Hetriva 18 Transdermal Patch | Uses, Side Effects, Price

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Prescription Medicine

Hetriva 18 Transdermal Patch used to treat dementia (memory loss) associated with Alzheimer's and Parkinson's disease. It increases the levels of a brain chemical called acetylcholine, which helps nerve cells to communicate more easily. It slows cognitive decline and improves cognitive functions, including memory, cognition, and awareness. It also helps patients to perform daily activities more easily and improve their overall quality of life.

Written By Bayyarapu Mahesh Kumar , M Pharmacy

Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

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More about the Product

Composition :

RIVASTIGMINE-18MG

Manufacturer/Marketer :

Hetero Healthcare Pvt Ltd

Consume Type :

Topical

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Hetriva 18 Transdermal Patch

Hetriva 18 Transdermal Patch used to treat dementia (memory loss) associated with Alzheimer's disease (a brain disorder that slowly destroys memory and thinking) and Parkinson's disease (a movement disorder that causes tremors and stiffness).

Hetriva 18 Transdermal Patch contains Rivastigmine, which increases the levels of a brain chemical called acetylcholine by blocking the enzyme responsible for its breakdown. This helps nerve cells communicate more effectively, supporting clearer thinking and improved memory.

Hetriva 18 Transdermal Patch is only for topical use (skin). Apply the patch exactly as prescribed by your doctor. Hetriva 18 Transdermal Patch may cause common side effects, including skin irritation at the application site, nausea, vomiting, dizziness, drowsiness, shakiness (tremor), weakness, weight loss, and loss of appetite. Please consult your doctor if these side effects persist or worsen.

Inform your doctor if you are allergic to Hetriva 18 Transdermal Patch or any of its components. Let your doctor know beforehand if you have breathing problems (asthma or COPD), stomach ulcers or bleeding, seizures, urination problems, or heart, liver, or kidney disease. Consult your doctor before using Hetriva 18 Transdermal Patch if you are pregnant, planning to become pregnant, or breastfeeding. Hetriva 18 Transdermal Patch is not recommended for use in children below 18 years of age.

Uses of Hetriva 18 Transdermal Patch

Hetriva 18 Transdermal Patch is used in the treatment of dementia (memory loss) related to Alzheimer's and Parkinson's disease. The detailed uses of Hetriva 18 Transdermal Patch are as follows:

Treatment of Alzheimer's disease dementia: Hetriva 18 Transdermal Patch is used to treat mild, moderate, and severe memory loss and improve cognitive functions in patients with Alzheimer's disease.
Treatment of Parkinson's disease dementia: Hetriva 18 Transdermal Patch is used to treat mild to moderate memory loss and mental changes in patients with Parkinson's disease.

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Directions for Use

Apply the patch as prescribed by your doctor, typically once a day, to clean, dry, and hairless skin on the upper or lower back, upper arm, or chest.
Press the patch firmly onto the skin for at least 30 seconds to ensure it sticks.
Do not apply the patch to broken, irritated, or wounded skin, and avoid contact with your eyes, mouth, or mucous membranes.
Replace the patch with a new one as directed by your doctor and apply it to a different area of skin to avoid irritation.

Key Benefits

Hetriva 18 Transdermal Patch offers the following medicinal benefits:

Effectively treats dementia (memory loss) related to Alzheimer's and Parkinson's disease.
Helps improve cognitive functions such as memory, thinking, and awareness in people with dementia.
Makes daily activities easier and more manageable.
Reduces confusion and helps patients stay more aware of their surroundings. May reduce behavioural symptoms like agitation, restlessness, and mood changes.
Provides a steady release of medication over 24 hours and causes fewer gastrointestinal side effects compared to oral formulations.

How Hetriva 18 Transdermal Patch Works

Hetriva 18 Transdermal Patch contains Rivastigmine, which increases the levels of the brain chemical acetylcholine by blocking the enzyme that breaks it down. This helps nerve cells to communicate more easily, supporting clearer thinking and better memory.

