Indication
NEUPRO is a prescription medicine used to treat Parkinson’s disease and moderate-to-severe
primary Restless Legs Syndrome.
Important Safety Information
NEUPRO contains a sulfite called sodium metabisulfite. Sulfites can cause severe allergic
reactions that are life threatening to some people who are sensitive to sulfites. People with
asthma are more sensitive to sulfites. Remove the patch right away and call your doctor if you
have swelling of the lips or tongue, chest pain, or trouble breathing or swallowing.
NEUPRO may make you fall asleep suddenly or without warning while doing normal activities,
such as driving, which may result in accidents. Tell your doctor right away if this happens.
Drinking alcohol or taking other medicines that cause drowsiness may increase your chances of
becoming sleepy while using NEUPRO. Do not drive, use hazardous machinery, or do other
dangerous activities until you know how NEUPRO affects you.
NEUPRO can cause or worsen psychotic symptoms including hallucinations (seeing or hearing
things that are not real), confusion, excessive suspicion, aggressive behavior, agitation,
delusional beliefs (believing things that are not real), and disorganized thinking in patients with Parkinson's disease or Restless Legs Syndrome. The chances of
having hallucinations or these other psychotic-like changes are higher in people with Parkinson’s
disease who are elderly, taking NEUPRO, or taking higher doses of NEUPRO. If you have any of
these problems, talk to your doctor.
NEUPRO can cause decreases in blood pressure, especially when you start or increase your dose.
Increases in blood pressure and heart rate, fainting, weight gain, and fluid retention also can
occur. If you faint or feel dizzy, nauseated, or sweaty when you stand up from sitting or lying
down, or have an unusually fast increase in weight, swelling, or fluid retention, especially in the
ankles or legs, tell your doctor.
Some patients using NEUPRO get urges to behave in a way that is unusual for them, such as
unusual urges to gamble, strong urges to spend money, binge eating, or increased sexual urges
and behaviors. Some patients may want to use more NEUPRO than prescribed for their symptoms (dopamine dysregulation syndrome). If you or your family notices you are developing any unusual behaviors, talk to
your doctor.
NEUPRO may cause uncontrolled, sudden movements or make such movements you already
have worse or more frequent if you have Parkinson’s disease, which may mean that your
anti-Parkinson’s medicine needs to be changed. NEUPRO also may cause Restless Legs Syndrome
symptoms to come back (rebound), become worse, or start earlier in the day.
Skin reactions may occur at the site where you apply NEUPRO. Tell your doctor if you get a rash,
redness, swelling, or itching that will not go away.
Avoid exposing the NEUPRO patch you are wearing to heating pads, electric blankets, heat
lamps, saunas, hot tubs, heated water beds, and direct sunlight. Too much medicine could be
absorbed into your body. Also, do not wear NEUPRO during medical procedures called magnetic
resonance imaging (MRI) or cardioversion because this could cause skin burns.
Do not stop using NEUPRO without talking to your doctor first. If your doctor tells you to stop using NEUPRO, you should ask your doctor for specific instructions on how to slowly and safely discontinue using NEUPRO. If you stop using NEUPRO, you may have withdrawal symptoms such as fever, confusion, severe muscle stiffness, feeling like you do not care about the things you usually care about (apathy), anxiety, depression, fatigue, insomnia, sweating and pain.
Tell your doctor if you have breathing problems, a sleep disorder, mental problems, high or low
blood pressure, or heart problems; are pregnant or plan to become pregnant; or are
breastfeeding or plan to breastfeed. NEUPRO may not be right for you.
The most common side effects in people taking NEUPRO for Parkinson’s disease are nausea,
vomiting, sleepiness, application site reactions, dizziness, loss of appetite, difficulty falling asleep
and staying asleep, increased sweating, vision problems, leg swelling, and uncontrolled, sudden
movements of the arms or legs. The most common side effects in people taking NEUPRO for
Restless Legs Syndrome are application site reactions, nausea, difficulty falling asleep and
staying asleep, sleepiness, and headache.
These are not all the possible side effects of NEUPRO. For more information, ask your doctor or pharmacist.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You may also report side effects to UCB, Inc. at ucbCARES® (1-844-599-2273).
Please see additional Patient Information about the NEUPRO Patch. This information does not take the place of talking with your healthcare provider about your condition or treatment.
