I will use a tagaderm if needed as I sweat a bit more than normal. I usually place them on my chest but was curious what other experiences were on other parts of body and how that affected the drug
The location of the patch does not affect the dosage. In other words, as long as the patch is on your skin anywhere on your body, it will work the same way. There are however location where the patch sticks better. I experimented with many places and I found the best location to be on the side of my leg/thigh. I place it on the side of my thigh anywhere from over my hip joint going down the side of my leg towards my knee joint. It does better in the upper part of your thighg slightly under my hip joint. Another way to find this location is almost as if you were going to slap the sides of your thighs.
The key in having the patch stick well is really in the first 30 seconds after you put it on. Of course granted is that your skin is clean and hopefully without hair and as dry as possible before you place the new patch. To make sure the patch sticks, put lots of pressure on the entire area of the newly placed patch with a very warm hand and hold it firmly for at least 20-30 seconds. I sometimes warm my hand up over my stove to get my palm as warm as I can stand and than I press the patch with my warm palm for 20 seconds. On the side of your thigh you can put good pressure on the patch with your palm. Your skin in that area does not move and stretch much and also your underwear covers the patch from rubbing against your pants.
The patch will hold there so well, I can go swimming, running and cycling and it does not come off for at least 48 hours or more.
You want to try to pick an area that has a good layer of subcutaneous fat since the medication is absorbed through skin into the fat layer under the skin. This is why the chest, abdomen, upper back, upper arm and thighs work best. It is also best to use areas without a lot of hair so you can get the device to adhere firmly flush with the skin. I found, for me, that my upper abdomen and my chest worked best for me. I had a lot of trouble getting them to stick and then when I got them to stick, the adhesive started breaking my skin out so I eventually had to stop them but they were really good for pain control.
Dear Hunterkb - I had been using my patch on the abdomen until my last hospital stay. During one of the quick visits from pain doc, the nurse came in to change patch. My pain doc immediately told me that placing the patch on a muscle, in an area that does not move, proves to have better absorbtion. Just wanted to pass along the info that came straight from the doc that prescribes the patch. Good luck, be well as can be...
recently took advice and put it on upper thigh. it works amazingly!!! stays put, is out of site, and delivers medication just as it did when it was on my chest. Thanks a lot!!
I considered putting on my abdomen but I am a hula dancer and this use a lot of torso movements that would stretch the patch a lot (plus I tend to sweat a lot on my torso when dancing). so far no problems with dancing and patch in upper thigh
I am a nurse that is overweight and I unfortunately sweat a lot. I have found a way to keep the patch in place. The abdomen just above the waist line location works well for me.
Step 1-clean the area with alcohol and let dry.
Step 2- place the Fenanyl patch and apply pressure to ensure it is securely placed
Step 3- wipe the area around the patch with a "SKIN-PREP" protective wipe* and allow to dry
Step 4- cover area with a "Tegaderm Film" 4in x 4 1/2in **
Step 5- optional: use a marker to write the date and time you placed the patch. Write the drug name and dose. This really helps medical professions should you become sick or are in an accident and are unable to speak.
*You can find Skin-Prep wipes online. I buy mine on Amazon. These wipes are used on pations that have colostomy babes to help stick the bag on tight( there are other uses as well).
** Tegaderm Film can also be purchased online through Amazon. I prefer a large film, if it does roll up at the edges some the patch is still very covered.
Hi I disagree with most of the previous answers. I put my patch high up on my buttocks and get good relief.
However, if I place my patch above my liver, say for example my upper arm, it sends me into rather unpleasant withdrawal symptoms every time. I asked my local pharmacist about this and placing the patch above your liver can affect the way the drug is processed in the body leading to in my case, unpleasant withdrawal symptoms!
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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