A patient established on a rivastigmine 9.5 mg/24 h patch has worn no patch for four complete days during an admission. They are now clinically

Question

A patient established on a rivastigmine 9.5 mg/24 h patch has worn no patch for four complete days during an admission. They are now clinically stable. Which restart plan matches the Exelon SmPC?

Accepted Answer

Re-initiate at 4.6 mg/24 h and re-titrate under the treating team

Answer

Resume 9.5 mg/24 h because only interruptions longer than seven days require re-titration

Answer

Restart with two 4.6 mg/24 h patches to approximate the previous dose

Answer

Resume 9.5 mg/24 h and add a 4.6 mg/24 h patch for the first day

Answer

Apply 9.5 mg/24 h for twelve hours daily during the first week

Oral rehydration — GPhC CRA MCQ

A patient established on a rivastigmine 9.5 mg/24 h patch has worn no patch for four complete days during an admission. They are now clinically stable. Which restart plan matches the Exelon SmPC?