I started the Fentanyl patch 17 hours ago and I can not tell whether it is working, if it isnot going to work I am in big trouble if you know what I mean, how long does it take for the patch to work, I am at 17 hours and I have never used it before?
Fentanyl Patch - how long does it take for it to start working?
Question posted by ksmbroadway on 15 June 2012
Last updated on 15 October 2018 by Lilrock34
27 Answers
I forgot to add that in addition to my Dilaudid 8 mg three times a day and I get 90 for the month I also had to 50 microgram fentanyl patch and if you if you have the the fentanyl patch and you put the the tag of Durham dressing on top of it it's sticks to patch right to your skin and make sure it's it's getting absorbed quicker by usually within 4 hours you feel it instead of the 8 or 12 hours so let me know if this helps you out
I started on the patch 12.5 then a week later the 25 and then a week later the 50 I've been on the 50 for a while microgram patch and I have taken breakthrough medicine doctor gives me the 8 mg Dilaudid and I take them for breakthrough pain I was on the OxyContin twenties for breakthrough but they don't do the 30s anymore they want the 20s only they won't give 30 is out so I had to go back to the Dilaudid they said they're not strong enough for breakthrough so I get 90 dilaudids a month for breakthrough but I had cancer I had cancer can I get them done at Duane Reade I have the send them over to Duane Reade and I get to Fentanyl patches at Duane Reade and I get the Dilaudid 8 they don't normally carry the AIDS but I normally call them 3 days ahead to tell him I'm coming and when they come in they mark them for me because they ordered them for the script I got so if you need them you got to send me the script and wait 3 days but it's the one on me ...
that worked and it took care of my breakthrough pain but the other day I went to Planet Fitness and I went to use the tanning booth and I took the patch off when I walked in the store cuz I know you can't have them on when you go to a tanning booth cuz same reason you can't go into a metal scanner because it'll it'll heat up your patch and it'll burn it into your arm I took off a patch the other day and then put another one on you know you know the other day I took it off I put a new one on the other arm and when I took it off my arm at the booth I didn't know that the other arm the previous day I didn't wipe off and it's still had fentanyl in the arm and it burned it in both my arms so I have to put it somewhere else for a couple days so the burn goes away there's no broken skin it's just read with the shape so beware of that but try for the Dilaudid and see what he says maybe he'll give you the two it only comes in the mg to 4 and the 8 mg so let me know what you think hopefully it helped you
I've been taking the 50 MCG for about 4 years now and the pain level has elevated considerably lately. It seems like most American doctors don't want to increase the patch level... at least where I live.
Anyway, to answer the original question, when I was changed from the pills to the patch (the pills just didn't work anymore) the pain doctor told me to continue to take the pills for the first 17 hours. I continued for the first 20. When I first started on the patch it zonked me, and definitely worked well, just after 4 years it has lost its effect. I can't stop applying them so I have to wait until I can get a pain doctor to increase the level.
Hit man61... It all depends on what brand, please name the brand your prescribed & I can give you a fairly accurate timeline! I can surely tell what brands are the quickest acting.. been taking fents 200mcg for 8 years.. trust someone who knows caution very dangerous meds if you read how to abuse, it's not worth your life!
My wife has cancer and is using 250mcg Fentanyl patches for pain. Two 100mcg and one 50mcg changed every three days. More often than not the day after she changes the patches she has a severe sick day, so bad the district nurse has to come and inject her to get it under control.
I'm thinking the answer is to change one patch per day instead of three all at once thus spreading out the shock effect of changing all three at once.
Does anyone else have a similar story?
First of all, what do you mean when you say "has to come and inject her to get it under control"? Inject her with what? I'm pretty sure even from your limited description about the situation that when the fentanyl hits her system the day after she changes the patches it's causing severe nausea/vomiting. This is a common side effect and 24 hours is a pretty common time frame that people begin to see the strongest effect from the patch(s). I'm the same way. I would imagine she's being given an injection of either Zofran or Phenergan for the nausea and vomiting. More than likely Zofran, since Phenergan is what's called a "potentiator", meaning it boosts the effects of opioids, both good and bad. Zofran usually doesn't. The only problem with changing the patches every 24 hours is that I've never seen ANY prescription insurer cover the cost of the amount of patches in a 30 day period that it would take to do this.
Since it's technically a 72 hour patch, insurance will only pay for 10 or 15 patches a month, which is a patch every 72 or 48 hours (as is the case with me). I would ask the nurse next time he/she comes about asking the doctor for a prescription for oral medication for the nausea. Other than that, realistically your only options are to decrease the dosage or use another dosage form besides patches such as oral medication. Hope this helps.
I don't see any reason why you can't change one patch of the three one day and the next, the next day and the third on day 3. You would just have to take very good care at documenting and labeling each patch with the respective dates. Not doing so can cause problems. That should alleviate the "shock" to her system. This is definitely a question you will want to ask her doctor.
Injecting her with anti-nausea medication, metoclopramide, Haloperidol or Nozinum.
I now rotate the Fentanyl patches. She's now on 300mcg so three 100mcg patches. Each night I take the oldest one off and put a new one on. She now has no vomiting days.
I know this posting is out dated but what the gent is saying is (%100) correct! Do not change all at once... Severe withdrawal, the poor lady, I take 200mcg & remove one after two days & replace with a fresh one, I learned that lesson quickly, I have no need for breakthrough meds!
