Results 1 to 15 of 15
Duragesic Patch not sticking...can doctor prescribe "extras"
  1. #1
    chijessi is offline New Member
    Join Date
    May 2007
    Posts
    18

    Question Duragesic Patch not sticking...can doctor prescribe "extras"

    Hi pharmacists. I've been on the duragesic patch for almost a month and a half, and when they work...they are a dream. It's a miracle for my chronic pain (although I fear the nightmare withdrawl). My main problem, from the beginning, however, has been getting them to stick. I've tried various places on the body, exfoliating, gauze tape, and finally, last week, at the suggestion of a pharmacist I bought waterproof paper tape which is OK, works better than anything else, but isn't pefect (or waterproof).

    I am also a chronic sweater. I take effexor and I am always sweating, always hot, flushed cheeks, damp skin, and I think this contributes to my patches not working.

    So here's the question. My pain doctor said he totally understands and is willing to give me a prescription for three or four 'extra' patches so that I'm not left at the end of the month going into withdrawl because I've lost two or three patches over the month.

    But when I go to Walgreens, my insurance counts this as a "early refill" and all these red flags go up.

    Is there a way for my doctor to write the prescription to show that I'm getting this small amount as an "emergency back up"? I really don't want to be on some DEA list, nor do I want to go into withdrawl every month waiting for my next refill.

    Thanks!

  2. #2
    zfennel is offline New Member
    Join Date
    Aug 2008
    Posts
    15

    Default

    if your doctor is writing just one script but with just a few extra(example instead of #120/month he should write #124/month)that way your insurance should just look at it as one prescription,it shouldnt matter how many you have b/c its just one script and one copay............i know you shouldnt get 120 patches i was just using that as an example
    have a good night!

  3. #3
    Bubba_Bear is offline New Member
    Join Date
    Sep 2008
    Posts
    6

    Default

    I had them prescribed for me once and had the same problem...what I did was get one of those new tyope of ace bandage that stick to them self and not use the old fashion clamp thing....I would put the patch on wrap the ace bandage around my arm...( thats where I wore the patch) and it took care of my problem....I would take the bandage off when I was at home ..but when working or doing stuff outside I used the bandage...I also think you can call the maker of the patch and they will send you some sort of thing that goes over the patch to help it stick..hope this helps

  4. #4
    Cats Meow is offline Banned
    Join Date
    Apr 2005
    Location
    USA
    Posts
    6,308

    Default

    What you want to look for and buy is a product made by Johnson & Johnson called Bioclusive, or Tagaderm brand, they are a transparent dressing/tape that goes over the patch to prevent them from peeling off. A good pharmacy or hospital supply should stock them.

  5. #5
    sisterwin2 is offline Senior Member
    Join Date
    Jul 2008
    Posts
    715

    Default

    Quote Originally Posted by Cats Meow View Post
    What you want to look for and buy is a product made by Johnson & Johnson called Bioclusive, or Tagaderm brand, they are a transparent dressing/tape that goes over the patch to prevent them from peeling off. A good pharmacy or hospital supply should stock them.

    ditto....I use this to keep catapress patches on.... perfect

  6. #6
    Robert_325 is offline Retired
    Join Date
    Jul 2007
    Location
    Texas
    Posts
    16,689

    Default

    Quote Originally Posted by chijessi View Post
    Hi pharmacists. I've been on the duragesic patch for almost a month and a half, and when they work...they are a dream. It's a miracle for my chronic pain (although I fear the nightmare withdrawl). My main problem, from the beginning, however, has been getting them to stick. I've tried various places on the body, exfoliating, gauze tape, and finally, last week, at the suggestion of a pharmacist I bought waterproof paper tape which is OK, works better than anything else, but isn't pefect (or waterproof).

    I am also a chronic sweater. I take effexor and I am always sweating, always hot, flushed cheeks, damp skin, and I think this contributes to my patches not working.

    So here's the question. My pain doctor said he totally understands and is willing to give me a prescription for three or four 'extra' patches so that I'm not left at the end of the month going into withdrawl because I've lost two or three patches over the month.

    But when I go to Walgreens, my insurance counts this as a "early refill" and all these red flags go up.

    Is there a way for my doctor to write the prescription to show that I'm getting this small amount as an "emergency back up"? I really don't want to be on some DEA list, nor do I want to go into withdrawl every month waiting for my next refill.

