If used for patients clonidine patch is to be removed at discharge from picu and is not to be recharted on the ward drug chart. If the patch comes loose, put the patch cover over the patch as you have been told. Clonidine transdermal route side effects mayo clinic. Press the patch firmly in place for about 10 seconds to make sure it stays on. You may want to ask your doctor for a second written prescription for clonidine to carry in your wallet or purse. Clonidine kloe ni deen is used to treat high blood pressure.
Cutaneous reactions to transdermal therapeutic systems. You can shower or bathe with the skin patch in position. In patients who develop an allergic reaction to cataprestts transdermal therapeutic system, substitution of oral clonidine hydrochloride may also elicit an allergic reaction including generalized rash, urticaria, or angioedema. Skin burns may occur at the site where the patch is worn during this procedure. Allergic contact dermatitis is less frequent but common. In patients who have developed localized contact sensitization to clonidine film, substitution of oral clonidine hydrochloride therapy may be associated with the development of a generalized skin rash. Common signs include erythema, scaling, vesiculation, excoriation, and induration.
Jan 31, 20 7 place the clonidine transdermal system patch on the prepared skin site sticky side down by applying firm pressure over the patch to ensure good contact with the skin, especially around the edges figure 5. Taking oral clonidine after having a skin reaction to the clonidine patch can cause a rash over your whole body, itching, and possibly a severe allergic reaction. Clonidine from the patch then begins to flow into the systemic circulation via the capillaries beneath the skin. Put patch on clean, dry, healthy skin on the chest or upper arm. The clonidine transdermal therapeutic system is being used as a therapy for blood pressure treatment. Ask your doctor if the patch should be removed before having an mri scan. Oct 01, 2015 7 place the clonidine transdermal patch on the prepared skin site sticky side down by applying firm pressure over the patch to ensure good contact with the skin, especially around the edges figure 5. Skin burns have been reported at the patch site in several patients wearing an aluminized transdermal system during a magnetic resonance imaging scan mri.
Clonidine catapres is a unique blood pressure drug that was first approved by the fda in 1974. The clonidine transdermal system patch must be replaced with a new one on a fresh skin site if the one in use significantly loosens or falls off. Symptoms that always occur with irritant contact dermatitis. Therapeutic plasma clonidine levels are achieved 2 to 3 days after initial application of clonidine. Clonidine transdermal may cause some people to become drowsy or less alert than they are normally. The clonidine patch is square and the cover patch is round. After you take off a skin patch, be sure to fold the sticky sides of the patch to each other. Dailymed clonidine transdermal system clonidine patch. Clonidine transdermal patches are not to be used outside of the picu setting for patients less than 8kg. Using a patch bypasses the stomach and delivers medicine into your blood through your skin. Clonidine transdermal cataprestts side effects, medical. Nov 01, 2019 the clonidine transdermal system patch must be replaced with a new one on a fresh skin site if the one in use significantly loosens or falls off. However, localized skin reactions occur frequently and the incidence increases with the dose and duration of use.
In 1985, maibach reported a series of trials performed to determine both the irritation and sensitization potential of clonidine and clonidine ttss. Catapres, cataprestts clonidine dosing, indications. The clonidine transdermal patch may burn your skin if you wear the patch during an mri magnetic resonance imaging. Recommended areas for applying transdermal patch are upper outer arm and anterior chest. Apr 24, 2018 skin burns have been reported at the patch site in several patients wearing an aluminized transdermal system during a magnetic resonance imaging scan mri. Some patches are applied daily, such as nitroglycerin and methylphenidate daytrana, most are applied every 3 days transdermscop, duragesic, and a few such as clonidine catapres tts are designed to last a week.
It was first available as a tablet and then later also as a transdermal skin patch cataprestts. Mar 17, 2020 if the patch comes loose, put the patch cover over the patch as you have been told. Clonidine belongs to a class of drugs central alpha agonists that act in the brain to lower blood pressure. Discard the clear plastic protective backing and wash your hands with soap and water to remove any drug from your hands. Clonidine catapres, cataprestts is an oral and topical applied to the skin medication prescribed by a doctor for the treatment of high blood pressure hypertension. Cataprestts1, cataprestts2, cataprestts3 clonidine. Side effects of cataprestts clonidine, warnings, uses. Apr 24, 2018 analysis of skin reaction data showed that the risk of having to discontinue cataprestts clonidine transdermal therapeutic system treatment because of contact dermatitis was greatest between treatment weeks 6 and 26, although sensitivity may develop either earlier or later in treatment. The patch is usually worn for 1 week and then replaced. I had the patch for over a year until i figured out that my unrelenting rash and itching that my doctor called stasis dermatitis due to lyphemdema, was actually an allergic reaction to the catapress patch. If the patch gets loose, cover it with the extra adhesive overlay provided. Clonidine skin patches come with optional cover patches. This medication is used alone or with other medications to treat high blood pressure hypertension. Although the fda has approved clonidine only for treating hypertension, physicians prescribe it for a number of offlabel uses to.
