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Generic Name: scopolamine transdermal (skoe PAL a meen)
Brand Name: Transderm-Scop

What is Transderm-Scop?

Scopolamine reduces the secretions of certain organs in the body, such as the stomach.

Transderm-Scop (skin patch) is used to prevent nausea and vomiting caused by motion sickness or from anesthesia given during surgery.

Transderm-Scop may also be used for purposes not listed in this medication guide.

Important Information

You should not use Transderm-Scop if you have narrow-angle glaucoma, or if you are allergic to scopolamine or similar medicines such as methscopolamine, hyoscyamine, or atropine.

Before taking this medicine

You should not use this medicine if you are allergic to scopolamine or similar medicines such as methscopolamine, hyoscyamine, or atropine, or if you have:

  • narrow-angle glaucoma.

To make sure scopolamine is safe for you, tell your doctor if you have ever had:

  • glaucoma;

  • liver or kidney disease;

  • epilepsy or other seizure disorder;

  • urination problems; or

  • a blockage in your digestive tract (stomach or intestines).

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Scopolamine transdermal can pass into breast milk and may affect the nursing baby. Tell your doctor if you are breast-feeding.

Older adults may be more sensitive to the side effects of scopolamine transdermal.

Transderm-Scop is not approved for use by anyone younger than 18 years old.

How should I use Transderm-Scop?

Follow all directions on your prescription label. Do not use Transderm-Scop in larger or smaller amounts or for longer than recommended.

Do not take by mouth. Transderm-Scop is for use only on the skin.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

The Transderm-Scop skin patch is applied to a hairless area of skin just behind your ear.

Wear only 1 patch at a time. Do not cut or tear the patch.

To prevent motion sickness, apply the skin patch at least 4 hours before you will be exposed to a situation that may cause motion sickness.

To prevent nausea and vomiting after surgery, the skin patch is usually applied the evening before surgery. Keep wearing the patch for 24 hours after your surgery, then remove it and throw it away.

If you are pregnant and are using this medication before a C-section, apply the patch 1 hour before your scheduled surgery.

If the skin patch falls off, replace it with a new one. Limit the amount of time you spend in water (swimming or bathing) or the patch may fall off.

You may wear the skin patch for up to 3 days. If you need to use the medication for longer than 3 days, remove the patch and place a new one behind your other ear.

After removing a patch, fold it closed with the sticky side in, and throw it away in a place where pets and children cannot reach it.

Always wash your hands with soap and water after handling a Transderm-Scop skin patch, whether you are applying it or removing it. Also wash the skin behind your ear where the patch was worn. Use soap and water and then dry thoroughly.

This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Transderm-Scop.

The Transderm-Scop patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

You may have unpleasant withdrawal symptoms when you stop using Transderm-Scop. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture and heat. Keep each patch in its foil wrapper until you are ready to apply a patch.

What happens if I miss a dose?

Since Transderm-Scop is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Call your doctor for instructions if you forget to apply the patch as directed before surgery.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose can cause vision problems, severe drowsiness, confusion, agitation, hallucinations, painful or difficult urination, hot or dry skin, fast heartbeats, seizure, or loss of consciousness.

What should I avoid while using Transderm-Scop?

Avoid touching your eyes just after applying a Transderm-Scop skin patch. The medication contained in the patch can dilate your pupils and cause blurred vision.

Transderm-Scop may impair your thinking or reactions. You may feel drowsy, confused, lost, or disoriented. Be careful if you drive or do anything that requires you to be alert. Avoid driving, water sports, or operating machinery until you know how Transderm-Scop will affect you.

Drinking alcohol with this medicine can cause side effects.

Transderm-Scop side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Remove the skin patch and call your doctor at once if you have:

  • eye pain or redness, blurred vision, dilated pupils;

  • decreased urination, painful or difficult urination;

  • stomach pain, nausea, vomiting;

  • a seizure; or

  • confusion, agitation, extreme fear, hallucinations, unusual thoughts or behavior.

Common side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Transderm-Scop?

Scopolamine slows the digestive tract, which can make it harder for your body to absorb other medicines you take by mouth. Tell your doctor if any of your oral medications do not seem to work as well while you are using Transderm-Scop.

Using scopolamine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking a sleeping pill, narcotic medication, muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all your current medicines and any you start or stop using, especially:

This list is not complete. Other drugs may interact with scopolamine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.