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Rivastigmine patch counselling — GPhC CRA MCQ

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HardPatient Counselling and Pharmaceutical CareRivastigmine patch counsellingGPhC CRA

A 67-year-old man collects a new rivastigmine patch. His wife says he sometimes forgets patches and she may put a new one on whenever she notices. He has had nausea and dizziness with previous medicines. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Remove the old patch before applying a new one and follow the prescribed daily schedule.

Transdermal rivastigmine can cause toxicity if multiple patches are applied. The old patch should be removed before a new patch is applied, and application sites should be rotated. Heat can increase transdermal absorption and should be avoided.

Reference: BNF; SmPC