Exelon Patch (rivastigmine)

Exelon Patch is a prescription rivastigmine skin patch used to treat symptoms of dementia related to Alzheimer’s disease or Parkinson’s disease. This page explains how the patch works, what to expect with typical dosing, and key safety and storage basics. For Exelon Patch 30 Units, BorderFreeHealth supports cash-pay access, including US shipping from Canada, for people without insurance.

Exelon Patch 30 Units: What It Is and How It Works

Exelon Patch contains rivastigmine, a cholinesterase inhibitor (medicine that increases acetylcholine signaling in the brain). In some people living with dementia, acetylcholine levels are reduced, which can affect memory, attention, and daily function. Rivastigmine slows the breakdown of acetylcholine, which may help with symptoms, even though it does not cure the underlying disease.

The patch is a transdermal system (medicine absorbed through the skin) that releases rivastigmine steadily over 24 hours. This delivery method can reduce day-to-day swings compared with some oral forms, and it may be an option when swallowing pills is difficult. Prescriptions are confirmed with the original prescriber before dispensing.

Why it matters: Consistent day-to-day routines can make dementia care safer and less stressful.

Who It’s For

Rivastigmine patches are used for mild to moderate dementia of the Alzheimer’s type and for mild to moderate dementia associated with Parkinson’s disease. On BorderFreeHealth, many people browsing the Alzheimer’s Disease Dementia and Parkinson’s Disease Dementia hubs are comparing options recommended by a clinician. These hubs are intended for browsing related therapies and topics, not for self-diagnosis.

A clinician may consider Exelon Patch 30 Units when a patch format is preferred for adherence, tolerability, or caregiver support. It is not appropriate for everyone. People with a known hypersensitivity to rivastigmine, other carbamate derivatives, or patch components should not use it. A prior severe skin reaction from rivastigmine patches (for example, allergic contact dermatitis that spreads beyond the patch site) is also a reason to avoid re-exposure and seek medical guidance.

• Best fit factors: patch routine is manageable
• Use extra caution: low body weight or frailty
• Disclose history: slow heartbeat or fainting episodes
• Review risks: ulcers or gastrointestinal bleeding

For caregiver context on disease progression, the guide Understanding Alzheimer’s Stages can help frame what changes are typical over time.

Dosage and Usage

Rivastigmine patches are generally used once daily, with one patch on the skin at a time. Exelon Patch 30 Units typically refers to a 30-patch carton intended to cover about 30 days when used as directed. Doses are selected and adjusted by the prescriber based on tolerability, clinical response, and the official product labeling.

In many treatment plans, therapy starts at a lower strength and is increased gradually. Label-based titration commonly involves starting with 4.6 mg/24 h, then increasing to 9.5 mg/24 h if tolerated; some patients may be increased to 13.3 mg/24 h after additional time. If therapy is interrupted for more than a few days, clinicians often restart at the lowest strength to reduce side effects. Only a prescriber can determine what schedule is appropriate.

Day-to-day patch routine (practical, non-medical)

Use the patch at the same time each day to support consistency. Remove the old patch before placing a new one, and check that only one patch is in place. Place it on clean, dry, hairless skin that is not irritated or cut; common areas include the upper or lower back, upper arm, or chest. Rotate sites so the same spot is not used repeatedly, and avoid tight clothing that may rub. Do not cut the patch. If a patch lifts or falls off, follow the product instructions and contact a pharmacist or prescriber if you are unsure what to do next.

Strengths and Forms

Rivastigmine transdermal patches are available in multiple strengths that deliver medication over 24 hours. Brands and generics may differ in packaging details, but the active ingredient and strength labeling are designed to be clear for medication reconciliation (keeping an accurate, up-to-date medicine list). Availability can vary by supplier and jurisdiction.

When reviewing Exelon Patch 30 Units with a care team, it helps to confirm the exact strength written on the prescription and the strength printed on each pouch. This avoids mix-ups when a dose is being changed or when multiple cartons are stored at home. The patch is commonly supplied as individually sealed pouches within a carton.

For broader context on related treatments handled in the same therapeutic area, the Neurology category can be used to browse other prescription options.

Storage and Travel Basics

Store rivastigmine patches at room temperature and keep each patch in its sealed pouch until it is time to use it. Avoid exposing pouches to excess heat or moisture, and do not store patches where children or pets can access them. Exelon Patch 30 Units cartons should be kept in a consistent location so caregivers can track use and reduce missed or duplicate doses.

When traveling, keep patches in a carry-on bag when possible to reduce exposure to temperature extremes in checked luggage. Bring more than needed for the trip in case of delays, and keep the prescription label information accessible. Used patches still contain medication; fold them in half with the sticky sides together before discarding, and follow local guidance for disposal if available.

