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Hetriva 4.6mg Patch

Rivastigmine (4.6mg)
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Hetriva 4.6mg Patch is used to treat mild to moderate dementia in Alzheimer’s disease, a progressive illness which gradually affects memory and thinking. It is also used to treat Parkinson’s disease. It does not cure these illnesses but may help improve memory, awareness and other symptoms.

Written By Dr. Swati Mishra, BDS,
Reviewed By Dr. Khushbu Goel, DM, MD,
Last updated on 12 Nov 2024 | 01:09 AM (IST)
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Hetriva 4.6mg Patch image
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Product introduction

Hetriva 4.6mg Patch works by increasing the levels of a chemical messenger involved in transmission of nerve signals. It is taken by mouth with food to avoid stomach upset. However, take it at the same time each day to maintain consistent level of medicine in the blood. If you have missed a dose, take it as soon as you remember. You should finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to doctor.

Some common side effects of this medicine includes weakness, depression, headache, anxiety, stomach pain, urinary tract infections, muscle weakness, and urinary retention. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. It may cause diarrhea, so drink plenty of fluids to keep yourself hydrated. This medicine may also cause weight loss, so if you lose weight, consult a dietitian or try to increase your food portion. Take it with caution if you are suffering from peptic ulcers as it may cause vomiting or bleeding in stomach.

Uses of Hetriva Patch

Benefits of Hetriva Patch

Alzheimer's disease
In people with Alzheimer’s disease, certain nerve cells die in the brain. This results in lower levels of a chemical called acetylcholine which helps nerve cells to communicate with each other. This leads to symptoms of dementia such as memory loss, confusion, disorientation, problems with speech and language, and personality changes. Hetriva 4.6mg Patch increases the amount of acetylcholine and helps brain cells to communicate. It can, therefore, improve some of the symptoms such as memory, awareness, and the ability to carry out daily functions for a time. However, it is not a cure.

You should use the patches exactly as they have been prescribed and only use one at a time. Choose a different place on your body to wear the patch each time you put on a new one. It can take several weeks for your symptoms to improve; so keep applying the patches even if you do not think they are working.

Side effects of Hetriva Patch

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Hetriva
  • Depression
  • Stomach pain
  • Urinary tract infection
  • Muscle weakness
  • Tiredness
  • Sleep disorder

How to use Hetriva Patch

Use this medicine in dose and duration as advised by your doctor. Check the label before use. Make sure the skin is clean and dry. Remove the protective liner of the patch. Do not touch the sticky side. With sticky side down, place the patch evenly onto the skin.

How Hetriva Patch works

Memory loss in Alzheimer’s disease occurs due to disturbances of signal transmission in the brain. Hetriva 4.6mg Patch is a cholinesterase inhibitor. It works by increasing the levels of a chemical messenger (acetylcholine) involved in transmmission of nerve signals. This improves memory and thinking.

Quick tips

  • You have been prescribed Hetriva 4.6mg Patch to slow down the progression of Alzheimer's disease.
  • It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities.
  • It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Hetriva 4.6mg Patch.
  • Do not drive or do anything that requires mental focus until you know how Hetriva 4.6mg Patch affects you.
  • Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort.
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.
  • You have been prescribed Hetriva 4.6mg Patch to slow down the progression of Alzheimer's disease.
  • It does not cure Alzheimer's disease but may help improve brain function and ability to do daily activities.
  • It may cause diarrhea, nausea, and vomiting. Drink plenty of fluids to keep yourself hydrated while taking Hetriva 4.6mg Patch.
  • Do not drive or do anything that requires mental focus until you know how Hetriva 4.6mg Patch affects you.
  • Be cautious while taking this medicine if you suffer from peptic ulcer as it may cause vomiting, stomach bleeding, stomach pain, or discomfort.
  • Inform your doctor if you experience seizures or convulsions while taking this medicine.

Safety advice

Alcohol

Alcohol

No interaction found/established
Pregnancy

Pregnancy

SAFE IF PRESCRIBED
Hetriva 4.6mg Patch is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Hetriva 4.6mg Patch is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving

Driving

No interaction found/established
Kidney

Kidney

No interaction found/established
Liver

Liver

No interaction found/established

Frequently asked questions

Hetriva 4.6mg Patch may take as long as 12 weeks to start showing its effect. The effect of the medicine on each individual may differ. The clinical benefits of Hetriva 4.6mg Patch should be assessed regularly. If after 12 weeks of treatment the symptoms do not improve, stop the medication and consult your doctor.
Always take the medicine as directed by your doctor. Usually Hetriva 4.6mg Patch is prescribed to be taken twice a day, in the morning and evening, with food. Swallow the whole capsule with water; do not open or crush the capsule. Check with your doctor or pharmacist if you are not sure.
Yes, antacids can be taken while taking Hetriva 4.6mg Patch as they do not interfere with the working of Hetriva 4.6mg Patch. Moreover, Hetriva 4.6mg Patch may cause increased acid secretion in the stomach in some patients. Your doctor may prescribe an antacid to relieve this acidity.
Yes, Hetriva 4.6mg Patch can cause drowsiness or sleepiness, especially at the start of treatment or when increasing the dose. If you feel dizzy or sleepy, do not drive, use machines or perform any tasks that require your attention. If dizziness continues and bothers you, consult your doctor.
You should not stop or change the dose of Hetriva 4.6mg Patch without consulting your doctor. However, if treatment is interrupted for more than 3 days, do not continue the medicine without consulting your doctor. The doctor will re-initiate the treatment with a low dose twice a day. The dose can then be increased gradually as was done previously.
Yes, Hetriva 4.6mg Patch can cause hallucinations. However, hallucinations are reported very rarely with the use of Hetriva 4.6mg Patch, which means they occur in very few people. It may usually occur shortly after dose modification. If you do not feel well, consult your doctor.

Fact Box

Chemical Class

Carbamate Derivative

Habit Forming

No

Therapeutic Class

NEURO CNS

Action Class

Cholinesterase inhibitors - Alzheimer's disease

References

  1. Stahl SM, editor. Rivastigmine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 603-607.
  2. Katzung BG. Special Aspects of Geriatric Pharmacology. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 1041.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1229.
  4. Rivastigmine. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 2008 [revised 23 Apr. 2018]. [Accessed 22 Mar. 2019] (online) Available from:
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
  6. Rivastigmine transdermal system [Patient Information Leaflet]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 20 Feb. 2024] (online) Available from:
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Hetero Healthcare Limited
Address: S.no: 80-84, Melange towers, PatrikaNagar,Madhapur,Hyderabad. Telangana-500081.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Hetriva 4.6mg Patch. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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Most medicines cannot be sold without a valid prescription, as per the Drugs and Cosmetics Act, 1940 and Rules, 1945
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