Exelon Patch (Rivastigmine)
Complete patient guide for uses, dosage, side effects, and safety information
Prescription RequiredQuick Facts
What Is Exelon Patch Used For?
Exelon Patch contains rivastigmine, a medication that helps treat symptoms of Alzheimer’s disease in adults by increasing important brain chemicals that help with memory and thinking.
Primary Uses
Exelon Patch is specifically used to treat adults with Alzheimer’s disease, a condition where brain damage occurs due to reduced numbers of cells that make important brain chemicals.
How It Works
Exelon Patch is a cholinesterase inhibitor that increases the amount of acetylcholine in your brain. This chemical is a neurotransmitter that helps the brain send messages throughout your body. By increasing these levels, the patch may help reduce symptoms and slow down the progression of Alzheimer’s disease.
Good to know: Exelon Patch may help reduce symptoms of Alzheimer’s disease and slow down its progression, helping with problems remembering things, thinking clearly, and normal behavior.
How to Take Exelon Patch
Apply one patch daily to clean, dry skin on your upper arm, chest, upper back, or lower back. Press firmly for at least 30 seconds to ensure good contact with your skin.
Dosage Instructions
Apply ONE patch per day to one location on your body. Usually you’ll start with Exelon Patch 5 daily, and your doctor may adjust the dose over time. Always remove the old patch before applying a new one. Rotate application sites – use different areas each day and avoid the same spot for at least a week. Never cut the patch or apply it to wet, irritated, or damaged skin.
What If You Miss a Dose?
If you forget to apply your patch, apply a new one immediately after removing the old one. Do not apply two patches to make up for a missed dose. If it has been more than 3 days since you applied a patch, contact your doctor before applying a new one as they may need to restart you on a lower dose.
Important: Never apply more than one patch at a time – having multiple patches on your body can be dangerous. Always remove the old patch before applying a new one.
Available Tablet Strengths
Side Effects
Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.
Common Side Effects
These side effects occur relatively frequently and usually don’t require emergency care:
- Feeling tired, sick, weak, or dizzy
- Headaches
- Diarrhea
- Skin irritation or redness where patch was applied
- Weight loss
- Indigestion
- Loss of appetite
- Trouble sleeping
- Feeling anxious or nervous
- Increased sweating
- Changes in toilet habits
Seek immediate medical attention if you experience:
- Seeing or hearing things that are not there
- Wheezing or trouble breathing
- Swelling of lips or tongue
- Pain when urinating
- Severe stomach pain
- Trouble controlling movement or balance
- Blood in stool or vomit
- Chest pain
- Yellow skin or eyes
- Feeling confused
- Persistent swelling or blistering on skin that spreads
- Seizures or fits
- Uncontrollable trembling
- Difficulty swallowing
Important Warnings
Exelon Patch is not suitable for everyone and requires careful monitoring by your doctor, especially if you have certain medical conditions.
Who Should Not Take Exelon Patch
Do not use if you are allergic to rivastigmine, carbamates, or any ingredients in the patch; have liver problems; have a history of skin reactions to adhesives or persistent rash, swelling, or blistering from previous Exelon Patch use; are under 18 years old; or if the patch is expired or damaged.
Medical Conditions to Discuss
Tell your doctor if you have difficulty urinating; heart conditions like irregular heartbeat, QTc prolongation, or family history of heart rhythm problems; stomach ulcers; breathing difficulties or asthma; seizures or trembling; low body weight (less than 50 kg); frequent vomiting or diarrhea; Parkinson’s disease; kidney problems; or if you smoke.
Pregnancy and Breastfeeding
Check with your doctor if you are pregnant, think you may be pregnant, or plan to become pregnant. It’s unknown whether Exelon Patch affects your baby. You should not breastfeed during treatment with Exelon Patch.
Skin Reactions: Your doctor may monitor you for skin reactions. Contact your doctor if you develop a rash or skin irritation that doesn’t resolve within 48 hours or spreads beyond the patch size.
Drug Interactions
Several medications can interact with Exelon Patch and affect how it works. Always tell your doctor about all medicines you’re taking.
Smoking: Nicotine from cigarettes and smoking cessation patches can affect how well Exelon Patch works. Tell your doctor if you smoke or have sudden changes in smoking habits.
- Nicotine (including smoking cessation patches)
- Anti-nausea medicines like metoclopramide
- Beta blockers like atenolol for blood pressure
- Muscle relaxants used in surgery like bethanechol
- Other cholinomimetic or anticholinergic medications
- Heart rhythm medications like quinidine, amiodarone, pimozide
- Antibiotics like erythromycin, moxifloxacin
- Antidepressants like citalopram
Alcohol & Driving
Exelon Patch may affect your ability to drive safely and can interact with alcohol to increase drowsiness and dizziness.
Alcohol
Exelon Patch may make you feel dizzy or tired, and drinking alcohol may increase this effect. Tell your doctor if you drink alcohol.
Driving and Operating Machinery
Exelon Patch may make you feel dizzy or tired and may impact your driving. Do not drive or use machines if you feel dizzy or tired, as you may not be able to think clearly. Your doctor will tell you whether you are able to drive.
Temperature Regulation
Do not expose Exelon Patch to direct heat sources for long periods, including sun, fireplaces, heaters, saunas, and tanning beds. Bathing, swimming, and showering should not affect the patch, but ensure it doesn’t rub off under swimming costumes.
Storage
Keep Exelon Patch in the original packet until ready to use. Store in a cool, dry place at room temperature (below 25°C). Do not store in the bathroom or near sinks. Keep away from children in a locked cupboard at least 1.5 meters off the ground. After removal, fold the used patch in half with sticky sides together, place in original sachet, and dispose where children cannot access.
Overdose Information
If you think you’ve applied more patches than prescribed, used another patch without removing the old one, or accidentally swallowed patch contents, immediately remove any patches from your skin and call the Poisons Information Centre (13 11 26), contact your doctor, or go to the nearest hospital emergency department. Do this even if you feel fine – you may experience nausea, dizziness, fainting, or hallucinations.
Frequently Asked Questions
The patch works continuously while applied to your skin. You should apply a new patch every 24 hours. Your doctor will monitor your progress and may adjust the dose over time depending on how you respond to treatment.
Yes, bathing, swimming, and showering should not affect the patch. However, make sure it doesn’t rub off under your swimming costume and avoid exposing it to direct heat sources for long periods.
Do not reapply the used patch. If it falls off before you normally would replace it, apply a new patch for the rest of the 24-hour period, then replace with a new patch the next day at your usual time.
No, never cut the patch. This can affect how the medication is delivered and may cause side effects.
Do not stop using the patch suddenly without talking to your doctor first. Your doctor will guide you on how to safely discontinue treatment if needed.
Exelon Patch may make you feel dizzy or tired, and drinking alcohol may increase this effect. Tell your doctor if you drink alcohol so they can advise you appropriately.
Apply only one patch per day to clean, dry skin on your upper arm, chest, upper back, or lower back. Rotate the application site daily and avoid the same spot for at least a week.
Important Disclaimer
This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
If you think you may have a medical emergency, call your doctor or emergency services immediately.