Maximum dose of Rotigotine is 16 mg/24 hours. Patches are available in 2mg/4mg/6mg/8mg strengths. Do not cut patches to achieve correct dose. *100 mg of levodopa CR is approximately equivalent to 2mg/24 hours Rotigotine, therefore if patient is on CR levodopa preparations please increase equivalent by 2mg/24 hours.
'Nil by mouth' medication dose calculators and guidelines
The tool also provides a conversion to a rotigotine patch dose, as an alternative to nasogastric dispersible madopar. A correction factor is applied to avoid large rotigotine patch doses, as these may cause side effects such as confusion, hallucinations or delirium. Amantadine can be safely omitted if swallow is compromised.
Do not cut patches to achieve the correct dose. Once the patient can safely swallow their oral medication, consideration should be given to switching the patient back from rotigotine patch to their usual oral PD medication regimen.
Calculator - PDMedCalc
Calculate the total levodopa equivalent dose of the added medicines and convert them to dispersible madopar and rotigotine patch. Select the number of times per day that the patient takes this medicine. A tool to convert Parkinson's Disease medications to a 'Levodopa equivalent dose' of dispersible madopar.
Table 2: Conversion of oral dopamine agonists to rotigotine patch The maximum dose of rotigotine is 16mg/24hours. The patches are available in 2mg / 4mg / 6mg / 8mg strengths. Do not cut patches to achieve the correct dose. Pramipexole (Base/Salt Content)* Pramipexole Modified Release Preparations (Base/Salt Content)* Ropinirole Standard Release
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Conversion of oral dopamine agonists to rotigotine patch The maximum dose of rotigotine is 16mg/24hours. The Patches are available in 2mg/4mg/6mg/8mg Strengths.
Conversion of oral dopamine agonists to rotigotine patch The maximum dose of rotigotine is 16mg/24hours. The Patches are available in 2mg/4mg/6mg/8mg strengths.
• If usually taking Levodopa and Dopamine agonists, calculate Rotigotine patch conversions for both and add together; • The maximum dose is 16mg / 24 hours.
Link Table 1: Management of Parkinson’s Disea se patients with swallowing difficulties or feeding tubes Link Table 2 : Conversion of Dopamine agonists to Rotigotine patch equivalent Link Table 3 : Rotigotine transdermal patch conversion for patients who are NBM and only on Levodopa (with or without COMT inhibitor).
A + B = (note max Rotigotine dose 16mg) If more than 16mg Rotigotine they are likely to need Apomorphine. Please start Rotigotine 16mg along with Domperidone suppositories