    Thanks!

    The insurance company is legally required to have verification from your dr why the extras are required as the medication is a controlled substance and you guys are changing the script while it's in effect. The pain specialist should have realized that, he just didn't think. He won't have or shouldn't have a problem with writing a note for the insurance company.

    You guys could also just submit a new script as was previously suggested with an extra four pills on it. The insurance company is only questioning this because you are changing the terms of the existing script. This will not be anything that creates a red flag with insurance companies nor will the DEA start a "surveillance " on you unless they were already going to do that anyways. LOL

    The doc can even write the note for you on his script pad. You aren't the first person he has had to do this for I promise. He will know exactly what he needs to write. Let us know how it goes. God bless.
    Last edited by Robert_325; 09-23-2008 at 06:34 AM.

  7. #7
    bohnseye37chev is offline New Member
    Join Date
    Sep 2009
    Posts
    1

    Default Found the perfect cure (DURAGESIC patching not sticking)

    Nexcare first aid

    Absolute Waterproof
    Premium Adhesive pad

    size...2 3/8x 4 in

    And you get five to a box for 6.99

    Found mine at Rite-Aid

    They work great......

  8. #8
    Anonymous Guest

    Exclamation

    Tagederm is the BEST thing I have ever found to keep these patches waterproof and once its on there, its on there. A little on the spendy side but absolutely worth it (someone else also mentioned Tagaderm) It is what they use in Hospitals to secure your IV site, because it is absolutely waterproof, etc....

    Definately try it one time and you'll be hooked!

  9. #9
    ElizaJane23 is offline New Member
    Join Date
    Feb 2007
    Posts
    10

    Wink How to keep that patch on

    I go in a hot tub every day, so I've come up with a way that my patch will stay on, even when I'm sweating buckets! If you use the brand name patches - it will say "Duragesic" on the front of the box - they will send you Bioclusive - for free. This stuff costs $90 for 50 sheets (and you'll need a sheet each time you change your patch) - so it's an incredible freebie. Call 1-800-526-7736 to get started. They will have you mail in a pharmacy receipt or prescription label that shows "Duragesic". If you don't use the brand name patch, ask your doctor if he/she can prescribe it for you.

    If your Dr. won't prescribe it, or your insurance won't pay for the brand name, consider buying this, or a product called "Tegaderm" at your local pharmacy. It's very expensive, but it's the only way I've found to keep it on.

    Then I order a product called "Hypafix" from my pharmacy. You'll want the 4" by 10 yards, and it's made by Smith-Nephew. I think it costs around $13 and lasts me for ?6-9 months? A pretty long time. I cut this into strips and put it along all the sides of the Bioclusive - half on the Bioclusive and half on your skin.

    That'll do it. I use my upper arms - the outsides of my arms - to do this. I would shave it first, then give it a day or two before using your patch there. After a few times you won't have hair growing and it gets to be completely painless to remove all of this. If you get any redness, have some hydrocortisone cream on hand (over the counter is OK) to put on the redness, so it will be ready again for your patch in 72 hrs. Your skin toughens up in time and this won't be a problem long. I never could get the patch to stay on the inside of my breast - it's a flat patch for Heaven's sake - we women are curvy!

    Hope this helps you - I'm glad the patch is helping you! - ElizaJane

  10. #10
    Cats Meow is offline Banned
    Join Date
    Apr 2005
    Location
    USA
    Posts
    6,308

    Default

    Are you named after Eliza Jane Wilder, or just a LHOTP fan? lol, EJ rocks!
    Good advice, thank you.

  11. #11
    TOLLY1942 is offline New Member
    Join Date
    Jan 2011
    Location
    Connecticut
    Posts
    19

    Default

    Your sweating from the patch.also just take a hairdryer and aim the heat over the patch for a few mins.It will restick an reactivate the medicine.sometimes you will get an awfull stink from it but dont worry

  12. #12
    rph480 is offline New Member
    Join Date
    Feb 2009
    Posts
    7

    Default Extra Patches?

    We have a customer with the same problem. His doctor's solution was to change the directions to: "Apply one patch every 2 days" instead of the normal 3 days. This way, #15 patches = a 30 day supply instead of #10, and should not result in an early refill scenario with your insurance. Also, since the medication gets released at a constant rate, changing the patch more frequently won't alter its efficacy.

