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Apply Transderm Scōp® as follows: PATIENT FPO INFORMATION Inside the Transderm Scōp® package, 46114067 you will find one Transderm Scōp® patch. A tan-colored patch with a metallic Transderm Scōp®, (silver) sticky surface is adhered to a clear pronounced tran(t)s-derm skōp Tell your doctor about all the you take, including disposable backing (See Figure 1). () prescription and non-prescription transdermal system patch medicines, vitamins and herbal disposable plastic supplements. Transderm Scōp may backing Read this Patient Information before ® affect the way other medicines work, you start using Transderm Scōp and metallic adhesive ® and other medicines may affect how surface each time you get a refill. There may be Transderm Scōp works. Medicines that new information. This information does ® you take by mouth may not be absorbed tan-colored patch not take the place of talking to your well while you use Transderm Scōp . doctor about your medical condition or ® (Figure 1) your treatment. Especially tell your doctor if you take: 1. Select a hairless area of skin behind • a or tranquilizer (medicines What is Transderm Scōp ? one of your ears. Avoid areas on your ® that make you sleepy) skin that may have cuts, pain or The Transderm Scōp® patch is a • an tenderness. Wipe the area of your skin prescription medicine used for adults to: • an medicine, such as an with a clean, dry tissue. allergy or cold medicine, a medicine to • help prevent and treat bladder or bowel spasms, certain 2. Cut along dotted line on the from asthma medicines, or other medicines Transderm Scōp® package to open • help prevent nausea and vomiting for motion sickness. (See Figure 2). from or taking pain medicines after Ask your doctor if you are not sure if your medicine is one that is listed above. cut package open It is not known if Transderm Scōp® is along dashed line safe or effective in children. Know the medicines you take. Keep a list of them and show it to your doctor or Who should not use pharmacist when you get a new Transderm Scōp®? medicine. (Figure 2) Do not use Transderm Scōp® if you: How should I use • have an eye problem called angle Transderm Scōp®? 3. Remove the clear plastic backing closure Use Transderm Scōp exactly as from the tan-colored round patch • if you are allergic to any of the ® your doctor tells you to use it. (See Figure 3). ingredients in Transderm Scōp or ® Transderm Scōp is a tan-colored other medicines called belladonna ® circle shaped patch. . See the end of this leaflet Wear only one patch at any time. for a list of the ingredients in Transderm Scōp®. Ask your doctor if Do not cut the patch. you are not sure. To help prevent nausea and vomiting from motion sickness: What should I tell my doctor before using Transderm Scōp ? • Apply one Transderm Scōp® patch to (Figure 3) ® your skin on a hairless area behind one Before you use Transderm Scōp®, tell ear at least 4 hours before the activity 4. Avoid touching the metallic adhesive your doctor if you: to prevent nausea and vomiting. (sticky) surface on the patch with your • are scheduled to have a gastric • If the treatment is needed for longer hands (See Figure 4). test than 3 days, remove the patch from the • have glaucoma (increased pressure in hairless area behind your ear. Get a tan-colored patch the eye) new Transderm Scōp® patch and place metallic adhesive • have or problems it on the hairless area behind your surface • have problems with your stomach or other ear. disposable plastic backing intestines To help prevent nausea and vomiting • have trouble urinating after surgery: • have a history of or (Figure 4) • have any other medical conditions • Follow your doctor’s instructions about when to apply Transderm Scōp before • are pregnant or plan to become ® 5. Apply the metallic adhesive surface of your scheduled surgery. pregnant. It is not known if Transderm the patch firmly to the dry area of skin • The Transderm Scōp patch should be Scōp® can harm your unborn baby. ® behind your ear. The tan-colored side left in place for 24 hours after surgery. • are breast-feeding or plan to breast- of the patch should be facing up and After 24 hours the patch should be feed. Transderm Scōp® can pass into showing (See Figure 5). Wash your removed and thrown away. your and may harm your hands with soap and water right away baby. Talk to your doctor about the after applying the patch, so that any best way to feed your baby if you use Transderm Scōp®. medicine from the patch that gets on side effects of Transderm Scōp®. For your hands will not get into your eyes. more information, ask your doctor or pharmacist. Call your doctor for medical advice • temporary increase in the size of about side effects. You may report side

