- Always use this medicine exactly as your doctor has advised
- Your doctor will choose the dose that is right for you
- Normally one patch per day is enough
- Your doctor may increase this to two patches depending on how you respond to the medicine
- At the start of your treatment, put on a patch in the morning
- Remove the patch before you go to bed
- You must have 8 to 12 hours each day without a patch on. This will prevent you from becoming tolerant to the medicine. If you do this it will ensure the treatment remains effective
- Each morning put on a new patch
When applying the patch, you should always
- Place the new patch on a different area of skin
- Allow several days to pass before applying a fresh patch to the same area of skin
- Choose a smooth area of skin to apply the patch. The area should be hairless, to ensure good contact of the patch with the skin. The chest, upper abdomen, upper arm, shoulder or thigh is suitable
- Your hands and the skin where you will apply the patch should be clean and dry. Do not use powder or moisturizer
- Tear open the wrapper across the top, take out the patch and hold it with the writing facing away from you
- Fold the patch along the S-shaped cut so the sides of the backing come apart
- Hold the patch on one side and peel off the backing on the other side to expose the sticky patch. Place the sticky side of the patch directly onto the skin
- Peel off the remainder of the backing and press down firmly with the palm of your hand
- Do not stretch the skin when putting a patch on
- Do not put the patch on a cut or reddened area of skin
- Do not pull the patch off the skin and then stick it back on again
If you use more TOP NITRO
- If you use more TOP NITRO than you should, you may have a fall in blood pressure. This may make you feel dizzy, weak and light-headed on standing. You may also be pale, sweat a lot, have a weak pulse, rapid heartbeats (tachycardia), flushed skin, headache, feel sick or be sick, methemoglobinemia
If you forget to use TOP NITRO
- Take the old one off and Put a new one on as soon as possible, then carry on as before. Do not take a double dose to make up for a missed dose
If you stop using TOP NITRO
- Do not stop using TOP NITRO even if you feel better. If you stop taking your medicine your condition may get worse