NERVODERM^® dermal patch

NERVODERM^® dermal patch contains the active ingredient lidocaine. Lidocaine absorbs into the skin to reduce the transmission of pain impulses from nerve endings in your skin and relieve pain. The hydrogel patch also provides pain relief as it forms a protective barrier providing a soothing effect at the site of application.

NERVODERM^® dermal patch is used to relieve medically diagnosed post shingles nerve pain (post-herpetic neuralgia). It may be felt as burning, stabbing, shooting pains at or near the skin surface that may be accompanied by increased sensitivity to touch, heat or cold.

Warnings

Do not use NERVODERM^® dermal patch:

• if you are allergic to lidocaine, methyl hydroxybenzoate, propyl hydroxybenzoate or any of the ingredients listed at the end of this leaflet.
  Always check the ingredients to make sure you can use this medicine.
• if you are allergic to any other medicines similar to lidocaine such as bupivacaine, etidocaine, mepivacaine or prilocaine.
• on injured skin or on open wounds.
• on the eyes or mouth.
• on unhealed areas of skin, for example unhealed blisters.

Check with your doctor or pharmacist if you:

• severe liver disease.
• severe kidney disease.
• severe heart problems.
• have any other medical conditions.
• take any medicines for any other condition.

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

Pregnancy and breastfeeding

Check with your doctor or pharmacist if you are pregnant or intend to become pregnant. If you become pregnant while taking NERVODERM^® dermal patch, tell your doctor or pharmacist.

Talk to your doctor or pharmacist if you are breastfeeding or intend to breastfeed.

Children

Do not give NERVODERM^® dermal patch to children.

Safety and effectiveness in children younger than 18 years has not been established.

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines may interfere with NERVODERM^® dermal patch and affect how it works. These include:

• some drugs used to slow the heart, including tocainide and mexiletine
• other local anaesthetics such as bupivacaine, etidocaine, mepivacaine, prilocaine or lidocaine.

Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect NERVODERM^® dermal patch.

How much NERVODERM^® dermal patch to use

• The daily dose is between one and three patches depending on the size of the painful area of your skin. Remember you should not use other products that contain lidocaine at the same time.
• NERVODERM^® dermal patch may be cut into smaller pieces to fit the affected area.
• You should not use more than 3 patches at the same time.
• NERVODERM^® dermal patches should be worn for no more than 12 hours per day. Applying the patches for a longer time or using more than 3 NERVODERM^® patches per day could cause serious reactions. Remember you should not use other products that contain lidocaine at the same time.
• Wait 12 hours after removing patches before applying new patches.
• Usually, you will feel some pain relief on the first day you use the patch, but it may take up to 2 – 4 weeks until the full pain-relief effect of NERVODERM^® dermal patch is seen.
  If after that time you still have a lot of pain, talk to your doctor because the benefits of the treatment must be weighed against potential risks.
  Your doctor will check how well NERVODERM^® dermal patch is working at regular intervals.
• Follow the instructions provided and use NERVODERM^® dermal patch until your doctor tells you to stop.

How long to use NERVODERM^® dermal patch for

Because of the way NERVODERM^® dermal patch works, relief may not occur immediately and improvement may be gradual. The time required varies from person to person. If a lot of pain persists after using NERVODERM^® dermal patch for 2 to 4 weeks, see your doctor or pharmacist.

Continue using it for as long as your doctor or pharmacist tells you.

How to use NERVODERM^® dermal patch

Before you apply NERVODERM^® dermal patch to the affected area:

• Cut any hairs on the affected skin using scissors. Do not shave hairs off.
• Ensure the skin is clean and dry.
• Allow your skin to cool off after a bath or shower.
• Creams and lotions may be used on the affected skin during the period when you are not wearing the patch.

NERVODERM^® dermal patch should not be used on unhealed the areas of skin for example unhealed blisters. It should not be used on or near the mouth.

Avoid contact of NERVODERM^® dermal patch with the eye. If contact occurs, immediately wash the eye with water or saline (salt solution) and protect it until sensation returns.

Avoid the use of external heat sources, such as heating pads or electric blankets when using NERVODERM^® dermal patch, as the effect of this has not been studied.

Local heat may alter the absorption of lidocaine from the patch.

How to apply the patch:

NERVODERM^® dermal patch is for external use only.

Step 1: Open the sachet and remove one or more patches.

• Tear open or cut the sachet along the dotted line.
• When using scissors, be careful not to damage the patches.
• Take out one or more patches depending on the size of the painful area.

Step 2: Close the sachet.

• Close the sachet tightly after use.
• The patch contains water and will dry out if the sachet is not closed properly.

Step 3: Cut the patch, if necessary.

• If required, cut the patch to the required size to fit the painful area of skin before removing the liner.

Step 4: Remove the liner.

• Remove the transparent liner from the patch.
• Try not to touch the sticky part of the patch.

Step 5: Apply the patch and press it firmly onto the skin.

• Apply up to 3 patches to the painful area of skin.
• Press the patch onto your skin.
• Press for at least 10 seconds to make sure the patch sticks firmly.
• Make sure that all of it sticks to your skin, including the edges.

Leave the patch on for 12 hours only.

It is important that NERVODERM^® dermal patch is in contact with your skin for only 12 hours.

For example, if you have more pain at night you might want to apply the patch at 7pm in the evening and remove it at 7am in the morning.

If you have more pain during the day than at night you might want to apply the patch at 7am in the morning and remove it at 7pm in the evening.

