What should be done if a dose of rivastigmine patch is missed? Follow These Steps for Safe Use

If a dose of the rivastigmine patch is missed, the general consensus is to apply a new patch as soon as remembered, unless it is close to the time for the next scheduled dose. In that case, the missed dose should be skipped, and the regular schedule should resume. Importantly, never apply extra patches to compensate for a missed dose. If the patch falls off, it should be reapplied or replaced immediately, but the next scheduled change should still occur at the usual time. For prolonged interruptions (3+ days), consulting a healthcare provider is advised.

Key Points Explained:

1. Immediate Action for a Missed Dose

   • Apply a new patch as soon as you remember the missed dose.
   • Example: If you forget to apply the patch in the morning, do so as soon as you realize it, even if it’s later in the day.

2. Timing Considerations

   • If it’s almost time for the next scheduled dose (e.g., within a few hours), skip the missed dose entirely.
   • Resume the regular application schedule the next day to avoid doubling up.

3. Avoid Overcompensation

   • Never apply two patches simultaneously to make up for a missed dose.
   • Overdosing can lead to increased side effects like nausea, vomiting, or skin irritation.

4. Handling a Fallen-Off Patch

   • If the patch loosens or detaches, reapply it firmly or replace it with a new one on a different skin area.
   • Remove the replacement patch at the originally scheduled time (e.g., 24 hours later).

5. Prolonged Interruptions (3+ Days)

   • Contact your healthcare provider for guidance, as restarting may require dose adjustments to minimize side effects.

6. Skin Rotation and Adhesion Tips

   • Rotate application sites (e.g., upper arm, back, chest) to reduce skin irritation.
   • Ensure the skin is clean, dry, and free of oils before application to improve adhesion.

7. When to Seek Help

   • If confusion arises about dosing or if multiple doses are missed, consult a pharmacist or doctor for clarification.

By following these steps, patients can maintain consistent medication levels while minimizing risks. For personalized advice, always refer to your prescribing healthcare provider.

Summary Table:

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