Applying the rivastigmine patch correctly ensures optimal medication delivery and skin safety. The process involves selecting an appropriate skin site, preparing the area, carefully handling the patch, securing it properly, and disposing of it safely after 24 hours. Key considerations include rotating application sites, avoiding damaged skin, and maintaining hygiene throughout the process to prevent irritation or infection.
Key Points Explained:
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Site Selection and Preparation
- Choose clean, dry, hairless, intact skin on approved areas: upper/lower back, chest, or upper arm.
- Avoid recently used sites (wait 14 days before reapplying to the same area) to prevent skin irritation.
- Wash the area with mild soap and warm water, then dry thoroughly—avoid alcohol-based products that may dry the skin.
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Patch Handling and Application
- Open the sealed pouch carefully without cutting the patch or touching the adhesive surface.
- Remove one side of the protective liner first, press the exposed adhesive firmly onto the skin, then remove the second liner while smoothing out wrinkles.
- Apply firm pressure for 30 seconds to ensure full adhesion. If edges lift, use medical tape (not bandages) to secure.
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Post-Application Care
- Wash hands immediately after handling the patch to avoid accidental medication transfer to eyes or other surfaces.
- Monitor the patch daily to ensure it remains securely attached. Avoid exposing the application site to direct heat (e.g., heating pads), which may increase drug absorption unpredictably.
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Removal and Disposal
- After 24 hours, gently peel off the patch and fold it sticky sides together to prevent residual drug exposure.
- Dispose of used patches in a sealed container out of reach of children or pets, as they may contain active medication remnants.
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Rotation and Skin Health
- Rotate application sites systematically (e.g., left upper arm one day, right lower back the next) to minimize skin sensitivity.
- Check skin for redness or irritation after removal. If irritation persists, consult a healthcare provider before reapplying.
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Special Considerations for Caregivers
- Always remove the old patch before applying a new one to prevent overdose.
- For patients with sensitive skin, consider alternating between different approved body areas more frequently (e.g., every 7 days) while maintaining the 14-day site avoidance rule.
By following these steps meticulously, users can ensure consistent medication delivery while prioritizing skin integrity and safety. The process mirrors broader principles of transdermal drug administration, where proper technique directly impacts therapeutic efficacy.
Summary Table:
| Step | Key Actions | Why It Matters |
|---|---|---|
| Site Selection | Choose clean, dry, hairless skin (back, chest, upper arm). Rotate sites every 14 days. | Prevents skin irritation and ensures consistent drug absorption. |
| Patch Application | Handle carefully, press firmly for 30 sec, smooth edges. Use medical tape if needed. | Ensures full adhesion and avoids medication waste. |
| Post-Application | Wash hands, avoid heat exposure, monitor patch adhesion. | Prevents accidental transfer and maintains controlled drug release. |
| Removal & Disposal | Fold used patch sticky-side in, dispose securely. | Protects others from residual medication exposure. |
| Skin Health | Check for redness/irritation; consult a provider if persistent. | Maintains skin integrity for long-term therapy. |
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