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Brand Names:

Contraindications:

Uses:

• Your doctor will tell you how many patches to use, where to apply them, and how often to apply them. Do not use more patches or apply them more often than your doctor tells you to.
• This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
• Wash your hands with soap and water before and after applying a patch.
• Leave the patch in its sealed wrapper until you are ready to put it on. Tear the wrapper open carefully. NEVER CUT the wrapper or the patch with scissors. Do not use any patch that has been cut by accident.
• The patient instructions will show the body areas where you can wear the patch. When putting on each new patch, choose a different place within these areas. Do not put the new patch on the same place you wore the last one. Be sure to remove the old patch before applying a new one.
• Do not put the patch over burns, cuts, or irritated skin.
• Put on a new patch if the old one has fallen off and cannot be reapplied.

• If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until Then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose.

Storage:

• Fold the used patch in half with the sticky sides together. Throw any used patch away so that children or pets cannot get to it.
• Store the patches in the original package at room temperature, away from heat, moisture, and direct light.
• Keep all medicine away from children and never share your medicine with anyone.

Special precautions:

• Make sure your doctor knows if you are also using medicine to treat osteoporosis or other bone problems (such as alendronate, risedronate, Actonel®, Fosamax®) or any medicine that causes dry mouth, tiredness, or constipation.
• Do not drink alcohol while you are using this medicine.

Warnings:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, trouble swallowing, gastroesophageal reflux disease (GERD), myasthenia gravis (a disease causing muscle weakness), trouble emptying your bladder, or any kind of digestive problem (such as colitis or a blockage in your intestines).
• You may get overheated more easily while you are using this medicine. Be careful when you exercise or if you are in the sun or a hot place. If you feel too hot and you cannot cool down, call your doctor.
• This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.

Side Effects:

• Fast, pounding, or uneven heartbeat
• Fever
• Shaking or feeling nervous
• Trouble urinating
• Warmth or redness in your face, neck, arms, or upper chest
• Blurred vision
• Constipation
• Dry mouth
• Not sweating as much as usual