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Duragesic Patch not sticking...can doctor prescribe "extras"
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.
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!
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
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.
Originally Posted by Cats Meow
ditto....I use this to keep catapress patches on.... perfect
Found the perfect cure (DURAGESIC patching not sticking)
Nexcare first aid
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......
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!
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
Are you named after Eliza Jane Wilder, or just a LHOTP fan? lol, EJ rocks!
Good advice, thank you.
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
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!
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.
Fentanyl Patches Sticking Problem
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.
Originally Posted by chijessi
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.
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
Originally Posted by Taylor10