Fentanyl gel patch

Common Questions and Answers about Fentanyl gel patch

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She suggested that I use the gel patch but I need to know who makes a 12mcg with the gel. Does Sandoz still make this patch? I called a major chain pharmacy and asked but they acted like I was a drug seeker so I thought if I could find out the mfg. company's name first then I could ask them to order it.
I saw my pain doctor today and he put me on Fentanyl patch 25mgs every 72 hours. I have read all the papers on it and searched it on the internet. If there is any info on the patch that you don't read on the paperwork I was wondering if you could share. I put it on about a hour ago. My pharmacy gave me some things to go over the patch so it don't get wet, she said I can also buy them she gave me 2 of them.
I'll leave my comments for the PM and just wish you all the best, look fwd to seeing how it goes for you.
5/500 mg Hydrocdone a day. The pain management doctor wants me to use the 25 mcg. fentanyl patch, but my Rhumetalogist seemed to have a strong reaction to this and the pharmacy treated me as if I am a druggie when I went to pick it. I worry about taking medication, but don't know what else to do for the pain. Does anyone out there use Fentanyl? Is it as addictive as they say? Should I worry about the amount of hydrocodone I'm taking. By the way everyone acts, I feel like a druggie...
Has anyone taken the Fentanyl skin patch for an extended period of time? If yes, do you mind sharing how it has helped your pain?
I was on the 200mcg for four years...starting weaning by doing the wrong thing, and cutting the patch(not the gel kind) and got down to about 100 mcg. Was on that for one month, then 75 mcg for the next month, 50 mcg for the following month, and 25 mcg in January. I experienced w/d mildly during the time I was on the patch, and weaning both.
I was on the 100 mic Fentanyl patch for 6 months and to this day would run over the doctor for starting me out at that high a dose. I remember running out and had to wait 4 days for a refill...I had no idea what was ahead of me. I actually went to the ER because I did not know what was happening to me. Of course the nurses and doctors knew. Anyway...Fentanyl is as close to heroin as you can get and approx. 30 times stronger than morphine.
When I get home from work, I sometimes put the other half of the patch on to sleep or put a little strip in my mouth... I have never worn or taken fentanyl at work, although I am sure it is still in my system a little... I feel WD at times at work... I am the best nurse there it... I have been for 7 years, and Like the last poster said, I never miss a beat! I love my job and am an excellent nurse! I usually only work 1 day a week because of graduate school!
I was lurking in the Pain Management forums and someone mentioned that they've changed the way the Fentanyl patch is manufactured. They no longer have that gel stuff on the inside that you can squeeze/suck out (so I learned when I was in rehab). They now put the Fentanyl directly into the adhesive that sticks the patch to your skin.
If you see a break in the patch, you will know. You will have a slippery gel substance on your patch and hands. In that case...place in a plastic bag and take it to your pharmacy so that they can replace it. Once you start the patch, you MUST keep on a schedule or your body will experience the beginning of withdrawl. Make sure that the pharmacy replaces your patch or this will happen. On another note...It seems more comfortable wearing the patch on your upper arm near the shoulder.
My husband is on a 12 mcg ratio-fentanyl patch every 3 days for pain management..I've noticed there is writing on the patch when I put it on him, & when I take it off, the writing is gone..I assume that's the way it's supposed to work.. The patches in the last box still had ALL the writing on them when I removed them, & he hasn't been feeling well for over a week or so..I opened a new box & it's doing the same thing- - writing still there..
To put it in perspective, I've found that 8 to 10 norco tables in a 24-hour period (10 mg hydrocodone with 325 mg of tylenol) equates in effectiveness to the daily dose dispensed by one 25 microgram fentanyl patch. Over the past few years, people have heard about fentanyl overdose deaths and refused to even try the patch when their doctors recommended it.
Anyway I cut a good sized hole in it and the gel started leaking everywhere so I hurried and flushed the patch so I didnt get gel everywhere. I'm only 23 so doctors and pharmacists are already curious if I'm making excuses to "drug seek". I just dont know how to approach the situation or if I'm S.O.L.
Thanks toolmaker for responding to the specific question. I didn't get back to the forum as quickly as I had planned. Yes the Mylan brand does not have the reservoir. Some goggled statements on the differences: BEGIN "The two most popular types of Fentanyl patches are the reservoir design, and the matrix design. The reservoir patch gets its name from the fact that the fentanyl is contained in a reservoir.
I posted this question here once and in another forum once but have only received one response, Please IF YOU CAN HELP PLEASE DO!!! If you remove a Mylan Brand Fentanyl Patch can you put the removed patch on weeks later?The membrane on the back of the patch seems to be in good condition and My body temperature when I was wearing the older patch was average(although I sweated a bit).
If you use the Mylan generic fentanyl patch that looks like a clear piece of tape rather than the more common gel pouch patch, you can slowly taper by cutting it. I am currently doing that with the approval of my doctor, as is another member here. If you decrease by about 12.5 mcg a month, it's not too terrible. One of the biggest complaints with fentanyl withdrawal is the powerful hot flashes and cold sweats. It happens if you're either over- or under-medicated.