However, localized skin reactions occur frequently and the incidence. Avoid injured, irritated, calloused, or scarred areas. They can be used in picu at the discretion of the picu consultant. Symptoms that never occur with irritant contact dermatitis.
Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Do not apply the patch on oily, broken, or irritated skin. Do not apply it more or less often than prescribed by. Clonidine patch fda prescribing information, side effects.
Clonidine transdermal route precautions mayo clinic. If the patch is worn longer than 9 hours in a day, or if more than 1 patch is worn at a time, too much medicine has been applied. Remove the clonidine patch before undergoing such a test. May 31, 2007 the clonidine transdermal therapeutic system is being used as a therapy for blood pressure treatment. Transdermal clonidine comes as a patch to apply to the skin. Clonidine skin patches brigham and womens hospital. Discard the translucent to clear protective backing and wash your hands with soap and water to remove any drug from your hands. You can have it filled if you run out of medicine when you are away from home. Use a different site each time to prevent skin irritation. Avoid applying the patch to areas of the skin where it might be easily rubbed off such as on skin folds.
Systemic side effects seem to be fewer than with oral clonidine. A rectangular patch with rounded corners consisting of a peachcoloured backing labelled with mylan clonidine 0. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Analysis of skin reaction data showed that the risk of having to discontinue cataprestts clonidine transdermal therapeutic system treatment because of contact dermatitis was greatest between treatment weeks 6 and 26, although sensitivity may develop either earlier or later in treatment. Do not stop taking this medicine clonidine patches all of a sudden without calling your doctor. The sympatholytic action of clonidine may worsen sinus node dysfunction and atrioventricular. You may have some skin redness, a rash, itching, or blistering at the place where you wear the patch. Because the cataprestts clonidine patch contains aluminum, it is recommended to remove the system before undergoing an mri. For 3 months, weber and drayer observed 101 patients using clonidine tts and suggested that cutaneous reactions might be improved by decreasing the occlusion time from 7 days to 3 to 5 days. In patients who have developed localized contact sensitization to clonidine transdermal system, continuation of clonidine transdermal system or substitution of oral clonidine hydrochloride therapy may be associated with development of a generalized skin rash. The cover patch does not contain any active medicine. Apply the patch to an area of the upper arm or part of the body that is clean, dry and hairless. Transdermal clonidine skin reactions prisant 2002 the. Apply transdermal patch to dry skin, free of hair and rash.
Clonidine skin patches nationwide childrens hospital. You might need to put on a new patch after the procedure. If the patch starts to loosen from the skin, you may apply the adhesive cover over the patch so that it does not fall off during the 1week period. Stop using the daytrana patch and see the doctor right away if swelling, bumps, or blisters happen at or around the site where the patch is applied. Nationwide childrens hospital clonidine skin patches. It acts by stimulating receptors on nerves in the brain that reduces the transmission of messages from nerves in the brain to nerves in other areas of the body.
Because the clonidine transdermal system patch contains aluminum, it is recommended to remove the system before undergoing an mri. After removing a skin patch fold it in half, sticky side in, and throw it away where children and pets cannot get to it. Throw away used patches where children and pets cannot get to them. The cover patch is placed over the clonidine patch to help it stick to your skin. In patients who develop an allergic reaction from clonidine film that extends beyond the local patch site such as generalized skin rash, urticaria, or angioedema, oral clonidine hydrochloride substitution may elicit a similar reaction.
463 1363 458 721 163 1272 1536 1313 155 1088 278 965 1207 1595 1416 743 64 739 522 1177 1510 176 140 1431 1519 269 852 1539 695 431 334 690 1479 1264 946 896 365 65 45 1449 405 952 293 1155 1443 872 245 557 295