I started the fentenil 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?
15 Jun 2012
I was also on Fentynyl patches, and I started on 25 which literally did nothing. so 3 days later they raised it to 50 mg, which started to work about 12 hours after. They say that it takes 8 - 12 hours to get into your system, but for me, they simply did not work that well to help with my pain, and they kept falling off my chest, I had to tape it on, Pain in the ass. I know it was way too low of a mg for someone like me who is severely hurt, in constant chronic Pain, so when they asked if I wanted it upped, i refused, and they put me on OxyContin.
What MG are you on, and do you take another pain killer for Breakthru Pain? If not, you should ask them, It doesn't hurt to ask. I don't know what is wrong with you, so I can't really go into anymore details. But I find that by taking an Immediate release Pain killer like Percocet, or Roxicet, with my regular meds, seems to boost both of them and it works so much better.
Good luck Vote up if I helped.
16 Jun 2012
I would like to add another pain patch to consider, Butran, which came out about a year ago and has opiates. Especially to NEW YORK GUY, it sticks like nothing else. It will not come off as my estrogen patch often softens up and doesn't stick well.
It also takes effect gradually. It has kept me out of the ER for severe migraines, plus I am able to move around physically more since raising the patch from 5 mcg to 10 mcg. Absolutely no side effects.
Just to let anyone know who may be helped by it. It's a winner with me.
16 Jun 2012
I have been on 100 mcg changing every 3 days for 8 months now. I see where you stated that you think you are starting to feel the effects. That is a good thing. It felt like it was a slow go for me in the beginning because the pm doc I had at the time didn't want to increase the 25 mcg for at least 3 weeks. I thought I was going to lose my mind with the pain and only 30 percocets for breakthrough pain. After much haggling with this doctor about his lack of care or concern for me... I went back my previous doctor following an implant I received for nerve pain (it's complicated) and he put me on 75 mcg every 3 days for 2 weeks with 15 mg of oxycodone for breakthrough pain. Then upped the Fentanyl patch to 100 mcg where I am at least comfortable an can function. Somewhere in there I had a hip replacement that I am still recovering from but the pain management part is still the same. These really do work quite well so I hope you get the same type of relief...
when you get to the right dose.
Be well and have a great weekend. Try not to stress too much as that tends to exacerbate pain.
17 Jun 2012
It takes time for them to work, then it's really nice. Sometimes I use Lidocaine patches to give my system a switch and keep my body from needing higher doses. Hope that it goes well for you. If you have trouble with the patches coming off, you can buy a roll of adhesive tape and use it like scotch or duct tape. Also make sure that your hands and body isn't greasy-as that causes them to stop sticking.
One time my son was trying to get his patches to stick after eating Popeye's chicken-He's a disabled vet with a tans unit that uses patches.
7 Mar 2013
Ive been on fenatynl for a long time now, im not quite sure how long it takes to get into your system but once its there, to me at least you feel normal and not slave to a pill schedule. Things that help though is making tiny scratches on the site where the patch will be, or for instance i take a dose that rquires two patches to make the dose i need. I dont feel the 72 hr thing is true so ill take my dose but ill do it in halves, one day ill put on one patch then the next day ill put on the second, trust me it makes the transition easier. Trust me. Theres not a doc in the world that would say thats how it should be done. But it works!
17 Oct 2013
Hey man. Listen.. I've read a few of these comments and there just funny.. first off fentenyal don't come in mg.. its mcg.. seconed. I read a few comments down this page that he scratches his skin before application... good way to OD... NEVR PUT A PATCH ON aggrivated skin. And never shave the area that the patch is applied...
Wen u get ur boxes take the papperwork out and look up the pharmacutical company's numbr. Call them and tell them u need them to send u a box of tegaderm overlays.. u no wen u get an IV and they put a big clear bandaid on. That's tegaderm.. its free of charge and sent discretely by fed_x.. I. Use the clear patch filled w gel. That's the activas brand.. if u use the mylan brand the number u need will be in the thin phamphlet.. don't ever tape on ur patch w anything other than wat the manufacturer provides for free... if u r a person that has allergies to the adheisive of the tegaderm u can go to any riteaid pharmacy or even walmart and buy a deoderant called certain-dry. Its a 72hr long strength. Put it on the patch cite 12hrs prior to application of the patch and that should help keep it on.. remember.. more deaths occor to people on this drug than any other drug out there. Please be responsible... good luck to all... god bless a healthy life...
