and then into quarters which seemed to be the right dosage. Make sure that your medical prescribers consider factors such as how much your weight size and age when changing your medications. I don’t think this was considered in my case. I’m a 70 year old woman, 5’1” and weigh 125 lbs. Consideration of these factors should have been given before I was told to continue on as usual with the Neupro patch. Drug interaction is a primary problem with medications
Cost: $50-99 monthly

  • 0 helpful marks

Jun 30, 2016 (Started Oct 16, 2012)

  • Effectiveness
    Slight (for Parkinson's disease)
  • Side effects
    Moderate (leaning to the right)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 4 mg/24 hr Daily
Advice & Tips: I was leaning way to far to the right.
Cost: < $25 monthly

  • 0 helpful marks

Jun 25, 2016 (Started Jun 15, 2015)

  • Effectiveness
    Major (for Parkinson's disease)
  • Side effects
    Severe (hypnagogic hallucinations, delusional behavior, excessive daytime sleepiness (somnolence), hypersexuality, delusional thinking)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 8 mg Daily
Advice & Tips: Have someone closely monitor your behavior and medicine for the firs few months.
Cost: $200+ monthly

Oct 7, 2015 (Started Jun 15, 2015)

  • Effectiveness
    Major (for Parkinson's disease)
  • Side effects
    Mild (hypnagogic hallucinations, delusional behavior, excessive daytime sleepiness (somnolence), hypersexuality, delusional thinking)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 8 mg Daily
Advice & Tips: I use the Neupro patch; which requires making sure it is properly "stuck" to your skin and in the ideal locations they give you in their instructions. I enjoy the 24 hour release and no more pills. You should carry a spare when you are learning to apply it. Stays on well in water.
Cost: $200+ monthly

  • 0 helpful marks
Last updated:
Showing 3 of 15 patient evaluations for Rotigotine