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Schwarz Pharma informed healthcare professionals and patients of  the recall 
of Neupro, a transdermal delivery system worn on the skin and used to  treat 
early stage Parkinson’s disease. The product is being recalled because of  the 
formation of rotigotine crystals in the patches. When the drug crystallizes,  
less drug is available to be absorbed through the skin and the efficacy of the 
 product may vary. Healthcare professionals should not initiate any new 
patients  on Neupro and should begin to down-titrate all patients currently using 
the  product per the guidelines in the product labeling. Patients should NOT 
abruptly  discontinue therapy. Abrupt withdrawal of dopamine agonists has been 
associated  with a syndrome resembling neuroleptic malignant syndrome or 
akinetic crises.  
Read the complete 2008 MedWatch Safety Summary, including a link  to the 
FDA's Drug Shortage Information Sheet regarding this issue at:  
_http://www.fda.gov/medwatch/safety/2008/safety08.htm#neupro_ 
(http://www.fda.gov/medwatch/safety/2008/safety08.htm#neupro)   




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