To apply the rotigotine patch correctly, you must first select a clean, dry, and healthy area of skin on your stomach, thigh, hip, flank, shoulder, or upper arm. After opening the pouch, peel off half of the protective liner, apply the sticky side to the chosen spot, remove the second half of the liner, and then press the entire patch firmly with the palm of your hand for 30 seconds to ensure it is secure.
The core principle of using the rotigotine patch is not just application, but systematic rotation. Proper use requires applying a new patch to a completely different spot each day and not reusing the same area for at least 14 days to ensure consistent medication delivery and prevent skin irritation.

Preparing for Application: The Foundation for Success
Effective treatment begins before the patch even touches your skin. The location and condition of the application site are critical for both absorption and comfort.
Choosing the Right Location
The patch should only be applied to specific areas: the stomach (abdomen), thigh, hip, flank (side of your body between the ribs and hip), shoulder, or upper arm. These areas provide a good surface for adhesion and drug absorption.
The chosen skin should be clean, dry, healthy, and relatively hair-free. Avoid areas with scars, cuts, or any signs of irritation.
The 14-Day Rotation Rule
This is the most important rule for long-term use. You must select a different area of skin for the patch each day.
Furthermore, you must not use the exact same spot more than once every 14 days. This strict rotation minimizes the risk of skin irritation, redness, or itching at the application site.
The Step-by-Step Application Process
Follow these steps precisely at roughly the same time each day to establish a consistent routine.
Step 1: Open the Pouch and Prepare the Patch
Carefully open the sealed pouch to remove the patch. Handle it by the edges to avoid touching the sticky, medicated side.
Hold the patch with the protective liner facing you. The liner often has an S-shaped cut to make it easier to remove in two pieces.
Step 2: Peel the Protective Liner
Gently bend the patch to open the S-shaped cut in the liner. Peel off the first half of the liner, exposing one sticky side of the patch.
Do not touch this sticky surface with your fingers, as this can affect the medication and the patch's ability to adhere to your skin.
Step 3: Apply and Secure the Patch
Immediately apply the exposed sticky half of the patch to the clean, dry skin area you selected.
Once it is in place, peel off the second half of the protective liner and smooth the rest of the patch down.
Using the palm of your hand, press the patch down firmly for a full 30 seconds. Ensure the edges are stuck securely and there are no bumps or folds. This step is essential for proper adhesion.
Step 4: Finalize the Process
After applying the new patch, remove the patch from the previous day.
Wash your hands thoroughly with soap and water to remove any medication that may have gotten on your fingers.
Common Pitfalls and Daily Management
Properly managing the patch throughout the day is as important as applying it correctly.
Avoiding Heat Exposure
You must avoid exposing the patch to external heat sources. This includes heating pads, electric blankets, saunas, hot baths, or direct, prolonged sunlight.
Heat can cause the medication to be released from the patch more quickly than intended, which can lead to an incorrect dose and increased side effects.
If the Patch Lifts or Falls Off
If the edges of the patch begin to lift, you can secure them with medical or bandage tape.
If the patch falls off completely, apply a new patch to a different application site. Do not attempt to re-apply the old one.
Safe Removal and Disposal
After 24 hours, peel the old patch off slowly and gently.
To dispose of it safely, fold the patch in half with the sticky sides together. This seals in any remaining medication. Place it in a secure trash can, out of the reach of children and pets.
Do Not Cut or Damage the Patch
Never cut or alter the patch in any way. The patch is a complex system designed to release medication at a specific rate. Damaging its structure will disrupt this delivery mechanism.
Making the Right Choice for Your Goal
Adhering to the instructions ensures the medication works safely and effectively. Your daily focus will determine which steps are most critical.
- If your primary focus is consistent medication delivery: Apply the patch at the same time each day and always press it firmly for 30 seconds to guarantee full contact.
- If your primary focus is preventing skin irritation: Strictly follow the 14-day site rotation rule and never apply the patch to broken or irritated skin.
- If your primary focus is safety: Always avoid external heat sources on the patch and ensure every used patch is folded and disposed of immediately and securely.
By mastering this routine, you take full control of your treatment, ensuring it is both safe and effective.
Summary Table:
| Step | Key Action | Important Note |
|---|---|---|
| 1. Prepare | Choose a clean, dry, healthy area of skin. | Rotate sites daily; do not reuse an area for 14 days. |
| 2. Apply | Peel half the liner, apply, remove second half, press firmly for 30 sec. | Do not touch the sticky surface. |
| 3. Manage | Avoid external heat sources (heating pads, hot baths). | Heat can increase drug release and side effects. |
| 4. Remove & Dispose | Remove after 24 hours, fold sticky sides together, discard securely. | Prevents accidental exposure to children or pets. |
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