on 20mg patch , Nurse at clinic (who was more interested in her prawns for lunch) said I can apply the patch on my legs or hips. Have done now on day 2 of 2nd patch (9 days) and feel so very ill with pain lethargy and reduced mobility. Does anyone else use other sites? not just as listed on the leaflet.
Butrans - The leaflet says one thing the nurse at pain clinic says another, re positioning of patch?
Added 3 Sep 2016:
Thank you kind people for such prompt replys, I do read leaflet from cover to cover, I have been pleased with results of 20mg ,i do rotate, I can cope with the itch, I cant do anything about the large fluid filled blisters that can pop up sometimes and not others ?!. My main prob/quary has been given by a specialist nurse who just did not have the time to listen or care (even tho it was my 1st meeting with her ! )
I will stick to the areas it states and feel lucky that it has made me feel almost human again,
many thanks x
WA S; You should follow the packet directions these patches are best when used on the area's it shows And follow those directions read it well and make sure you rotate them each time And be very careful about when you replace one and how you discard it as it says. I would not recommend this on the leg's etc the trunk of the body is the best place as it is stated. Because of the body movement, it could release more than it should over a period of time and also harder to keep it on the body correctly.
Just to be a devil's advocate... if you ever get a chance to consider selecting Buprenorphine sublingual instead of Butrans patch TAKE IT. Each pill lasts at least 36 hours in the system - that may be the half-life, in fact. Butrans you might be okay with since you said 20mg, but if you were on 10mg, I'd feel sorry for you! If your pain is not being under control, I am telling you, it is the PATCH. Despite what the doctors will tell you, I fired my Pain Management Doctor and went to someone knew, and he put all of these medical studies in front of me, and I was SHOCKED... they were all saying that Butrans was about 50% as effective as it should be. If it's working great for you, then fantastic, but you should not have to suffer if it is not, and there is a resolution out there for you!!! Best of luck, always! :0)
I have been using the patch 10mch
for over a year and they gave me my life back.. I only use them on my arms and back, need to rotate each time you replace one... I don't like using them on my side like the pamphlet shows, seems like they don't work as well ... never have that druggy feeling you get with the pain pills .. Remember to change them every 7 days ... Good luck I love my patches...
Legs ... No!
Follow insert. The fatty areas have better circulation for absorbing meds.
Women use the area above the breasts.
Upper Abdomen unless you have ascites (fluid in the abdomen), upper arms, back of shoulders (I wouldn't recommend this site unless there is someone watching to make sure it's intact).
if you are new on this drug...
Keep in mind the first day -no effect !
A high % of people need an increase in the dose. The doctors start low to make sure you can tolerate it.
I'm surprised so many patches are being used. Initially they were for people who couldn't swallow or...
Patients who were non-compliant with taking them as directed.
I am very happy with the 15 mcg patches that I wear. I do need to put them on my thighs. They have made the difference between having to go to the ER about every 3 weeks with severe migraines to not having to go to the ER anymore. I cannot tolerate them on my back or chest. And the surface area of the 15 mcg patches is too much for my arms. The directions further say not to use the same area until 4 weeks later which I found out the hard way. I have found good treatment from wearing them on my thighs and some of the time on my upper arms.
Just wanted to add something. I had a terrible reaction to the site where the patch would be, not just itching but horrible painful blisters. My dr prescribed me generic Flonase that I spray on the site I want to put my patch. After this dries I put my patch as usual. I've been doing this for over a year now. I have. No itching or blisters. No reaction at all. I have very sensitive skin so I was extremely happy with this "fix". Just wanted to pass that along. :)
- Butrans Information for Consumers
- Butrans Information for Healthcare Professionals (includes dosage details)
- Side Effects of Butrans (detailed)
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