Knowledge What should be done if a dose of selegiline transdermal patch is missed? Safely Managing Skipped Doses
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Tech Team · Enokon

Updated 2 weeks ago

What should be done if a dose of selegiline transdermal patch is missed? Safely Managing Skipped Doses

If a dose of the Selegiline Transdermal Patch is missed, the general consensus is to apply a new patch as soon as possible unless it is almost time for the next scheduled dose. In that case, the missed dose should be skipped, and the regular dosing schedule should resume. Importantly, extra patches should never be used to make up for a missed dose, as this could lead to overdose or adverse effects. The key is to maintain the prescribed dosing interval without doubling up.

Key Points Explained:

  1. Immediate Application if Remembered Early

    • If you realize you missed a dose and it’s not yet close to the next scheduled application time, apply a new patch immediately.
    • Remove the old patch (if still worn) before applying the new one to avoid overlapping medication delivery.
  2. Skipping the Dose if Close to Next Application

    • If it’s almost time for the next scheduled dose (e.g., within a few hours), skip the missed patch entirely.
    • Apply the next patch at the regular time to maintain the correct dosing interval.
  3. Never Use Extra Patches

    • Applying an additional patch to compensate for a missed dose can increase the risk of side effects, such as excessive stimulation or hypertensive crisis.
    • The transdermal system is designed for steady drug release, and doubling up disrupts this balance.
  4. Resuming the Regular Schedule

    • After addressing the missed dose (either by applying a new patch or skipping it), continue with the next application as originally prescribed.
    • Consistency is crucial for maintaining therapeutic effects, especially in conditions like Parkinson’s disease or depression.
  5. Removing the Old Patch if Applicable

    • If a missed dose is discovered while the previous patch is still on, remove it before applying the new one to prevent medication buildup.

By following these steps, patients can safely manage missed doses without compromising treatment efficacy or safety. Always consult a healthcare provider if unsure about the best course of action.

Summary Table:

Scenario Action
Missed dose, next dose not soon Apply new patch immediately, remove old patch if still on.
Missed dose, next dose soon Skip missed dose, resume regular schedule.
Never double up Avoid extra patches to prevent overdose or side effects.
Resume regular schedule Continue with next dose as prescribed.
Old patch still on Remove before applying new patch to prevent medication buildup.

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