Wait 12 hours after removing patches before applying new patches.

Bathing, showering and swimming

If at all possible, contact with water should be avoided whilst wearing NERVODERM^® dermal patch.

Bathing, showering or swimming can be done when you are not wearing the patch. If you have had a recent bath or shower, you should wait until your skin cools before applying the patch.

If the patch comes off

Very rarely the patch might fall off or come unstuck. If it does, try sticking it back on the same area. If it does not stay on, remove it and put a new patch on the same area.

How to remove NERVODERM^® dermal patch

When changing the patch, remove the old patch slowly. If it does not come off easily, you can soak it in warm water for a few minutes before removing it.

Used patches still contain active ingredient, which may be harmful to others. Fold the used patch in half, with the sticky sides together and throw them away so that they are out of the reach of children.

If you forget to remove the patch after 12 hours:

As soon as you remember, remove the old patch. A new patch can be used again after 12 hours.

If you forget to use NERVODERM^® dermal patch

NERVODERM^® dermal patch should be used regularly at the same time each day.

If you miss your dose at the usual time and it is almost time for you to apply the next patch dose, skip the one you missed and apply the next patch when you are meant to.

Otherwise, apply a new patch as soon as you remember, and then go back to your normal schedule.

Do not take a double dose to make up for the dose you missed.

If you are not sure what to do, ask your doctor or pharmacist.

If you use too much NERVODERM^® dermal patch

If you think that you have used too much NERVODERM^® dermal patch, you may need urgent medical attention.

You should immediately:

• phone the Poisons Information Centre
  (by calling 13 11 26), or
• contact your doctor, or
• go to the Emergency Department at your nearest hospital.

You should do this even if there are no signs or symptoms of discomfort or poisoning.

Signs or symptoms of an overdose may include:

• dizziness
• vomiting
• drowsiness
• taste disturbances or loss of taste
• seizures
• dilated pupils
• a low heartbeat
• changes in the way the heart beats (faster, slower, irregular);
• shock.

Things you should do

• Before starting any new medicine, tell your doctor or pharmacist that you are using NERVODERM^® dermal patch.
• If irritation or burning sensation occurs whilst you are using the patch, it should be removed. The area of irritation should remain patch-free until the irritation stops.
• If you become pregnant while taking NERVODERM^® dermal patch tell your doctor or pharmacist.

Remind any doctor, dentist, pharmacist, surgeons or anesthetists you visit that you are using NERVODERM^® dermal patch.

Things you should not do

• Do not use more than 3 NERVODERM^® dermal patches at the same time.
• Do not use NERVODERM^® dermal patch to treat any other conditions.
• Never re-use a patch.
• Do not give your medicine to anyone else, even if they have the same condition as you.

Driving or using machines

This medicine is not expected to affect your ability to drive a car or operate machinery.

Looking after your medicine

• Keep NERVODERM^® dermal patch in the box until it is time to use it.
• Keep your medicine in a cool dry place where the temperature stays below 25°C.
• Do not refrigerate or freeze.
• After first opening: Keep the sachet tightly closed.
• After opening the sachet, the patches should be used within 14 days.

Follow the instructions in the carton on how to take care of your medicine properly.

Store it in a cool dry place away from moisture, heat or sunlight; for example, do not store it:

• in the bathroom or near a sink, or
• in the car or on window sills.

Keep it where young children or pets cannot reach it.

Even a used NERVODERM^® dermal patch contains a large amount of lidocaine. A small child or pet could suffer serious adverse effects from chewing or swallowing a new or used patch.

Store and dispose of patches out of the reach of children, pets and others.

When to discard your medicine (as relevant)

Do not use NERVODERM^® dermal patch if the packaging is torn or shows signs of tampering. If the package has become damaged, the dermal patches may dry out and become less sticky.

Do not use NERVODERM^® dermal patch if the expiry date (Exp.) printed on the pack has passed.

If it has expired or is damaged, return it to your pharmacist for disposal.

Getting rid of any unwanted medicine

If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal.

Do not use this medicine after the expiry date.

All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.

See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects.

Less serious side effects

Serious side effects

Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell.

Other side effects not listed here may occur in some people.

Reporting side effects

After you have received medical advice for any side effects you experience, you can report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems. By reporting side effects, you can help provide more information on the safety of this medicine.

Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines.

This medicine is available over-the-counter without a doctor's prescription.

There is no evidence this medicine is addictive.

What NERVODERM^® dermal patch contains

Do not take this medicine if you are allergic to any of these ingredients.

What NERVODERM^® dermal patch looks like

NERVODERM^® lidocaine (lignocaine) 5% w/w dermal patch (AUST R 280081) is 14 cm long and 10 cm wide. It is white and made of fleece fabric marked with “lidocaine 5%”. The patches are packed in re-sealable sachets, each containing 5 patches.

Registered pack sizes are cartons containing 5, 10 or 30 patches packed in 1, 2 or 6 sachets respectively. Not all pack sizes may be marketed.

Who distributes NERVODERM^® dermal patch

Sponsor:

Seqirus Pty Ltd
ABN: 26 160 735 035
63 Poplar Road
Parkville VIC 3052
Australia
Telephone: 1800 642 865
www.cslseqirus.com.au

Distributor:

Seqirus (Australia) Pty Ltd
Melbourne, Australia

Manufactured and licensed by:

Teikoku Pharma USA, Inc.
NERVODERM is a registered trademark of Seqirus UK Limited or its affiliates.

This leaflet was prepared in December 2025.