... manufacturer is "Mylan Pharmaceuticals" and this is my issue: I can't get the damned things to "stick"!! I get a 1 month supply (10 patches) and I'm supposed to apply the patch and leave it on for 72 hours. I'm VERY lucky if it stays on 12 hours! Any idea's? I have bought and tried 4 different types of tape, as well as 4X4 bandages and NOTHING works! I've called my dr's office 5 times regarding this issue and have not heard any suggestions as of yet. These things are SOOO regulated I can't get the scrip refilled early. I filled the latest one on 05/12/2001 and, yesterday, I applied the last patch. ANY ideas, tips or tricks would be GREATLY appreciated!!
Don't know if the following link will help any but you can give it a read.
Wish I knew the manufacturer of the one the poster mentions they got while in the hospital, sounds like trying different makers might be a help. Have to call around to some different pharmacies and see what they have to say about the problem. They might know the best manufacturer to try.
The kind with the pouch are the brand name Duragesic and I have tried those too. I had the same exact problem!! I even showed it to my Dr at the time, how they were coming off, even when you tape them the middile pooches up and doesnt make contact with your skin and if they dont touch, you are not getting the medicine. The Duragesic brand does stick a little better and if you call the company, they will send you overlays but if you are like me, they didnt stick the whole 72 hours or even 42 hours either! I ended up going back to pills because I just couldnt make the Fentanyl work. I was constantly running out early because the wouldnt stick or they would roll up (the edges stick together just fine!) Fentanyl is a great drug when it works, I just found it too much of a struggle to get it to work. You are not supposed to clean the area with anything but water so using something to cut the oils on your skin is out. I never did find the answer. I feel for ya! I had the same difficulty!
I don't know if this will help, but my knee cap is off center & the physical therapist was going to pull in place with tape. When I responed I was allergic to tape, she had this great idea. I had never heard of it, but it works! Take milk of magnesia & pat it when you want the tape to stick, & let it dry. Do not get in the middle as it will interfere with you getting your med thru the patch. Hold the patch up & trace a line around it so you know about where it should go. Anyway after it dries, (the milk of mag) apply your patch. I don't know if this will work for you, but it did for my knee & they used paper tape to boot! Good luck . I've heard this complaint about the fentanyl patches before. Are you cleaning the skin with alcohol wipes prior to appying? The oil from our skin will sometimes interfere with applying patches too...
Hello Kennedy64, I can understand your plight to a degree as i wore the patches for approx. 6mths and at the max. dosage. I live in the semi tropic's and Fentanyl patches do not like changing climates like humidity. The patches are designed to last 3 days but if you live in an area where it's warm they could last only 2 days. I got caught out with withdrawals a few times and man it was tough going. I have changed to Jurnista daily dose tablets that are more reliable and work great on the pain. I hope this info helps you out and have a great day. Take care. Brewstercharli.
For many people the patches only last two days and often insurance will approve them every 48 hours as long as the doctor writes medically necessary on the prescription. By the way, the brand name Duragesic patches have changed and they no longer send you the Bioclusive overlay bandages. for me, I got a special order from my local pharmacy for an adhesive bandage called Hypafix by Smith and Nephew. It is a roll 4" x 10 yards and can be cut to any size. I made it wide enough to go down each side of my patch plus allowing about an inch over onto my skin. This bandage stayed on during showers and out in the hot tub. If I went swimming I wrapped the area (my upper arm) with an Ace bandage and it held just fine. I think the roll of Hypafix lasted many months and cost about $11.50. I am very allergic to adhesives but was not allergic to this one. Best wishes to you - EJ
you can go to a drug store and see if they have the stuff that is used when you get a i v !can't think of the name to save my soul!if they don't have it they can order it for you mine did!
but i'm using tape from the hospital to help hold mine in place .of course you are left with sticky stuff but finger nail polish remover will help take this off of you !works wonders for me specially since i'm allergic to adhesives like tape !go figure sometimes the patch breaks me out doc told me to get allegery cream apply and let it dry and then put patch on but i haven't tried it yet !!!
