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I find the neupro patches stick better if I use an alchol swab on the skin.
Then a tissue with water to wipe off the alchohol and a dry tissue to make
sure the skin is dry.  It has helped me.


----- Original Message -----
From: "Nigel Harland" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, September 17, 2007 12:47 AM
Subject: Re: NEUPRO Rotigotine PATCH


> Hi, Here is another update for those of you who are interested. I have
> been
> using Neupro Rotigotine Transdermal patches since May 10th, as an
> alternative to Mirapex..I started on the lowest dose 2mg/24hr, and am now
> on
> the highest dose 8mg/24hrs. The most obvious benefit is a big reduction in
> duration and strength of dyskenesia, it is still there, but much less of a
> problem. also it means 3 less tablets per day.The negative points are, off
> times are now really off, can't walk or get out of my chair, so I have had
> to increase the frequency Madopar from 3 times a day to 4 times a day to
> try
> and counter this. Also I find it is difficult to make the
> patches stay in place, I have found that using strips of elasticated
> tubular
> bandages ensures that they stay on. My Neuro' recently suggested I try
> Entacapone as well, in an attempt to prolong the "On" times, but  all it
> has
> done is increase the dyskenesia to an uncomfortable level., so I will stop
> taking that.
>
> Conclusion: On balance I would say it has been worthwhile changing onto
> Rotigotine, if only because of the drastic reduction of the hated
> dyskenesia., but the increase in severity of "Off " time is a big negative
> point.
>
> Nigel.
>
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