tan-colored patch your pupil and blurry vision, effects to FDA at 1-800-FDA-1088. especially if Transderm Scōp® comes in contact with your eyes How should I store • difficulties in urinating Transderm Scōp®? (Figure 5) • difficulties in food passing from the • Store Transderm Scōp® at room stomach to the small intestines, temperature between 68°F and 77°F After removing the patch, be sure to which may cause abdominal pain, (20°C and 25°C) until you are ready to wash your hands and the area behind nausea or vomiting. use it. your ear thoroughly with soap and • worsening of seizures. Tell your • Keep Transderm Scōp and all water. Note that the used patch will still ® doctor about any worsening of seizures medicines out of reach of children. contain some of the active ingredient while using Transderm Scōp®. after use. To avoid accidental contact or • an unusual reaction called acute General Information about ingestion by children or pets, fold the psychosis: Tell your doctor if you have Transderm Scōp used patch in half with the sticky side any of these symptoms: ® together. Dispose in the trash out of the Medicines are sometimes prescribed for • confusion reach of children and pets. purposes other than those listed in a • agitation patient information leaflet. Do not If you use too much Transderm Scōp , ® • rambling speech use Transderm Scōp for a condition for call your doctor or local poison control ® • (seeing or hearing which it was not prescribed. Do not give center, or go to the nearest hospital things that are not there) Transderm Scōp to other people, even emergency room right away. ® • paranoid behaviors and delusions if they have the same symptoms you (false belief in something) What should I avoid while have. It may harm them. using Transderm Scōp®? • skin burns at the site of the patch. This patient information leaflet This can happen during a medical test summarizes the most important • You should not drink while called a Magnetic Resonance Imaging information about Transderm Scōp . using Transderm Scōp . It can increase ® ® scan (MRI). Transderm Scōp® contains If you would like more information, your chances of having serious side aluminum and should be removed talk with your doctor. You can ask your effects. from your skin before you have an MRI. pharmacist or doctor for information • You should not drive, operate heavy The most common side effects of using about Transderm Scōp that is written machinery, or do other dangerous ® Transderm Scōp include: for the health professionals. activities until you know how ® Transderm Scōp® affects you. • dry mouth For more information, go to • You should not use Transderm Scōp® • drowsiness www.transdermscop.com or call during a Magnetic Resonance Imaging • disorientation (confusion) 1-800-452-0051. scan (MRI). Remove Transderm Scōp® • patch before undergoing an MRI; it can • pharyngitis What are the ingredients in the cause your skin to burn. • memory trouble Transderm Scōp® patch? • You should be careful if you use • Active ingredient: Scopolamine Transderm Scōp® while you participate • restlessness in watersports because you may feel • agitation Inactive ingredients: light mineral oil, lost or confused (disoriented). • problems urinating polyisobutylene, polypropylene and • Limit contact with water while • skin rashes or redness, application site aluminized polyester film swimming and bathing because the burning Transderm Scōp® patch may fall off. If • dry itchy, or reddened whites of the the patch falls off, throw it away and eyes, and eye pain Manufactured by: ALZA Corporation Vacaville, CA 95688 apply a new one on the hairless area Symptoms when removing behind your other ear. Transderm Scōp®. Some people may Distributed by: have certain symptoms 24 hours or more Novartis Consumer Health, Inc. What are the possible side after removing Transderm Scōp . These Parsippany, NJ 07054-0622 effects of Transderm Scōp ? ® ® symptoms may include: ©2014 Transderm Scōp® may cause serious • dizziness side effects, including: • nausea • angle closure glaucoma. If you have • vomiting open angle glaucoma and use • headache Revised December 2013 Transderm Scōp®, remove the patch • problems with balance and walking Printed in U.S.A. and call a doctor right away if you get • decrease in blood pressure 46114067 pain and reddening of your eyes with • muscle weakness an increase in the size of your pupil • decrease in heart rate (the small dark circle in the eye). Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible