Neupro Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Patients should tell their doctor or pharmacist or nurse if they notice any side effects.
Side effects more likely at the start of treatment: Patients may experience nausea and vomiting at the start of treatment. These effects are usually mild or moderate and only last for a short time. Patients should talk to their doctor if they last for a long time or if they are worried about them.
Skin problems caused by the patch: Patients may get redness and itching on the skin where the patch has been. These reactions are usually mild or moderate.
The reactions normally go away after a few hours, once the patch has been removed.
Patients should talk to their doctor if they have a skin reaction that lasts longer than a few days or is severe. Also do this if it spreads outside the area of skin that was covered by the patch.
Avoid sunlight and solarium exposure on areas of skin showing any kind of skin reaction caused by the patch.
To help avoid skin reactions, the patch should be applied on a different area of skin every day, and only use the same area again after 14 days.
Loss of consciousness: Neupro can cause loss of consciousness. This can happen especially when Neupro is started or when the dose is increased. Patients should tell their doctor if they lose consciousness or feel dizzy.
Changes in behaviour and abnormal thinking: Patients should tell their doctor if they notice any changes in behaviour, thinking or both, that are listed as follows. They will discuss ways of managing or reducing symptoms.
It may be helpful to also tell a family member or carer that this medicine is being used and to ask them to read the leaflet. This is so that the patient's family or carer can tell the patient or the doctor, if they are worried about any changes in behaviour. Neupro can cause unusual urges or cravings which patients cannot resist such as the impulse, drive or temptation to do things that could harm themselves or others.
These may include: strong impulse to gamble too much even if this seriously affects patients or their family; altered or increased sexual interest and behaviour which causes significant concern to patients or others (for example, an increased sex drive); uncontrolled shopping or spending too much; binge eating or compulsive eating.
Neupro may cause other behaviours and abnormal thinking. These may include: abnormal thoughts about reality; delusions and hallucinations; confusion; disorientation; aggressive behaviour; agitation; delirium.
Allergic reactions: Patients should seek medical advice if they notice signs of an allergic reaction. These can include swelling of the face, tongue or lips.
Drug Withdrawal Syndrome: A cluster of symptoms, such as anxiety, fatigue, sweating, insomnia, panic attacks, depression, apathy, irritability and pain, have been reported during dose reduction/tapered discontinuation (see Dopamine agonist withdrawal syndrome (DAWS) under Precautions).
Side effects when using Neupro for Parkinson's disease: Patients should tell their doctor, pharmacist or nurse if they get any of the following side effects.
Very common (may affect more than 1 in 10 people): headache; sleepiness or dizziness; nausea, vomiting; skin reactions under the patch such as redness and itching.
Common (may affect up to 1 in 10 people): falling; hiccups; weight loss; swelling of legs and feet; fatigue, tiredness; palpitation; constipation, dry mouth, heartburn; redness, increased sweating, itching; vertigo; hallucinations; low blood pressure when standing up, high blood pressure; difficulty falling asleep, sleep disorder, difficulty sleeping, nightmare, unusual dreams; dyskinesia; fainting, dizziness when standing up because of fall in blood pressure; unable to resist the impulse to perform an action that is harmful involving excessive gambling, repetitive meaningless actions, uncontrolled shopping or spending too much; binge eating, compulsive eating.
Uncommon (may affect up to 1 in 100 people): blurred vision; weight increase; allergic reaction; low blood pressure; increased heart rate; increased sex drive; abnormal heart beat; stomach discomfort and pain; generalised itching, skin irritation; falling asleep suddenly without warning; unable to achieve or maintain an erection; agitation, disorientation, confusion or paranoia; increased or abnormal liver test results; sight problems such as seeing colours or lights; increased levels of creatine phosphokinase (CPK).
Rare (may affect up to 1 in 1,000 people): delusion; delirium; irritability; aggressiveness; psychotic disorders; rash over larger parts of the body; convulsion.
Not known (not known how often these happen): dopamine dysregulation syndrome; diarrhoea; dropped head syndrome; rhabdomyolysis.
Reporting of side effects: In case of any side effects, patients should talk to their doctor, pharmacist or nurse. This includes any possible side effects not previously listed. By reporting side effects, patients can help provide more information on the safety of this medicine.