Scopolamine-transdermal

Peel off the clear backing from the patch and apply it to a clean, dry, hairless area of the skin behind the ear. Press firmly for at least 30 seconds to make sure the patch sticks well, especially around the edges. The patch will slowly release the medication into your body over 3 days. Do not use the patch if it is broken, cut, or damaged.If you are using the patch to prevent nausea and vomiting from motion sickness, apply the patch as directed by your doctor, usually at least 4 hours before the activity that causes motion sickness. Replace the patch every 3 days until it is no longer needed.If you are using the patch to prevent nausea and vomiting after surgery, apply the patch as directed by your doctor, usually the evening before surgery. If the surgery is for a cesarean section, then the patch is usually applied 1 hour before the procedure to reduce the baby's exposure to the drug. Remove and throw away the patch as directed by your doctor, usually 24 hours after surgery.If the patch comes off or needs to be replaced, throw away the old patch and place a new one behind the other ear, on a clean, dry, hairless area. Use only one patch at a time. When throwing away the old patch, fold it in half with the sticky side together and throw away in the trash away from children and pets.This medication can cause temporary blurred vision and widened pupils if it comes in contact with the eyes. Therefore, after handling the patch, always wash your hands thoroughly with soap and water. Also wash the area behind the ear where the patch was removed.After stopping this medication, you may experience dizziness, loss of balance, nausea/vomiting, headache, muscle weakness, or slow heartbeat. If these effects occur, they usually appear 24 hours or more after you stop this medication. This is a result of your body adjusting to being off the medication. Report any such reactions to your doctor right away.Tell your doctor if your condition persists or worsens.

Store at room temperature. Do not store in the bathroom. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

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Reviewed on 4/16/2014 References

In the U.S.

• Transderm Scop

In Canada

• Transderm-V

Available Dosage Forms:

• Patch, Extended Release

Therapeutic Class: Antivertigo

Pharmacologic Class: Antimuscarinic

You should not use this medicine if you have narrow-angle glaucoma, or if you are allergic to scopolamine or similar medicines such as methscopolamine, hyoscyamine, or atropine.

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. Scopolamine transdermal is for use only on the skin.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

The scopolamine transdermal skin patch is applied to a hairless area of skin just behind your ear.

Wear only 1 patch at a time. Do not cut or tear the patch.

To prevent motion sickness, apply the skin patch at least 4 hours before you will be exposed to a situation that may cause motion sickness.

To prevent nausea and vomiting after surgery, the skin patch is usually applied the evening before surgery. Keep wearing the patch for 24 hours after your surgery, then remove it and throw it away.

If you are pregnant and are using this medication before a C-section, apply the patch 1 hour before your scheduled surgery.

If the skin patch falls off, replace it with a new one. Limit the amount of time you spend in water (swimming or bathing) or the patch may fall off.

You may wear the skin patch for up to 3 days. If you need to use the medication for longer than 3 days, remove the patch and place a new one behind your other ear.

After removing a patch, fold it closed with the sticky side in, and throw it away in a place where pets and children cannot reach it.

Always wash your hands with soap and water after handling a scopolamine transdermal skin patch, whether you are applying it or removing it. Also wash the skin behind your ear where the patch was worn. Use soap and water and then dry thoroughly.

This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using scopolamine transdermal.

The scopolamine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

You may have unpleasant withdrawal symptoms when you stop using scopolamine transdermal. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture and heat. Keep each patch in its foil wrapper until you are ready to apply a patch.

Since scopolamine transdermal is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Call your doctor for instructions if you forget to apply the patch as directed before surgery.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose can cause vision problems, severe drowsiness, confusion, agitation, hallucinations, painful or difficult urination, hot or dry skin, fast heartbeats, seizure, or loss of consciousness.

Usual Adult Dose for Nausea/Vomiting:

General antiemetic use: 0.3 to 0.65 mg administered IV, intramuscularly or subcutaneously every 6 to 8 hours as needed.

Post-operative nausea and vomiting use: apply one scopolamine 1.5 mg transdermal disc behind the ear the evening before the scheduled surgery. The disc should remain in place for 24 hours after surgery before discarding.

If using scopolamine transdermal on an obstetrics patient, apply the disc one hour prior to scheduled Cesarean section to limit exposure to the infant.

Usual Adult Dose for Motion Sickness:

Apply one scopolamine 1.5 mg transdermal disc behind the ear at least 4 hours prior to exposure every 3 days as needed.

Usual Adult Dose for Parkinsonian Tremor:

0.4 to 0.8 mg orally every 8 hours as needed.

Usual Pediatric Dose for Nausea/Vomiting:

1 to 12 years: 6 mcg/kg/dose (maximum dose: 0.3 mg/dose) administered IV, IM or subcutaneous every 6 to 8 hours as needed.

Usual Pediatric Dose for Motion Sickness:

Greater than 12 years: apply one scopolamine 1.5 mg transdermal disc behind the ear at least 4 hours prior to exposure every 3 days as needed.