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Precautions and Warnings With Scopolamine Patch

Some people who have a serious mental illness or glaucoma may not be able to safely use the scopolamine patch. This product can be an effective product for preventing nausea and vomiting, but it is not appropriate for everyone. In order to use scopolamine patch safely, warnings and precautions for the drug should be fully discussed with your healthcare provider.

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using scopolamine patch (Transderm Scop®) if you have:
 
  • An irregular heart rhythm
  • A history of psychosis or other serious mental illnesses
  • Glaucoma
  • Difficulty passing urine
  • An enlarged prostate, also known as benign prostatic hyperplasia (BPH)
  • Ever had an obstruction (blockage) of the digestive tract
  • A seizure disorder (epilepsy) or a history of seizures
  • Plans to undergo an MRI
  • Any allergies, including to foods, dyes, or preservatives.
 
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
 
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
 

Specific Scopolamine Patch Precautions and Warnings

Some warnings and precautions to be aware of prior to using this medication include the following:
 
  • Scopolamine patch may interfere with your ability to drive or operate heavy machinery. Make sure you know how this medicine affects you before performing activities such as these. The drug can cause disorientation, which can be especially dangerous if you are planning any underwater activities.
 
  • This medicated patch should be used very cautiously (if at all) in people with open-angle glaucoma (also known as wide-angle glaucoma). It should never be used in people with narrow-angle glaucoma (angle-closure glaucoma). Scopolamine patch can make glaucoma worse.
 
  • Scopolamine patch is not approved for use in children. Also, the drug should be used cautiously (if at all) in the elderly or in people with liver or kidney disease. The dosage of the patch cannot be reduced (as the patch cannot be cut), and these individuals are at a higher risk for serious scopolamine patch side effects.
 
  • This patch can impair the ability of the bladder to empty, causing difficulty urinating. Let your healthcare provider know if you develop any bladder problems while using a scopolamine patch.
 
  • Scopolamine patch can slow down the digestive tract, potentially causing problems in people prone to intestinal or stomach blockages. If you have ever had these problems in the past, do not use a scopolamine patch without first asking your healthcare provider.
 
  • This medication should be used cautiously in people with a history of psychosis, as the drug can worsen this problem.
 
  • It is possible that the scopolamine patch could cause seizures or make seizures worse.
 
  • There have been reports of burns caused by MRIs on people wearing patches similar to scopolamine patches (due to the metal in the patch). The patch should not be worn during an MRI.
 
 
  • Scopolamine patch is a pregnancy Category C medication. This means that it might not be safe for use during pregnancy, although the full risks are currently unknown (see Transderm Scop and Pregnancy).
 
  • Scopolamine patch passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using this product (see Transderm Scop and Breastfeeding).
 

Scopolamine Patch Information

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