Instructions

DO NOT take this medicine by mouth.

Avoid placing the patch near the scrotum.

Remove the patch after 24 hours.

Keep the medicine at room temperature. Avoid heat and direct light.

Please ask your doctor, nurse, or pharmacist how to discard unused medicines safely.

Follow the instructions on the package to use this medicine correctly.

This patch should not be cut.

Wash your hands before and after handling this medicine.

Remove old patch before applying new one. Change the location of the new patch.

Do not use if the pouch containing the medicine is torn or damaged.

Ask your doctor or pharmacist about locations on your body where this patch can be used.

Remove the plastic liner that protects the sticky side of the patch before applying to the skin.

Apply the patch to a clean, dry, hairless area.

Press patch firmly for a few seconds to make sure it sticks. If it does not, talk to your doctor or pharmacist. Do not cover with a bandage or tape unless your doctor or pharmacist says to.

After removing the patch, fold it together and discard it out of reach of children and pets.

Put the patch on a different area each time. Wait at least one week before using the same location again.

If your patch falls off or you missed a dose, and it is less than 12 hours until your next dose, wait and apply the new patch at your next usual time.

Do not shower, bathe, or swim for at least 3 hours after applying the medicine.

Avoid touching other people around the area of the patch.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Tell your doctor if symptoms do not get better or if they get worse.

This medicine may affect your blood sugar levels. If you have diabetes, talk to your doctor before changing the dose of your diabetes medicine.

Keep all appointments for medical exams and tests while on this medicine.

Cautions

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this medicine.

This medicine may increase the risk of cancer. Ask your doctor about the benefits and risks.

This medicine is not safe for women or children. Wash the area where you applied this medication thoroughly before you have skin to skin contact with another person. Keep clothing that has touched the medicine away from women, children, and pets until they can be washed in warm water.

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Do not use the medication any more than instructed.

This medicine may reduce sperm count.

Women who are pregnant or in their childbearing years should not touch or handle this medicine. This medicine can be absorbed through the woman's skin and harm the unborn baby.

Patch should be removed before having an MRI scan to avoid serious burns.

Do not share this medicine with anyone who has not been prescribed this medicine.

If you have a painful erection or an erection for more than 4 hours, seek medical care right away.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• acne
• loss of balance
• dizziness
• hair loss
• headaches
• problems with sexual functions or desire
• skin irritation where medicine is applied

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• agitated feeling or trouble sleeping
• anger or hostile feelings
• breast pain or swelling
• breathing interruption during sleep
• chest pain
• depression or feeling sad
• swelling of the legs, feet, and hands
• sudden leg pain, swelling, warmth or redness
• mood changes
• shortness of breath
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• increased urinary frequency
• difficulty or discomfort urinating

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.