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A prescription is needed. Not for children or people who have or have had glaucoma (increased pressure in the eyeball), have difficulty urinating, or an allergy to the active ingredient, scopolamine or other belladonna alkaloids. Most common side effects are dry mouth, drowsiness and blurred vision. When using this product, do not use alcohol, drive, operate dangerous machinery, or do things requiring alertness. If you are elderly, your physician should exercise care in prescribing Transderm Scop®.