• Keep sealed: open pouches only when needed
• Avoid heat: don’t leave in a hot car
• Track changes: note date and site location
• Dispose safely: fold sticky sides together

Side Effects and Safety

Side effects can happen with any cholinesterase inhibitor. With rivastigmine patches, common effects may include nausea, vomiting, diarrhea, decreased appetite, dizziness, headache, or skin irritation where the patch sits. Some people notice reduced weight over time. A clinician may monitor weight, hydration status, and overall function, especially after starting therapy or changing strengths.

More serious risks require prompt medical attention. These can include severe vomiting or dehydration, fainting (syncope), very slow heart rate (bradycardia), signs of gastrointestinal bleeding (such as black stools), or severe skin reactions that spread beyond the patch area. Medicines are dispensed through licensed Canadian partner pharmacies. If a person using rivastigmine becomes very confused, weak, or has repeated falls, contact a healthcare professional promptly to evaluate possible medication-related causes.

Quick tip: Keep a simple log of skin sites and appetite changes.

Some patch-site redness is mild and short-lived, but worsening swelling, blistering, or intense itching can signal a more significant reaction. If irritation persists, do not “treat around it” without guidance; a pharmacist or prescriber can help determine whether the patch can be continued, whether site rotation is sufficient, or whether the reaction suggests allergy.

Drug Interactions and Cautions

Rivastigmine can interact with other medicines, and a full medication list matters. Anticholinergic drugs (often used for bladder symptoms, allergies, or sleep) can counteract the intended cholinergic effect. Medicines that also slow heart rate, such as some beta-blockers, can increase the chance of dizziness or fainting in susceptible individuals. Share all prescriptions, over-the-counter products, and supplements with the pharmacist and prescriber.

There are also important cautions around anesthesia and certain muscle relaxants used during surgery, because cholinesterase inhibition can change how these agents work. Another interaction to know is metoclopramide, which may raise the risk of movement-related side effects when combined with rivastigmine. This is especially relevant for people living with Parkinson’s disease dementia, where baseline tremor or stiffness may already be present.

• Bring a list: include OTC and supplements
• Flag procedures: tell surgical teams about patches
• Watch dizziness: especially after medication changes
• Avoid duplicates: check other dementia medicines

For plain-language background on what symptoms are typical versus concerning, the article Types Of Memory Loss can help organize questions for a clinic visit.

Compare With Alternatives

Several prescription options are used to manage dementia symptoms, and the best fit depends on diagnosis, tolerability, and other health conditions. Donepezil is another cholinesterase inhibitor often used for Alzheimer’s-related dementia and is available as an oral tablet; see Aricept 5mg And 10mg for a brand example. Memantine works differently (NMDA receptor antagonism) and is typically considered for moderate to severe Alzheimer’s disease; a brand example is Ebixa 10mg.

Patch therapy can be appealing when swallowing is difficult, when a caregiver helps with routines, or when gastrointestinal side effects limit oral options. Tablets may be simpler for people who prefer not to use skin products or who have recurrent patch reactions. Some people use combination approaches under prescriber guidance (for example, a cholinesterase inhibitor plus memantine), but this should be planned and monitored by a clinician.

For a focused overview of donepezil, the guide Aricept Key Facts offers practical discussion points to bring to an appointment.

Pricing and Access

Pricing for dementia medicines can vary by strength, supply, and manufacturer, and many people compare options when paying out of pocket. Exelon Patch 30 Units may be accessed through a cash-pay pathway, and a valid prescription is required. Cash-pay access is available when insurance isn’t used. If a refill is requested, the prescription details and remaining authorized refills must match what the prescriber has on file.

BorderFreeHealth facilitates cross-border access by routing prescriptions to appropriate dispensing partners and coordinating documentation. If there are questions about dose, directions, or substitutions, the safest next step is to ask for clarification before the medication is dispensed. For those exploring ways to reduce out-of-pocket costs, see Promotions for current site-wide programs (when available).

Caregiving and budgeting often intersect, especially as needs change. The resource Caring For Alzheimer’s Loved One covers practical planning topics that commonly come up alongside medication routines.

Authoritative Sources

When reviewing rivastigmine patch therapy, it helps to rely on primary labeling and reputable patient education resources. These references summarize labeled indications, contraindications, dosing ranges, and key warnings that clinicians use when deciding whether a patch is appropriate. They can also support safer conversations about side effects, missed doses, and when to seek medical help.

Read the FDA prescribing information for rivastigmine patches: FDA Label (PDF).

Review MedlinePlus patient information on rivastigmine patch: MedlinePlus Drug Information.

For day-to-day impact considerations, Impact Of Memory Loss discusses how symptoms can affect routines that matter for medication adherence.

To request fulfillment through BorderFreeHealth, add prescription details and select prompt, express shipping during checkout.

This content is for informational purposes only and is not a substitute for professional medical advice.