It should kick in around 16-17 hrs, being your first time maybe a bit longer, 2nd patch app you should feel better being the drug has been in your system prior.
It takes 16 hr for myself.
My very first patch made me a little woozy after 5 hrs after that I never got woozy or any dizziness.
if I feel any pain I check the time I put it on and 16 hrs is about right for me, I cannot feel anything when it kicks in other than my pain is gone,
I know this is old, but do you have TN by chance?
I do. Anyone else take them for TN?
So I've been reading about how long it'll take the first patch to deliver in the system, but I'm wondering is it the same for every new patch replaced? Or once you start using it and it's in your system each time you change it'll work faster?
With me it still can take 16 hrs, I'm not in severe pain during that time, but the pain comes back, not as severe, enough to make me aggravated and moody, I'll ask myself why am I so PO right now? its because my patch hasn't kicked in fully.
I wish when applying a new patch it would get some into my system by 2 hrs rather than me getting moody or PO feelings.
The previous patch is wearing down (I can feel it) and the new one is taking 16 hrs to kick in, at times I try to apply the patch at night so then I'm sleeping & by AM it has kicked in, but life doesn't always go the way I want it : #
Like many on the answer site, i too was started at 25mcg. Of course it didn't work so i then was up to the 50mcg every 2 days. Then the insurance said no that i can only get 2 boxes. Now i stretch to every 3 days. I had norco for breakthru pain but ultimately i was taken off of them. I take fentanyl 50, neurontin, klonopin. Wellbution, seroqil. (Misspelled)
There are diff kinds of patches, the mylan I'm on now but i do like sandoz with gel but they seem to absorb to quick
Research the actual drug that is released per hour,,, they vary per brand
I didn't like them at first but give it time i hope everything works out--i hope this helps, thanks for listening. Mike
Im on the 12mcg/hr and im still in so much pain how do i know when there working. They keep falling off when i clean and take a shower how do i keep them on
If you're taking the kind made by Mylan, call the 1 800 number on the side of the box and they will send you some patch overlays at no charge that you apply over the patch to help them stay on. I had the very same problem with mine falling off until I got the Askina Derm (pronounced Ah- skee-nah) overlays. They work awesome. They will send you the first order after you call and then you can order more, all at no charge.
I don't know about other patch manufacturers.
Hi, I know this is been answered years ago, but they should take anywhere from 5 to 7 hours to kick in, I have been taking them for 15 years and I've never had one take more than six hours, if they don't work you might want to try the ACTIQ lollipop instead for instant relief
I found a reference (don't remember where) that Fentanyl patch reaches full release to your system at 24 hours (12 hours for the beginning rise). What it does after that I haven't found yet, but it would seem to me that it would slowly degrade over the next 48 hours (25mcg 72 hr. patches.)
When I change patches, it's about the same thing: 12 hours to begin getting through and 24 hrs. to reach full strength.
My problem is that they won't refill my prescription until a day after my patch change is due. Oboy, withdrawals, can't wait.
It took me about 18 hours. A few tips. Place on a fatty area. Clean the area first LIGHTLY with alcohol.. then you can put a piece of KT Tape over it.. I actually had some Leuko Tape my PT gave me. Those 2 tapes are breathable and stay on thru shower after shower
You are not supposed to clean the area with alcohol. It breaks down the barrier causing too much to get through. (Yes, even when the area has dried.)
Oh yeah, placing on a fatty area slows absorption way down!
I wanted to know how long after putting on a Fentanyl patch does it take to feel it?
Hi I'm just wondering how long would it take for me to feel any relief from the patch this is already my 2nd dosage the first 72 hours I didn't feel and relief from my pain I'm still having to take me pills for pain.. My patch says the dose is 12 MCG/HR .. Is there different doses and if so is this the lowest dose there is.. I was barely prescribed this on 9/17 so I'm new to this any help would be appreciated thank you
I have been on them since 2009. I am on 75's now. I was on 100's so your 12 is like an aspirin. Ask for a stronger patch.
I started out using 12.5mcg patch and it did not work so the doctor raised the dosage to 25 mcg. My pain is much, much less although I do take Motrin 800 mg for break through pain.
That's the lowest adult dose. I just started on 50mcg last evening. Nothing yet. It fell off this afternoon, now it's on with tegaderm from my pharmacy. I really hope it starts working. I have pills for the interim, but that does me little good. Lupus badly damaged my liver and now it can't metabolize the pain pills.
Same here im on the same dose and i dont see any difference I'm still in extreme pain. I have a 11 year old son and i want to do things with him but with the pain im in i cant if anyone touches me its extremely painful. I just want a life where i can do things with my son, i want to go back to work so bad but cant
12 isn't going to do much man you might as well just use tylenol really it might take the edge off slightly but not much. I'd ask for some (at min) some 25s AND some 12s... use the 25first and if you still don't get relief then add a 12... if that still doesn't work then add another 12totalling 50... it takes a bit to get the right dosage but when u fig it out u can get off.the oxy roller.coaster and start living your life not counting pills... good luck man. Remember that it's not something to get high on its just for pain. Good luck man
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Further information
- Fentanyl uses and safety info
- Fentanyl prescribing info & package insert (for Health Professionals)
- Side effects of Fentanyl (detailed)
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