    I hope this helps!

  13. #13
    disabledleo is offline Member
    Join Date
    Oct 2007
    Posts
    373

    Default If you can

    The patches were also a life changer in my pain relief but the generic's would fall off no matter what I used even duct tape. Then I even had a few explode & all the gel ooze out all over me & I was always running short.
    So this is what my doctor did... He wrote me a script for every 48 hours getting me more for this reason problem was the generics are junk & wouldn't last or stay on. I will tell you this if you can get your pharmacy to give you the name brand they are like GOLD - they don't fall off & they last much longer & there are no problems with gel because there isn't any to ooze out. Only problem is the price... 1 box of 5 cost over $700 but my pharmacy rang them up as generic & said they will have to say they didn't have a generic to give me so as long as thats avalible I'll be ok.
    Good luck

  14. #14
    Taylor10 is offline New Member
    Join Date
    Apr 2012
    Posts
    1

    Default Fentanyl Patches Sticking Problem

    Quote Originally Posted by chijessi View Post
    Hi pharmacists. I've been on the duragesic patch for almost a month and a half, and when they work...they are a dream. It's a miracle for my chronic pain (although I fear the nightmare withdrawl). My main problem, from the beginning, however, has been getting them to stick. I've tried various places on the body, exfoliating, gauze tape, and finally, last week, at the suggestion of a pharmacist I bought waterproof paper tape which is OK, works better than anything else, but isn't pefect (or waterproof).

    I am also a chronic sweater. I take effexor and I am always sweating, always hot, flushed cheeks, damp skin, and I think this contributes to my patches not working.

    So here's the question. My pain doctor said he totally understands and is willing to give me a prescription for three or four 'extra' patches so that I'm not left at the end of the month going into withdrawl because I've lost two or three patches over the month.

    But when I go to Walgreens, my insurance counts this as a "early refill" and all these red flags go up.

    Is there a way for my doctor to write the prescription to show that I'm getting this small amount as an "emergency back up"? I really don't want to be on some DEA list, nor do I want to go into withdrawl every month waiting for my next refill.

    Thanks!
    I have used Fentanyl patches for a couple of years and contacted the manufacturer who told me to first clean the area with plain water before applying the patches. It definitely helped. I also found the outer side of the arm (if you hold your hand with the palm down, the area between your wrist and elbow on the outside of the arm) is a great place to apply them. It doesn't seem to sweat quite as much. You have to make sure you hold your hand on the patches for about a minute after you apply them. It helps them to stick better. Last but not least, as I see others have suggested Tegaderm patches work great.
    Since Duragesic/Fentanyl is a controlled substance it is really difficult for your doctor to write above the recommended amount.
    Frankly, no one cares if our patches stick or not, we are on our own.
    Hope this information was helpful.

  15. #15
    bdjonesjr is offline New Member
    Join Date
    Mar 2012
    Posts
    1

    Default Talk to your Dr.!

    I used patches for several years as well and I too had issues with my patches not sticking.
    I spoke with my Dr. and together we worked out something that worked for me...we changed patches sooner!
    Your Dr. can write your prescription for a patch change for whatever your body can handle.
    Even after changing patches every two days I still had to always clean, dry, tape, and hold every application to work with my body.
    I don't know your condition but I had a morphine pump implanted Jan 8th of this year and could not be happier. My pain relief is virtually COMPLETE, this was from a life lived in a wheelchair and my recliner to walking, playing and hopefully returning to work soon.
    My best to you, Brian


    Quote Originally Posted by Taylor10 View Post
    I have used Fentanyl patches for a couple of years and contacted the manufacturer who told me to first clean the area with plain water before applying the patches. It definitely helped. I also found the outer side of the arm (if you hold your hand with the palm down, the area between your wrist and elbow on the outside of the arm) is a great place to apply them. It doesn't seem to sweat quite as much. You have to make sure you hold your hand on the patches for about a minute after you apply them. It helps them to stick better. Last but not least, as I see others have suggested Tegaderm patches work great.
    Since Duragesic/Fentanyl is a controlled substance it is really difficult for your doctor to write above the recommended amount.
    Frankly, no one cares if our patches stick or not, we are on our own.
    Hope this information was helpful.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22