Storage

Store in a cool and dry place away from sunlight

Side effects of Hetriva 18 Transdermal Patch

Nausea

Overcome Medication-Induced Nausea: A 9-Step Plan

Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
Divide your daily food intake into smaller, more frequent meals to reduce nausea.
Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
Use ginger (tea, ale, or candies) to help relieve nausea.
Get adequate rest and also avoid strenuous activities that can worsen nausea.
Talk to your doctor about taking anti-nausea medication if your nausea is severe.
Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Vomiting

To prevent, manage, and treat Constipation caused by medication usage, follow these steps:

Preventing Vomiting (Before it Happens)
Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
Having a small meal before taking your medication can help reduce nausea and vomiting.
Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
Managing Vomiting (If it Happens)
Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
What to Do if Vomiting Persists
Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Dizziness

Here are the 7 steps to manage Dizziness caused by medication:

Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
When standing up, do so slowly and carefully to avoid sudden dizziness.
Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Loose And Watery Stools

Here are the precise steps to cope with diarrhoea caused by medication usage:

Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

Headache

Dealing with Medication-Induced Headache:

Hydrate your body: Drink enough water to prevent dehydration and headaches.
Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
Take rest: lie down in a quiet, dark environment.
Cold or warm compresses can help reduce tension.
Stay Upright: Maintain good posture to keep symptoms from getting worse.
To treat headaches naturally, try acupuncture or massage therapy.
Over-the-counter pain relievers include acetaminophen and ibuprofen.
Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
Frequent Headaches: If you get reoccurring headaches, consult your doctor.
Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Loss of appetite

Stomach Pain

Drink water or other clear fluids.
To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
Include bland foods like rice, toast, crackers, and rice in your diet.
Avoid lying down immediately after eating as it may cause indigestion or heartburn.
Avoid acidic and spicy food as it may cause indigestion.

What if I have taken an overdose of Hetriva 18 Transdermal Patch

It is recommended not to exceed the recommended amount of Hetriva 18 Transdermal Patch. An overdose of Hetriva 18 Transdermal Patch may lead to serious side effects. Please seek immediate medical attention if you notice any unusual symptoms.

Drug Warnings

Inform your doctor if you are allergic to Hetriva 18 Transdermal Patch or any of its components.
Let your doctor know before using Hetriva 18 Transdermal Patch if you have breathing problems (asthma or COPD), stomach ulcers or bleeding, seizures, urination problems, or heart, liver, or kidney disease.
Consult your doctor before using Hetriva 18 Transdermal Patch if you are pregnant, planning to become pregnant, or breastfeeding.
Hetriva 18 Transdermal Patch is not recommended for children below 18 years of age, as its safety and effectiveness have not been established.
Do not drive or operate machinery while using Hetriva 18 Transdermal Patch, as it may cause dizziness and sleepiness.

Drug-Drug Interactions

RivastigminePropranolol

Severe

RivastigmineMetrizamide

Severe

Drug-Drug Interactions

RivastigminePropranolol

Severe

How does the drug interact with Hetriva 18 Transdermal Patch:
Coadministration of Hetriva 18 Transdermal Patch with propranolol can cause an abnormally slow heart rate and low blood pressure.

How to manage the interaction:
Although taking Propranolol together with Hetriva 18 Transdermal Patch can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult your doctor if you experience lightheadedness, dizziness, fainting, or irregular heartbeat. Do not discontinue any medicine without consulting a doctor.

RivastigmineMetrizamide

Severe

How does the drug interact with Hetriva 18 Transdermal Patch:
Taking Hetriva 18 Transdermal Patch and Metrizamide together may increase the risk of developing seizures (fits).

How to manage the interaction:
Although taking Hetriva 18 Transdermal Patch and Metrizamide together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any unusual symptoms like muscle spasms, lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.

RivastigmineBupropion

Severe

How does the drug interact with Hetriva 18 Transdermal Patch:
Talking bupropion and Hetriva 18 Transdermal Patch together can increase risk of having seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Hetriva 18 Transdermal Patch can lead to an interaction, it can be taken if recommended by a doctor. In case you experience any symptoms like muscle spasms or movements, lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, consult a doctor. Do not discontinue any medications without consulting a doctor.

RivastigmineTramadol

Severe

How does the drug interact with Hetriva 18 Transdermal Patch:
Taking Tramadol with Hetriva 18 Transdermal Patch can significantly increase the risk of seizures (fits).

How to manage the interaction:
Taking Hetriva 18 Transdermal Patch with tramadol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any symptoms such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking of hands and legs, jitteriness, restlessness, pacing, and foot tapping, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

RivastigmineBisoprolol

Moderate

How does the drug interact with Hetriva 18 Transdermal Patch:
Hetriva 18 Transdermal Patch may occasionally cause excessively slow heart rate and low blood pressure, and using it with bisoprolol may increase that risk.