30 Jul 2014
I'm new on the Fentanyl patch - about a week now. I've read the comments and generally agree. For me at 50mcg and 30 oxycodone 10-325 for break through pain. In the beginning I was extremely frustrated because the patch would not stick. I'm female and lack hair on my chest, single and live alone so couldn't get it on my shoulder blade. I've decided that nothing was going to stop me in life no matter how bad the pain in my knees is our how many times a Baker cyst ruptured. If I could put one foot in front of the other I would. So working 40+ hrs a week doing high energy live demos to the public probably isn't the best condition for anything to stick to the skin! So I did some research and found that Tegaderm (TM) 4 in X 4 3/4 in on my hip or side was prefect. I had such amazing relief in 24 hrs and was not on the oxy-coaster.
For me the pain in my knees was so severe I was setting out a pain pill on my night stand and was setting my alarm 30 minutes early so I could get out of bed without extreme pain. I was amazed that 24 hrs after the patch I could get 1) get a full nights sleep without the pain waking me and 2) not dread getting out of bed or go to the bathroom and be able to get up and down without much assistance (pushing on the wall or sink or seat for assistance.) For me, once I figured out how to keep it on my body has been truly a great thing. That being said today completing my first 7 days it seems like that 3rd day is it not nearly effective. Other than that I'm thankful that I'm not a slave to pills and that for the most part I can now lead a fairly normal lifestyle that a 35 yr old woman would thanks to the fentanyl patch.
It took 24-48 hrs for me to see the full effects of the patch.
27 Oct 2014
Just some advice for those of you who cannot keep the patch sticking to your skin. Go to Amazon.com and order Tegaderm. It's a see-through waterproof bandage. As a medic and a patient who has used Fentanyl patches, I assure you that Tegaderm is foolproof. And by the way it only took me about four to six hours to start to feel the effects of the patch the first time I was on it.
17 Nov 2014
I have found that 12-24 hours suffice to work for me. I have only had the generic brands and ALL so far have sent me overlays. There will be a 1 800 number on the box. Call and tell them your patches are falling off. I have had 3 different company's mylan, PAR, and I can't remember the other one have sent my overlays. Good luck on your journey.
8 Jan 2015
The amount of time that it takes to feel the effects depends on a number of factors, such as patch placement (I have found that on the left side of the body works better for me, due to the proximity to the heart and great vessels of the circulatory system), the amount of fat in the area you place the patch, among others. Personally, I can tell when the patch is running out of medication due to an increase in pain and sometimes, if I wait longer than the 72 hours that the patch is designed for, some slight withdrawal symptoms. On the rare occasion that this happens, I can generally feel the symptoms that I just mentioned begin to disappear in 3-4 hours. This is different than when starting the patch for the first time, however. When I first started using the patch 3 years ago, I started to feel relief from pain after about 12-16 hours after putting that first patch on.
My doctor and all the literature I've read stated that it will usually be around the third patch before the levels of Fentanyl stabilize in your bloodstream and you get complete pain relief. This was true for me also.
On an unrelated note, let me give you some VERY valuable advice on how to keep the patch on. The patches themselves work great, but the adhesive on the patches WILL NOT keep the patches stuck to your body unless you are completely inactive (such as a bedbound patient). If you are the least bit active, then the patch will come off, I assure you. In order to keep them on, get yourself some Tegaderm dressings. They are made by 3M and they sell them at most all of the large chain drugstores and Walmart. They are a clear, transparent, breathable dressing that you place over the Fentanyl patch that keeps them on great. Get the medium sized ones. I am up and moving all day at work, I exercise and sweat a lot, and I've never had one come off. In my opinion, you cannot use the patches without the Tegaderms.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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