Transderm Scop (Scopolamine)

(skoe pol' a meen)

Scopolamine is used to prevent nausea and vomiting caused by motion sickness. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Scopolamine comes as a patch to be placed on the skin behind your ear. Apply one patch to a clean, dry, hairless area behind the ear. The patch should be applied at least 4 hours before its effects will be needed. Each patch is good for 3 days. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use the scopolamine patch exactly as directed. To apply the patch, follow the directions provided by the manufacturer and these steps:

• After washing the area behind the ear, wipe the area with a clean, dry tissue to ensure that the area is dry.
• Remove the patch from its protective pouch. To expose the adhesive surface of the patch, the clear plastic protective strip should be peeled off and discarded. Contact with the exposed adhesive layer should be avoided to prevent contamination of fingers with scopolamine. Temporary blurred vision and dilation of the pupils may result if scopolamine comes into contact with your eyes.
• Place the adhesive side against the skin.
• Press the patch firmly for 10 to 20 seconds. Be sure that the edges adhere to your skin.
• After you have placed the patch behind your ear, wash your hands thoroughly.

At the end of 3 days, or when the scopolamine patch is no longer needed, remove the patch and dispose of it. Wrap the patch in tissue or paper to avoid exposing anyone else to the remaining medication. Wash your hands and the area behind your ear thoroughly to remove any traces of scopolamine from the area. If a new patch needs to be applied, place a fresh patch on the hairless area behind your other ear.

Before using scopolamine patches,
• tell your doctor and pharmacist if you are allergic to scopolamine or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially medications that decrease mental alertness; cough, cold, and allergy products; and vitamins.
• tell your doctor if you have or have ever had glaucoma; heart, liver, or kidney disease; stomach or intestinal obstruction; or difficulty urinating.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using scopolamine patches, call your doctor immediately.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are using scopolamine patches.
• you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how scopolamine patches will affect you. This is especially important during the first 3 to 5 days of therapy and when your dose is increased.
• talk to your doctor about the safe use of alcohol while taking this drug. Alcohol increases the side effects caused by scopolamine patches.

Apply the missed patch as soon as you remember it. Do not apply more than one patch at a time.

Scopolamine patches may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• drowsiness
• disorientation
• dry mouth
• blurred vision
• dilated pupils
• confusion
• hallucinations
• difficulty urinating
• rash

If you experience any of the following symptoms, remove the patch and call your doctor immediately:

• eye pain
• dizziness
• rapid pulse

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Keep all appointments with your doctor and the laboratory. The patch is not affected by limited exposure to water during bathing or swimming. Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.