Some people using Neupro have fallen 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 rotigotine 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, unusual urges to gamble, or other intense urges while taking this medication. Talk with your doctor if you believe you have any intense or unusual urges while using Neupro.
Do not stop using Neupro suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using Neupro. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by rotigotine. Tell your doctor if you regularly use any of these other medicines. Drinking alcohol can increase certain side effects of rotigotine. The Neupro patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test. Neupro may cause hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you have hallucinations.
Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.
Before taking this medicine
You should not use Neupro if you are allergic to rotigotine.
To make sure Neupro is safe for you, tell your doctor if you have:
asthma or a sulfite allergy;
high or low blood pressure;
heart problems;
kidney disease;
schizophrenia, bipolar disorder, or psychosis;
narcolepsy or other sleep disorder; or
if you feel light-headed or nauseated when you stand up.
People with Parkinson's disease may have a higher risk of skin cancer (melanoma). Talk to your doctor about this risk and what skin symptoms to watch for.
It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
You should not breast-feed while using rotigotine.
How should I use Neupro?
Use Neupro skin patches exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Apply the patch to clean, dry, and hairless skin. Avoid placing the patch where it will be rubbed by a waistband or tight clothing. Press the patch firmly into place for about 30 seconds. You may leave the patch on while bathing, showering, or swimming.
Remove the skin patch after 24 hours and replace it with a new one. Choose a different place on your body to wear the patch each time you put on a new one. Do not use the same skin area twice within 14 days.
If a patch falls off, put a new patch on a different place on your body and wear it the rest of the day. Then replace the patch the next day at your regular time.
Wash your hands with soap and water after applying or removing the patch.
Keep used and unused Neupro skin patches out of the reach of children or pets.
If you are using Neupro for RLS, call your doctor if your symptoms get worse, or if they start earlier in the day than usual.
This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Neupro.
The Neupro patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.
Do not stop using Neupro suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.
Keep the skin patch in its sealed pouch until you are ready to use it. Store the pouches at room temperature away from heat and moisture.
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.
