The nurse provides teaching for a patient who will begin taking rotigotine [Neupro] to treat Parkinson's disease. What will the nurse include in teaching?
a. "If you develop nausea and vomiting, you should stop taking the medication."
b. "If you need to stop this drug, your pro-vider will order a gradual withdrawal."
c. "You will start this drug regimen with a higher than usual loading dose."
d. "You will take this medication by mouth with food."
B
Rotigotine is a nonergot dopamine agonist, which is given by starting with a 2-mg dose that is increased by 2 mg each week until the lowest effective dose is reached. It should not be stopped abruptly but should be decreased by 2 mg per week until tapered off. It undergoes extensive first-pass metabolism, so it is not given orally and is currently available as a transdermal patch.
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