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scopolamine
(skoe POL a meen)

What is this medicine?
SCOPOLAMINE (skoe POL a meen) is used to prevent nausea and vomiting caused by motion sickness, anesthesia and surgery.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

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What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Transderm-Scop 1.5MG Patches NOVARTIS4/$54.05 or 12/$144.89
Transderm-Scop 1.5MG Patches BAXTER MEDICATION DELIVERY10/$103.78 or 30/$307.62

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What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:

  • agitation, nervousness, confusion
  • blurred vision and other eye problems
  • dizziness, drowsiness
  • eye pain or redness in the whites of the eye
  • hallucinations
  • pain or difficulty passing urine
  • skin rash, itching
  • vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • headache
  • nausea

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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How should I use this medicine?
This medicine is for external use only. Follow the directions on the prescription label. One patch contains enough medicine to prevent motion sickness for up to 3 days. Apply the patch at least 4 hours before you need it and only wear one disc at a time. Choose an area behind the ear, that is clean, dry, hairless and free from any cuts or irritation. Wipe the area with a clean dry tissue. Peel off the plastic backing of the skin patch, trying not to touch the adhesive side with your hands. Do not cut the patches. Firmly apply to the area you have chosen, with the metallic side of the patch to the skin and the tan-colored side showing. Once firmly in place, wash your hands well with soap and water. Remove the disc after 3 days, or sooner if you no longer need it. If you need to use a second patch after you remove the first, place it behind the other ear.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

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What if I miss a dose?
Make sure you apply the patch at least 4 hours before you need it. You can apply it the night before traveling.

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What may interact with this medicine?

  • benztropine
  • bethanechol
  • medicines for anxiety or sleeping problems like diazepam or temazepam
  • medicines for hay fever and other allergies
  • medicines for mental depression
  • muscle relaxants

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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Who should NOT use this medication?

  • Angle-closure glaucoma.
  • Prostatic hypertrophy and obstructive uropathy (urinary bladder neck obstruction caused by prostatic hypertrophy). (See GU Effects under Cautions.)
  • Obstructive GI disease (e.g., pyloroduodenal stenosis, achalasia). (See GI Effects under Cautions.)
  • Repeated administration in those with chronic lung disease. (See Respiratory Effects under Cautions.)
  • Paralytic ileus.
  • Tachycardia secondary to cardiac insufficiency or thyrotoxicosis.
  • Known idiosyncratic reaction to anticholinergic drugs.
  • Known hypersensitivity to scopolamine, other belladonna alkaloid, barbiturates, or any ingredient or component in the formulation or administration system.

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What should I watch for while using this medicine?
Keep the patch dry, if possible, to prevent it from falling off. Limited contact with water, however, as in bathing or swimming, will not affect the system. If the patch falls off, throw it away and put a new one behind the other ear.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

If you are going to have a magnetic resonance imaging (MRI) procedure, tell your MRI technician if you have this patch on your body. It must be removed before a MRI.

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What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:

  • glaucoma
  • kidney or liver disease
  • an unusual or allergic reaction (especially skin allergy) to scopolamine, atropine, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

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Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.

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I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.

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Where can I get more information?
More Information

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