If you're considering taking medicine for the first time to help control your Parkinson's symptoms, or if you're currently taking medicine and still experiencing symptoms, ask your doctor if NEUPRO could be an option for you. Just as you're determined to face the challenges before you, now you have a once-daily partner, NEUPRO, to help you manage your symptoms. Or your doctor may be making a change because you've reached a point where your symptom control isn't what it used to be.
Or you may feel your medication isn't helping enough. NEUPRO can be prescribed on its own, or it can be added to levodopa therapy, if your doctor thinks it is appropriate.
NEUPRO may cause uncontrolled, sudden movements or make such movements you already have worse or more frequent if you have Parkinson's disease, which may mean that your anti-Parkinson's medicine needs to be changed. NEUPRO can cause nausea, vomiting, indigestion, or upset stomach, which may occur more frequently when you first start using the patch.
Tell your doctor if you get a rash, redness, swelling, or itching that will not go away. Sulfites can cause severe allergic reactions that are life threatening to some people who are sensitive to sulfites.
People with asthma are more sensitive to sulfites. Remove the patch right away and call your doctor if you have swelling of the lips or tongue, chest pain, or trouble breathing or swallowing. NEUPRO may make you fall asleep suddenly or without warning while doing normal activities, such as driving, which may result in accidents. Tell your doctor right away if this happens. Drinking alcohol or taking other medicines that cause drowsiness may increase your chances of becoming sleepy while using NEUPRO.
NEUPRO can cause or worsen psychotic symptoms including hallucinations seeing or hearing things that are not real , confusion, excessive suspicion, aggressive behavior, agitation, delusional beliefs believing things that are not real , and disorganized thinking.
If you have any of these problems, talk to your doctor. Increases in blood pressure and heart rate, fainting, weight gain, and fluid retention also can occur.
Tell your doctor if you get a rash, redness, swelling, or itching that will not go away. Avoid exposing the NEUPRO patch you are wearing to heating pads, electric blankets, heat lamps, saunas, hot tubs, heated water beds, and direct sunlight. Too much medicine could be absorbed into your body. If you stop using NEUPRO, you may have withdrawal symptoms such as fever, confusion, severe muscle stiffness, feeling like you do not care about the things you usually care about apathy , anxiety, depression, fatigue, insomnia, sweating and pain.
Tell your doctor if you have breathing problems, a sleep disorder, mental problems, high or low blood pressure, or heart problems; are pregnant or plan to become pregnant; or are breastfeeding or plan to breastfeed. The most common side effects in people taking NEUPRO for Restless Legs Syndrome are application site reactions, nausea, difficulty falling asleep and staying asleep, sleepiness, and headache.
For more information, ask your doctor or pharmacist. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www. You may also report side effects to UCB, Inc. This information does not take the place of talking with your healthcare provider about your condition or treatment.
All rights reserved. This information does not take the place of talking with your healthcare provider about your condition or treatment. NEUPRO contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people and is seen more frequently in people with asthma. Patients treated with NEUPRO have reported somnolence and falling asleep without warning signs during activities of daily living, including driving, which sometimes resulted in accidents.
Some patients believed they were alert immediately prior to the event. Patients may not recognize or acknowledge increased drowsiness or sleepiness. Therefore, prescribers should directly question patients about these possible occurrences and continually reassess patients, as some events have been reported well after the start of treatment.
Patients should be advised to exercise caution while driving, operating heavy machinery, or working at heights during treatment with NEUPRO. If patients develop daytime sleepiness or episodes of falling asleep during activities of daily living, NEUPRO should be discontinued. Patients treated with dopamine agonists require careful monitoring for signs and symptoms of postural hypotension, especially during dose escalation, and should be informed of this risk.
These events should be considered when treating patients with cardiovascular disease or concomitant illness. Patients may experience intense urges to gamble, increased sexual urges, intense urges to spend money, binge eating, and other intense urges, and the inability to control these urges while taking medications, including NEUPRO, that increase central dopaminergic tone. Because patients may not recognize these behaviors as abnormal, prescribers should specifically ask patients and their caregivers about the development of new or increased urges while being treated with NEUPRO.
In clinical trials, most reactions were mild or moderate in intensity and were limited to the patch area. NEUPRO should be removed before magnetic resonance imaging or cardioversion, because the aluminum backing layer in the patch could cause skin burns. Heat application has been shown to increase absorption several fold with other transdermal products. Therefore, patients should be advised to avoid exposing the application site to sources of direct heat, such as heating pads or electric blankets, heat lamps, saunas, hot tubs, heated water beds, and prolonged direct sunlight.
Withdrawal symptoms such as apathy, anxiety, depression, fatigue, insomnia, sweating and pain may occur during taper or after discontinuation of NEUPRO. Patients who have been prescribed a lower dose or who have been withdrawn from the drug should be informed about potential withdrawal symptoms and monitored during and after discontinuation.
Please see full Prescribing Information. Is RLS affecting your life? Some people have to live their lives around their RLS symptoms. Do you? Prepare for your next doctor's appointment It's not always easy to pinpoint your feelings and communicate them to your doctor. Prepare for your next doctor's appointment Build a list of key points to discuss with your doctor by selecting items from the list below.
Because of my RLS:. Select All Clear All. RLS symptoms are bothering me in the evening. I have RLS symptoms during the day. I have a powerful urge to move my legs. The urge gets worse when I'm resting, sitting, or lying down. The urge gets better with activity, like walking. The urge gets worse in the evening and at night. One or more of my family members has RLS. I think I might have moderate-to-severe primary RLS. My RLS symptoms occur two or more times a week. Crazy Legs.
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