FDA Approves Higher Dose of Exelon Patch

The Food and Drug Administration has approved a higher dose of the ExelonPatch (rivastigmine transdermal system) for the treatment of people with mild to moderate Alzheimer’s disease, according to a release from Novartis, which manufactures the patch. The release quotes Jeffrey Cummings MD, Director of the Cleveland Clinic Lou Ruvo Center for Brain Health, as saying, “Having multiple options for the treatment of mild to moderate Alzheimer’s disease will help physicians better care for patients with the hope of improving function and cognition.”

Approval of Exelon Patch 13.3 mg/24 h was based on the 48-week double-blind phase of the OPTIMA study, a novel controlled trial in mild to moderate Alzheimer's patients who met the pre-defined criteria for functional and cognitive decline on the 9.5mg/24 h dose. Patients treated with the 13.3 mg/24 h patch experienced statistically significant improvement in their overall function.

During the 48-week dose-comparison phase of OPTIMA, no unexpected adverse events leading to discontinuation were reported and the safety profile of the higher dose was consistent with that of the currently approved doses of Exelon Patch.

“Family caregivers play a vital role in the Alzheimer’s treatment journey by working closely with healthcare providers to choose the right treatment for their loved ones,” said John Schall, Chief Executive Officer of the National Family Caregivers Association, according to the release. “From the caregiver’s standpoint, a patch can be visual evidence to help see if their loved one has actually received their medication, so to have an additional option is important.” As with all medications, however, there are contraindications. If you are a caregiver considering asking your loved one's physician about the higher dose patch, be sure to get all the safety information before making a decision. 
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