Do not take rivastigmine capsules or oral liquid at the same time you are wearing the skin patch.
The following drugs can interact with rivastigmine transdermal. Tell your doctor if you are using any of these:
atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);
glycopyrrolate (Robinul);
mepenzolate (Cantil);
bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); or
irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).
This list is not complete and there may be other drugs that can interact with rivastigmine transdermal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Get emergency medical help if you have any of these
Stop using rivastigmine transdermal and call your doctor at once if you have any of these serious side effects:
nausea and vomiting, loss of appetite, weight loss;
black or bloody stools, coughing up blood or vomit that looks like blood or coffee grounds;
restless muscle movements in your eyes, tongue, jaw, or neck, tremor (uncontrolled shaking);
sudden numbness or weakness, headache, confusion, problems with vision, speech, or balance;
pale skin, easy bruising or bleeding;
confusion, hallucinations; or
pain or burning when you urinate.
Less serious side effects may include:
diarrhea;
headache, tired feeling;
redness, itching, or swelling where the patch was worn;
dizziness, spinning feeling; or
sleep problems (insomnia).
This list is not complete and other side effects may occur. Tell your doctor about any unusual or bothersome side effect.
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