Napp Pharmaceuticals Limited - epgonline.org
Napp Pharmaceuticals Limited - epgonline.org
Napp Pharmaceuticals Limited - epgonline.org
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• Take the old patch off.<br />
• Fold it in half with the sticky side inwards. Put the used patch into its<br />
original pouch. Now put the pouch in the bin you use for your household<br />
rubbish. Even used patches contain some active medicine that may harm<br />
children or animals, so make sure your used patches are always kept well<br />
away from them.<br />
• Throw it away carefully, out of the reach and sight of children.<br />
• Stick a new patch on a different appropriate skin site (as described<br />
above). You should not apply a new patch to the same site for the<br />
following 3-4 weeks.<br />
• Mark the day and time of application in the calendar on the box.<br />
• Remember to change your patch at the same time of day each time.<br />
(Therefore it is important that you make a note of the time of day.)<br />
Duration of treatment<br />
Your doctor will tell you how long you should be treated with the BuTrans patch.<br />
Do not stop treatment on your own account, because pain may return and you<br />
may feel unwell (see also "Effects when treatment with BuTrans patches is<br />
stopped" below).<br />
If you feel that the effect of the BuTrans patch is too weak or too strong, talk to<br />
your doctor or pharmacist.<br />
If you use more BuTrans patches than you should<br />
If this happens there may be signs of an overdose of the substance<br />
buprenorphine. An overdose may intensify the side-effects of buprenorphine such<br />
as drowsiness, nausea and vomiting. You may get pin-point pupils and your<br />
breathing may become slow and weak. You may also get cardiovascular collapse<br />
where your heart stops pumping blood.<br />
As soon as you discover that you have used more patches than you should,<br />
remove the excess patches and talk to a doctor or pharmacist.<br />
If you f<strong>org</strong>et to apply the BuTrans patch<br />
If you f<strong>org</strong>et an application, stick a new patch on as soon as you remember. If<br />
applicable, mark the new day and time of application in the calendar on the box.<br />
Also make a note of the date. This will help you to get into the new "changing<br />
rhythm". If you are very late changing your patch, pain may return. In this case,<br />
please contact your doctor.<br />
Never apply twice the number of patches to make up for the f<strong>org</strong>otten<br />
application!<br />
Effects when treatment with BuTrans patches is stopped<br />
If you interrupt or finish treatment with BuTrans patches too soon, pain may<br />
return. If you wish to stop treatment because of unpleasant side effects, please<br />
consult your doctor. He/she will tell you what can be done and whether you can<br />
be treated with other medicines.<br />
Some people may have side effects when they have used strong pain relievers for<br />
a long time and stop using them. The risk of having effects after stopping<br />
BuTrans patches is very low. However, if you feel agitated, anxious, nervous or<br />
shaky, if you are overactive, have difficulty sleeping or digestion problems, tell<br />
your doctor.<br />
4. POSSIBLE SIDE EFFECTS