There is no fentanyl gel in a matrix style patch. Mylan pharmaceuticals makes a matrix patch. A matrix fentanyl patch places the fentanyl in adhesive. There is therefore no gel to leak The matrix design is considered safer because it cannot leak gel. Again a good subject for your pharmacist. he/she can tell you which type you have. You should be able to view the difference and there is a lot of good information on the www. I hope this has cleared up some questions for you.
I am sorry you are having so many issues with the Fentanyl Patch. I know we have some members that use the parch for pain control effectively. I am hoping one or more will respond to your post. Holding the patch on your skin can be as simply as purchasing a clear adhesive covering that will go completely over the patch. There are several names for the product...but talk to your pharmacist and they can recommend one. Some ppl use their choice of tape products.
My doctor has switched me over to the fentanyl patch, I am on the 75MCG/HR and switch it out every 2 days instead of 3 days as per my doctors instructions. My problem is I sweat alot and trying to find a place to stick it where it will not come off. The brand of patch is Mylan. So far the only spot that seems to work ok is the top of my chest right in the center. Does anyone have any advice to offer. I think they do not work very good if they are covered in tape?? just my thought. Thanks..
Should this occur, apply first aid tape only to the edges of the patch. If problems with the patch not sticking persist, cover the patch with Bioclusive or Tegaderm. These are special see-through adhesive dressings. Never cover a Duragesic patch with any other bandage or tape. Lastly, this medication will most definitely cause chronic dry mouth (xerostomia) and therefore recommend oral vigil. If needed, use a mouthwash for chronic dry mouth; such as Biotene.
For those of you who have been on the fentanyl patch...have you had skin reactions that have made you discontinue? I have been on it for I think about 2 months now (can't remember for sure) and am starting to have reaction. I have tried other brands and the one I am on has the least reaction but that is getting worse now also. As soon as I put it on my skin is red and burning. It is even starting to swell around patch.
It has been a month today that I have quit the fentanyl patch (50mcg) and I have been prescribed diazipam to help with the anxiety 1/2 tab 3times a day but I only take this as needed when the anxiety gets rough. The sleeping is the worst part. The legs kicking is getting better but sporadic sleeping but at least I am getting a couple of hours now and then. I take vitamins, force myself to eat, take walks when ever possible, baths, and even take Melatonin (over the counter).
Other choices were a long-acting morphine, the Fentanyl patch, and the oxycontin. I was afraid to try the Fentanyl patch. I had read some people on here had good results (like Sherry) with the patch so when it came up again, I was more open to it. I started at changing it every 72 hours but that didn't work so well with me; so she changed it to every 48. This seems to be a good fit. I do seem to need BT meds often.
I am prescribed quite a few pain meds and benzo's for Chronic pain and anxiety but need advice on getting off Fentanyl Patch ASAP. I am prescribed Fentanyl Patch 100mcg every 36 hrs, Diladid 8mg 2-3 daily, Percocet 7.5 4 daily, Norco 7.5 4 daily, klonopin 1mg 4x daily, Valium 10mg 2-3 daily, Flexeril 10mg 3x daily, Phenergan 25mg 2x daily. I now am down to taking 50mcg Fentanyl every 72 hrs, 1/2 so 4 mg of Diladid if needed 0-2 a day, 1/2 of Percocet so about 3.
DH just started with fentanyl patch and we are having trouble keeping it on. I have been taping around the edges but it does not stay attached in the middle where the medicine is. We have tried his upper arm, upper chest, upper back. I would love any advice on how to keep these things on! I tried using a hair dryer to dry his skin and then warming up the patch with the hairdryer before sticking it on tonight. His movement just makes it separate from his skin.
I was allergic, severely to the adhesive that is used to keep the patch in place. The pain relief was ok but I just couldn't wear it look enough to determine it it was going to be effective. I know we have members that have been on the patch for years and swear it is better than sliced bread. Most have reported that the side effects diminish as their system adjust to the opiate. Sorry this is all I can offer.
If you don't have insurance it's VERY expensive, I have tried both types of patch, the gel-kind (Sandoz) and the ones that look like a nicotine patch(mylan?) The medicine is in the adhesive and it is paper thin. They both seem to work for me although I thought the gel-filled patches worked better personally, I just get whatever the Costco pharmacy gives me. I never really started getting decenty pain control until taking about 3 of the 75mcg patches.
What is your best med for breakthrough pain while using hte Fentanyl gel patch (100 mcg)?
Hello everyone. I've been on the Fentanyl Patch 25 mcg for a month. Two days ago my doc bumped me up to a 50 mcg patch because of increased pain. After switching into the higher dose patch, I got very sick. I was sick for about 36 hours before we decided to take the 50 mcg patch off. I'm wondering if any of you have had the same problem while trying to move up in the dosage of Fentanyl? Also...
The patch had been replaced approximately 24 hours prior. She has been on the Fentanyl Patch (100 mcg) for about 3 years and uses a tegaderm patch over it to hold it in place. It was on her stomach. She always places the patches on her stomach or upper arm in a fatty area. This is the 4th ER visit in the past 12 months due to withdrawals. Why is her body not absorbing the medication?
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