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Does that mean the patches are patchy ?  :)  - sorry, cheerfulness keeps 
breaking out.

Quoting "[log in to unmask]" <[log in to unmask]>:

> UCB advises US-physicians to down-titrate patients on Neupro(R) in view of
> out-of-stock situation in the USMARKETWIRE
> Mar 20, 2008 BRUSSELS, BELGIUM MARKET WIRE 
> UCB initiates recall of Neupro(R) batches, which will lead to an out-of-stock
> situation in the United States in late April.
> Patients in the US are advised to contact their healthcare provider.
> Neupro(R) supply is sufficient in other regions.
> Brussels, Belgium - March 20, 2008 at 7:00 am CET - UCB announced today that
> the company will be recalling Neupro(R) (rotigotine transdermal system) in
> the United States and certain batches in Europe. The recall decision resulted
> from ongoing monitoring of marketed product, which revealed a deviation from
> the approved product specification. As a result, there will be an
> out-of-stock situation with Neupro(R) in the United States in late April
> 2008. In the European Union and most other regions Neupro(R) supply is
> sufficient.
> "We have informed the FDA and agreed to actions to inform healthcare
> providers and patients," said Iris Loew-Friedrich, MD, PhD, Chief Medical
> Officer, UCB. "We advise patients in the US to contact their healthcare
> provider to begin the down-titration of Neupro(R) as per the guidelines in
> the label. It is strongly advised that patients do not discontinue therapy
> abruptly. I also want to emphasize that the issue is not one of product
> contamination or toxicity but rather one of possibly reduced clinical
> performance of some patches."
> Down-titration (reduction of the dose) should be gradual and performed under
> medical supervision. Rapid reduction of therapy for Parkinson's disease has
> been associated with a symptom complex resembling neuroleptic malignant
> syndrome or akinetic crises.
>  
> http://www.genengnews.com/news/bnitem.aspx?name=32425368
>  
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