Fentanyl Transdermal System... Which is Best?
- 15 Oct 2010 by how long
- 12 days ago
- fentanyl, breakthrough pain, anesthetic adjunct
Watson vs. Sandoz vs. Mylan?
Can someone tell me which is the better Patch? I have tried Watson and Sandoz and Watson is the best to me. For some reason I am not getting the same relief from this Sandoz patch as I was the Watson (and my DR. raised me to the 50mcg. patch, but the sandoz does not even come close to the 25mcg watson patch), Not even close! I have not tried the Mylan, so I don't know about that one.
Can someone please elaborate on these patches? Thanks, Brian
Added 15 Oct 2010:
The reason I am asking is because I am having a hard time on the sandoz patch and am feeling withdrawals! How can this be?
Is the Watson patch a gel reservoir? Perhaps that is the difference?
I have had the Sandoz and the Mylan adhesive patches and find they both work about the same for me. I was given a set of the gel reservoir by Activan and did NOT like them- I had withdrawal followed by rapid release of too much medication. I switched back to the Sandoz and am happy with it
I am one who needs to change my patch every 48 hours rather than 72 hours. Could that be your problem?
Can you specify the brand? Perhaps your doctor can do that for you. You might consider keeping a pain log to show the doctor when you feel pain, withdrawal etc. It is a great tool for helping a doctor find the best relief for you,
I found Mylan didn't do well with my pain, plus the fact they wouldn't stay on. I found the Mylan ones to be not as effective as the Watson or Sandoz. I have had good luck with the Watson, but now none of the insurance carriers will cover me for the Fentanyl patches unless I am prepeared to pay a huge deductible. Unfortunatley I don't have the cash for the deductible, must now come off them after 11+ yrs. Am quite scared to know what I might go through, but am hoping I'll get some help.
I have tried all brands. I now have doctor write Mylan brand only. I use mail order so I get the brand I want. The Mylan brand stick well and are small. I cover them with Nexcare Tegraderm from Walgreens. I can swim.. shower and sweat they protect the patch also from coming off and peeling around the edges.
I liked the Watson patch a lot. After the first month, I had to go from every three days to every two days. I believe your problem is that you have become "acclimated" to the patches. This is easily remedied NY increasing dosage or days. I too was it seemed a constant state of withdrawals for a month, hot sweats, cold and clammy, stomach aches, diarrhea ... but when my dosage increased, all of those nasty symptoms went away. Seems I was under medicated. I have talked to several pain patients with the same problem with the same doc, so we knee it wasn't us.
my problem is not them working..tried all those brands and i did not notice one working different than the other.
I had serious issues with glue used. I got severe rashes that itched horrible and at night i itch them off by accident. Or rashes became inflamed.
mylan and another M name that is a long German sounding ( i can get it if someone needs it) do not give me bad rashes by end of 2 days( i do leave them on at times now for 3 days to get last of the pain reliever out) i am getting a rash so must be cautious.
has anyone noticed too that there is some special bandage that you should use if they do come loose? If you put tape over them, those that do not breath you can get an overdose, one doctor said and pharmacist also agreed.
I have had success with the Actavis gel 50 mcg. A form of generic. My pharmacy just tried to switch me to Mallinckrodt 50 mcg matrix and it was a HORRIBLE experience. Please do not let your pharmacy try to switch you to Mallinckrodt matrix patches! Gel reservoir have proven themselves to be the absolute way to go for consistent pain relief. Please note that these are the only two brands I have tried, so my experience is limited. I have since switched my patches back to the Actavis after raising hell about getting very sub par pain relief, and I am certain that anyone in serious pain who relies on this medication/uses it as perscribed would be VERY disappointed with the Mallickrodt matrix patches after having success with gel reservoir. Posting this to help save someone else from pain!
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