Exelon Patch 10 9.5mg / 24h

About Exelon Patch 10 9.5mg / 24h

Exelon Patch Uses

• Treatment of mild to moderate dementia in Alzheimer's disease.
• Treatment of mild to moderate dementia linked with Parkinson's disease.
• Support for memory, thinking and day to day function in people with dementia.
• Long term symptom control when swallowing tablets or capsules is difficult.

Exelon Patch Benefits

• Delivers rivastigmine steadily through the skin over 24 hours.
• Causes less nausea and vomiting than oral rivastigmine for many patients.
• One patch a day is easy for caregivers to manage and monitor.

What Experts Say

Rivastigmine blocks the enzymes acetylcholinesterase and butyrylcholinesterase, which raises acetylcholine in the brain. Acetylcholine is a chemical messenger important for memory and thinking, and levels fall in Alzheimer's disease. Several symptom domains can be affected, including attention, language and the ability to manage daily tasks.

The patch gives a smooth, continuous dose through the skin, which avoids the peaks seen with capsules. This is why stomach side effects are usually milder, and why it suits patients who cannot swallow reliably. Skin application also helps caregivers see at a glance that the dose has actually been given each day.

It treats symptoms and does not cure the disease or stop it progressing. Doctors review benefit every few months, and the 9.5 mg per 24 hours patch is commonly the target maintenance strength. Regular review of weight, appetite and pulse is part of safe long term use.

Drug Class

• Cholinesterase inhibitor (anti dementia drug)

Exelon Patch 10 9.5mg / 24h formula

• Rivastigmine

Available forms

• Patch

How to use Exelon Patch 10 9.5mg / 24h?

• Start as prescribed with the 4.6 mg per 24 hours patch for at least 4 weeks, then increase to Exelon Patch 10 (9.5 mg per 24 hours) if tolerated.
• Apply one patch to clean, dry, hairless skin on the upper back, chest or upper arm every 24 hours.
• Remove the old patch before applying a new one, and rotate the site, avoiding the same spot for 14 days.
• Never use more than one patch at a time. Exelon Patch is for use under a doctor's supervision.

Drug Interactions

• Anticholinergic drugs: Medicines such as oxybutynin or some antihistamines can cancel the effect of rivastigmine.
• Beta blockers and other drugs that slow the heart: They may add to bradycardia and fainting.
• NSAIDs: Together they may raise the risk of stomach irritation and ulcers.
• Muscle relaxants used in anesthesia: Rivastigmine may exaggerate their effect, so tell the surgical team.

Risks and warnings

• Slow heart rate: Rivastigmine can cause bradycardia or heart block, so heart patients need monitoring.
• Stomach ulcers: It increases stomach acid and may worsen peptic ulcers or bleeding.
• Weight loss: Poor appetite and weight loss can occur, so weight is checked regularly.
• Overdose: Using more than one patch can cause severe vomiting, slow pulse and collapse.
• Asthma, COPD and seizures: Use with care in these conditions because symptoms may worsen.

Exelon Patch 10 9.5mg / 24h Side Effects

• Nausea
• Vomiting
• Redness or itching at the patch site
• Loss of appetite and weight loss
• Dizziness
• Headache
• Diarrhea
• Agitation or confusion

Storage Conditions

• Store below 25 C in the original sealed sachet.
• Do not refrigerate or freeze.
• Fold a used patch in half with the sticky sides together and discard it safely.
• Keep out of reach of children.