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Cutting Mylan Fentanyl Patches in half?
  1. #1
    ScarletBegonia is offline New Member
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    Default Cutting Mylan Fentanyl Patches in half?

    My doc prescribed the 50 mcg/hr Mylan Fentanyl patch and it is feeling a bit strong. It's making me nauseated and sleepy.

    I called his Nurse and she let me know that they usually recommend that you can cut them in half to reduce the dosage but she'd run it by my Doctor to make sure. This morning she called to let me know it'd be fine to cut them in half.

    I still feel weird about doing that though, it seems like everyone always says NEVER cut a Fentanyl Patch in half or youll die instantly. So, I called the manufacturer and spoke with one of their Pharmacists and she told me that they did not recommend it. Do any of you have any experience doing this? Thank you!
    Cybrat4u likes this.

  2. #2
    Beth_Wilkins is offline New Member
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    Smile Cutting Mylan patches in half?

    I was using the Mylan brand 25mcg/hr patch for a month. I too felt bad so I cut one in half and used it for 72 hours. That was better so the next patch I cut 2/3 and used that for three days. Then I used the whole patch and side effects were minimal. Sadly my doctor upped my dosage to 50mcg/hour but they gave me the gel pack patch this time so I couldn't work my way up slowly. I was violently ill for 7 days. I may ask for the Mylan brand and try it again. The 25's weren't strong enough.

    Good luck!
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  3. #3
    cindystuart is offline New Member
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    Default Cutting Fentanyl Patches

    [QUOTE=ScarletBegonia;313893]My doc prescribed the 50 mcg/hr Mylan Fentanyl patch and it is feeling a bit strong. It's making me nauseated and sleepy.

    My experience is with the Mylan Fentanyl patch. I had tapered from 25 to the lowest dose 12.5. My intent was to rid my system of this very powerful drug. I don't mean to scare anyone but the withdrawal from this narcotic is ostensibly more extreme than its pain relieving effects. Anyway, I then cut my 12.5 in half and used them for a few months and then cut into quarters (they were ridiculously small at that point) and any WD symptoms were very mild and didn't last. Also when I first began the the long taper from 25, I didn't have any of the 12.5's so I cut the 25's in half to make the 12.5 patches until I was able to get them.

    I remember asking in various forums if the patches can be cut and I wasn't able to get a straight answer. I don't know how many different patches there are, but the ones made by Mylan (says that on the box) are ok to cut carefully with a delicate scissor. I've done it so many times and they have always performed as expected.

    On every patch whether cut or whole, I left it on for 72 hours. I had been taking fentanyl for a long time for pain. (I never got high from it and I never used it for that purpose) I noticed that each time I would reduce the fentanyl by half, there were some WD symptoms; to relieve those I would take one norco for a few days and I wouldn't have a problem. I would suggest to anyone tapering, even from norco, to not just go down from 4 to 3 pills, but to cut one norco (hydrocodone 10/325) into 4 pieces -- easily done with a good pill cutter. Then take those pieces at regular intervals throughout the day. It worked for me.

    I still have pain but it's better now and I am able to function -- and I have the real joy of being drug free! Anyone who has suffered through WD knows what I mean.
    Good luck
    Cindy
    Cybrat4u and laceygirl like this.

  4. #4
    caganski924 is offline Junior Member
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    Default cutting Fentanyl patches in half works? really?

    pardon my ignorance but i was not aware that Fentanyl patches could be cut in half , put on your arm (i know they are transdermal) and still be effective. my father was on those patches when he dies and at the end nothing worked for his pain. i was under the impression that their constitution was such that it was sort of like a gel inside the patches. so in my mind cutting them in half, wouldnt the gel ooze out? but what do i know. whatever helped, right? I was on the Fentanyl patch with morphine lollipops for breakthrough pain. This was probably close to 13 years ago, but when my current doctor asked me if i wanted to try them again i said "no thank you" glad they worked so well for you,a nd thank God you are feeling better..

  5. #5
    laceygirl is offline New Member
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    Default

    This is the best advice I have read - and I've been looking for sometime. I too have been on the fentanyl patch for over 10 years. Then suddenly, the doctor who had been prescribing them moved - no warning, and I couldn't find another doctor anywhere. (Live in small coastal area) Everyone was on a waiting list just to get a Primary Care Physician (PCP), and there were very few PCP's that would prescribe ANY opiate based pain medicine. I went to the ER and they literally said "We do not treat pain here."!! Plus, they made me feel like I was a junkie - when it was doctor's who had kept me on this medication.
    I didn't know how bad it was, I came off 50mcg fentanyl patches, 3 10mg methadone and 4-6 15 mg oxycodone a day all at the same time. Within a week I felt like I was having a "psychotic break", not that I know what one is - but this was more than I could stand, I was suicidal it was so bad. It was almost three months before I was able to get into a pain clinic in the city - and at that point I was still in bad shape. It wasn't until I had the patch back that "all of a sudden" life was normal again.
    I am taking Cindy's advice. I had already thought of using the "Mylan" brand, as it is a flat patch that has the fentanyl right out to the edges (no oozy gel in this brand). I'm too afraid to be on this medication - simply for the fact that the above could happen again. I had once thought the medical establishment was there to help - but I was turned away in one of the most dreadful times of my life.
    I will find another way to relieve the pain. The patch was wonderful - no pain when you wake up. But what if the unimaginable happens - it did to me!!

  6. #6
    Iwantoff2013 is online now Platinum Member
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    Default

    Quote Originally Posted by laceygirl View Post
    This is the best advice I have read - and I've been looking for sometime. I too have been on the fentanyl patch for over 10 years. Then suddenly, the doctor who had been prescribing them moved - no warning, and I couldn't find another doctor anywhere. (Live in small coastal area) Everyone was on a waiting list just to get a Primary Care Physician (PCP), and there were very few PCP's that would prescribe ANY opiate based pain medicine. I went to the ER and they literally said "We do not treat pain here."!! Plus, they made me feel like I was a junkie - when it was doctor's who had kept me on this medication.
    I didn't know how bad it was, I came off 50mcg fentanyl patches, 3 10mg methadone and 4-6 15 mg oxycodone a day all at the same time. Within a week I felt like I was having a "psychotic break", not that I know what one is - but this was more than I could stand, I was suicidal it was so bad. It was almost three months before I was able to get into a pain clinic in the city - and at that point I was still in bad shape. It wasn't until I had the patch back that "all of a sudden" life was normal again.
    I am taking Cindy's advice. I had already thought of using the "Mylan" brand, as it is a flat patch that has the fentanyl right out to the edges (no oozy gel in this brand). I'm too afraid to be on this medication - simply for the fact that the above could happen again. I had once thought the medical establishment was there to help - but I was turned away in one of the most dreadful times of my life.
    I will find another way to relieve the pain. The patch was wonderful - no pain when you wake up. But what if the unimaginable happens - it did to me!!
    I am just astounded that your doctor up and leaves you with no options for continued medical treatment after prescribing 3 highly potent opiate drugs. That's unbelievable and cruel. I'm sorry you had to go through that awful WD experience.

    If you'd like help and support with your fentanyl taper, you should start a thread on the "Need To Talk" board. You'll get more replies that way.

    We're here to help.
    Kat

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