Novartis EXELON PATCH Instruction Manual

EXELON® PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

PATIENT DIARY/PATIENT REMINDER CARD
(CONSISTING OF INSTRUCTIONS FOR USE AND
MEDICATION RECORD SHEETS)

This information is essential to ensure the safe and effective use of Exelon Patch.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side
effects not listed in this leaet. You can also report side effects directly via HPRA Pharmacovigilance,
Earlsfort Terrace, IRL - Dublin 2; Tel: [phone]; Fax: [phone].
Website: www.hpra.ie; E-mail: [e-mail].

By reporting side effects you can help provide more information on the safety of this medicine.

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

INSTRUCTIONS FOR USE OF EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

• These Instructions for Use and Medication Record Sheets are essential to ensure the safe and effective use of Exelon Patch.

• If you have any questions or require more information, please read the package information leaet that came with the medicine.

• If you are not sure about anything, please ask your doctor or pharmacist.

Important to remember How to apply Where to apply

1,2

• Take off the previous patch before putting
one new patch on.

• Only one patch per day.

• Do not cut the patch into pieces.

• Press the patch rmly in place for at least 30
seconds using the palm of the hand.

1. Carefully remove the

existing patch before
putting on one new patch.

2. Remove the new patch

from the sachet.

3. Peel one side of the

protective liner off
the patch.

4. Stick the patch on the

upper or lower back, upper
arm, or chest and peel off
the protective liner.

5. Press the patch rmly

in place for at least
30 seconds.

Take off the previous patch before putting one
new patch on.

Apply one new patch in one of the following
zones every day.

You can use the same zone (A or B or C or D or
E or F or G or H), but do not use the same
exact spot within the same zone.

Front:

or or or

A B

C D

Back:

or or or

E

F

HG

References: 1. Exelon Patch (rivastigmine transdermal system) Patient
Leaet. www.medicines.ie accessed July 2015. 2. Exelon Patch
(rivastigmine) Prescribing Information.

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

MEDICATION RECORD SHEET FOR EXELON PATCH (RIVASTIGMINE TRANSDERMAL SYSTEM)

Old patch removed? Date of application of new patch Day of application of new patch

Application zone of new patch (letter)

11 Nov 12 Sunday A

1,2

How to use this record sheet

•

Use this record sheet to keep track of when you apply
and take off an Exelon Patch.

• Tick the box when you have removed the old patch.

Fill in the date and day you apply the new patch.

•

• Fill in the letter of the application zone where you
have applied the new patch.

• If you have any questions or require more
information, please read the package information
leaet that came with the medicine.

• If you are not sure about anything, please ask your
doctor or pharmacist.

Front:

A B

Back:

Application zones

or or or

or or or

FE

C D

Apply one new patch in one of the zones
to the left every day.

You can use the same zone (A or B or
C or D or E or F or G or H), but do not
use the same exact spot within the
same zone.

References: 1. Exelon Patch (rivastigmine transdermal
system) Patient Leaet. www.medicines.ie accessed
July 2015. 2. Exelon Patch (rivastigmine) Prescribing
Information.

HG

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

IE02/EXE15-CNF002 July 2015

© 2015 Novartis Pharma AG. All images are subject to the copyrights
of Novartis Pharma AG. These materials may not be copied for
commercial use or distribution.

Novartis Pharma AG

CH-4002 Basel, Switzerland

IE02/EXE15-CNF002 July 2015