How to manage the interaction:
Although there may be an interaction, bisoprolol can be taken with Hetriva 18 Transdermal Patch if prescribed by the doctor. Consult the prescriber if you develop headache, dizziness, lightheadedness, fainting, or irregular heart rate.

Drug-Food Interactions

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

Diet & Lifestyle Advise

Dietary recommendations:

Include fruits and vegetables rich in antioxidants and omega-3 fatty acids in your diet.
Eat berries, leafy greens, nuts, fish, whole grains, and olive oil in your meals.
Avoid processed foods, sugary drinks, fried snacks, and high-sodium foods.
Limit foods with high cholesterol and saturated fats.
Drink plenty of water.

Physical activity:

Maintain a healthy weight by following a healthy diet and exercising.
Doing aerobic exercises such as swimming or walking can help improve blood flow and memory.
Try to avoid stress by practising meditation or yoga.

Mental well-being:

Engage in mentally stimulating activities such as puzzles and reading.
Stay connected with family and friends to improve cognitive health.

Habit Forming

Therapeutic Class

[ANTI- ALZHEIMER'S AGENTS]

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Alcohol

Unsafe

It is advised to avoid alcohol consumption while using Hetriva 18 Transdermal Patch. Alcohol intake, along with Hetriva 18 Transdermal Patch, may cause increased dizziness and drowsiness. Please consult your doctor for more information.

Pregnancy

Caution

Hetriva 18 Transdermal Patch should be used during pregnancy only if the benefit outweighs the risk. Please consult your doctor before using Hetriva 18 Transdermal Patch if you are pregnant or planning to conceive.

Breast Feeding

Caution

It is not known if Hetriva 18 Transdermal Patch is excreted into breast milk. Please consult your doctor before using Hetriva 18 Transdermal Patch if you are breastfeeding.

Driving

Caution

Hetriva 18 Transdermal Patch may cause dizziness or drowsiness. Do not drive if you experience any symptoms that affect your ability to drive or operate machinery.

Liver

Caution

Please consult your doctor before using Hetriva 18 Transdermal Patch if you have liver problems.

Kidney

Caution

Please consult your doctor before using Hetriva 18 Transdermal Patch if you have kidney impairment.

Children

Caution

It is unknown whether Hetriva 18 Transdermal Patch is safe for use in patients under 18 years of age. Please consult a physician for further information.

Heart

Caution

Hetriva 18 Transdermal Patch should be used with caution in patients with cardiovascular disease. Please inform your doctor about any existing heart problems before using Hetriva 18 Transdermal Patch.

Geriatrics

Caution

Hetriva 18 Transdermal Patch should be used with caution in elderly patients. Please consult your doctor before use.

FAQs

What is the use of Hetriva 18 Transdermal Patch?

How does Hetriva 18 Transdermal Patch work?

In which conditions should I stay cautious while using Hetriva 18 Transdermal Patch?

Hetriva 18 Transdermal Patch should be used with caution in the medical history of liver or kidney diseases, breathing problems (asthma and COPD), stomach/intestinal problems (ulcers and bleeding), heart diseases (sick sinus syndrome and other conduction disorders), fainting, fits, urination problems, and enlarged prostate. Please let your doctor know if you have any other medical problems before starting Hetriva 18 Transdermal Patch.

What should I be aware of while using a transdermal patch?

The transdermal patch is to be evenly applied to the skin without hair. It is advised to put the transdermal patch on clean, dry, and healthy skin on the upper or lower back. You can also apply it to the upper arm or chest. The patch should not be applied to damaged or broken skin. Please do not apply a new patch if you are already using one, as it can lead to overdosing. Do not apply creams, oils, lotions, or powders to the application site. Sometimes, a patch may contain metal. Therefore, it is recommended to remove the patch before undergoing MRI.

How to discard the used patch?

After using the patch, fold it in half with the adhesive surfaces pressed together inwards, and discard it safely.

Country of origin

India

Manufacturer/Marketer address

2Nd Floor, 8-3-166/7/1 Erragadda, Hyderabad-500018

Other Info - HET0072

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Author Details

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Feb 17, 2026 | 7:29 AM IST

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