... on for 7 ?
Hmm... Butrans is a fairly large patch, which does make it difficult, plus you don't just want the edges to make contact with your skin, you want the whole patch to stay. Most people who wear patches are told to go out and buy transparent adhesives, if they can find one that is big enough to allow borders wide enough outside that of the Butrans patch. Waterproof transparent dressing sterile adhesive pads are what they're called - the brand name is Tegaderm.
Something I found to be really powerful, when I was going through physical therapy, was kinesiology tape - you know, the bright colored stuff wrapped around muscles that you see on athletes at the Olympics - most noticeable on beach volleyball. That stuff sticks to skin for a good five days, and you wrap it around a limb in a way that it will provide one-hundred-percent adhesion. My concern with that would be that the area under your Butrans would not be able to breathe very well... but I know that the skin under the tape breathes well because I have worn it for a week and it's never sweaty, or rashy, etc. when I take it off. It is fairly expensive for a single roll, but it goes a LONG way. You can get pre-cut strips from markets, but if you want the full rolls, I have purchased mine from running stores. Have fun with all the designs!
I hope those two ideas help you quite a bit. I will tell you that I wound up moving from the patch to the pill form, and it was complete night and day. Because the patch had issues adhering, and because it is actually LESS STRONG than the sheets or the pills (though the doctors will tell you this is not true - my pain doctor showed me that this IS true and gave me professional articles to prove it), I agreed to try moving to the pill at a MUCH lower dose. I was scared. VERY scared. I was going to less than half the dose of the Butrans. But the pill was more effective at half the dose (and it has a half-life of thirty-six hours, so if you take a pill at least every morning and every evening, you have constant coverage). I have been so much happier and more comfortable. I just wanted to share that experience with you, in case you get frustrated with Butrans and want to try something else that is the same medication in a different formulation.
I'm assuming you're placing the patch in an area where it can't bend and begin to work itself loose. When I was using pain patches, I usually used the front of my thigh or a buttock cheek. These usually come in different sizes - the stronger the dose, the bigger the patch, which could be part of the problem too. It's been a long time since I've used them, but I do know that at the highest dose, I was using multiple smaller patches and that worked well. Never had one begin to peel off. And I never had to use any type of adhesive cover to protect a patch. You might also consider asking your pharmacist or GP how you can resolve this issue.
- Butrans Information for Consumers
- Butrans Information for Healthcare Professionals (includes dosage details)
- Side Effects of Butrans (detailed)
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