Thank you ALL for your replies! Spoke with the Dr. today and the pharmacy has ordered the Fentanyl patches from a different manufacturer. I can't get the new prescription until Friday, and THATS if my insurance will ALLOW it. See, I got the order on May 12; 10 patches in all, which were SUPPOSED to last for 1 month. The 10th one fell off this afternoon aftern the tape failed. Anyone care to venture a guess as to: 1.) the answer from insurance, and 2.) What the new brand will be?
Sorry that you are having so much trouble with this patch. I use the Mylan brand patch 75mcg and it is adhesive all the way across, but I know that you aren't suppossed to use anything but water to clean your skin before attaching the patch but I do use rubbing alcohol to clean the area first, let dry and then I apply the patch and hold in place for 30 secs then apply a 2x3/4 by 2x3/8 th Tegaderm film over my patch which keeps it from falling off early, I change my patches every 48 hours. The film also helps with showers, sweating, and from rubbing off while you are sleeping. I don't know if this will help you but I hope that it does. It is also a good idea to put the patch in a place where there won't be a lot of movement like on your upper arm or in b/t your spine and shoulder blades. Good luck.
Call Mylan Customer Relations, they mail you a form each month to sign and mail back , then they mail you the over-lay patches which really help! I no longer loose my patch since they`ve been sending them 2 me. I have the 100mcg patch and use 2 over-lays on each-side by side-to make sure the corners are covered. Their # is 1-800-796-9526. Good luck!
1. Wash hands with soap and water and dry well with towel to remove any oils from your hands before handling the Fentanyl patch, and try to avoid touching the sticky side of the patch with your fingers.
2. Use an alcohol wipe to clean your skin prior to applying the Fentanyl. This removes your skin oils which keep the patch from sticking. You can buy the alcohol wipes by the box at pharmacies -- they are also used to disinfect skin before injections.
3. Also, apply the patch in an area where the muscles and skin don't move much. I like to use the top of my back, alternating between the left and right sides of the spine. You could also try high up on the outside of your arms near your shoulder.
4. Another tip: lightly rub the patch flat down onto your skin after applying it to help it seal.
These tips have been working for me for several months. The only time I had a problem with the patch coming off was when I went swimming doing the crawl. However, they do stay on when standing in the water doing Water Aerobics because I wear the patch high up on my body above the water line.
I used the Mylan brand 50mcg/hr and they did have a problem sticking. The patches are small and don't stick very well. I then went to another doctor who prescribed the Fentanyl patch by Apox Corp. (Weston Fl 33326) 1-888-333-6127 Manufactured by Noven Pharmaceuticals, Inc. These patches are much bigger and need to be 'stretched' to get the full effect of the patch sticking but it worked. I usually put it on my chest area. When I am done with both sides of my chest area, I try my arms but I want to try my back upper shoulder area. Good suggestions here, may give them a try after I ask the pharmacist.
By the way, my insurance did not cover the patch. It seems they want a justification that I have tried ALL the pain medications out there before they ALLOW me to take the patch. My caregiver paid $200.00 out of pocket.
I ask my dr how to get the patch t stay as well thought of wrapping with ace bandage. He said to us the first aid tape that you buy for gauze bandages it works great!!! I tried it he's right. only prob is gets expensive t keep buying. Sme insurances will cover the cost. Buy some it will take away frusstration. Litlmommag}
This is typical of Mylan patches . I have found Watson to be one of the best, besides duragesic. Watson is the generic. I was on Fentanyl 50 mcg patches for over 11 yrs I used to go to one pharmacy and all of a sudden they changed to the Mylan brand, and found the same thing, patches falling off. I also found that they're weren't as effective. I pleaded with them to change back for me, but was told they couldn't because of their contracts. So I ended up changing pharmacies because of it.
You may have to call around to different pharmacies to see which brand of patch they carry.I can tell you the makers of Duragesic and Watson brand are the best.
Am just now having to come off, if I can't get help from the town or something, as medicare has increased my the costs of my deductibles to a very high amount because of the patches are so expensive, so no can no longer afford it all. I am guessing that there have got to be other drugs that will carry me through somehow. I'm pretty scared though. Afraid of the withdrawl, and what else will I have to take.
Hope this gives you some help. Linda
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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