Sorry all; newbie here. I did a search, and found close answers, but not quite what I was looking for. I just started the fentanyl patch (my 3rd one went on this morning), and I am having a rough time getting them to stick. My nurse gave me some Tegaderm patches to hold them on (tegaderm is the clear plastic patch they place over IV's), and it holds it very well. My question; is it dangerous for some reason to cover the entire patch? I ask because the 1st patch I applied to my lower back, and the relief was wonderful versus everything else I had tried. The 2nd one, I put on my chest. I am very skinny, and this did not work well at all, pain relief or anything else. This last one, I put again on my lower back, different side, and covered it w/ the above mentioned Tegaderm. This patch is very noticably killing pain, and I can actually feel the drug. Is this because I covered it? Or is the drug starting to build to a therapeutic level now? I would appreciate any help on this; I am tempted to remove the cover from the patch...
I also use Tegaderm to cover my patches because my skin doesn't like them and they pop off easily if I sweat, etc. I was told to cover the entire patch with at least 1/3 inch more Tegaderm all around too ensure the whole thing sticks. If you don't cover the whole Fentanyl patch with extra, you risk having a part of the patch come loose and then they don't work as well. The very best spots to put the patches are on the upper back, flank (lower back) or on your upper arms. The skin on your chest is too sensitive to tolerate the adhesive and has no fatty tissue for the fentanyl to absorb into which is why it didn't work well for you. I suspect that you are building up to a therapeutic level but if you start to feel really sleepy or too drugged out your dose may be too high. Hope this helps.
I think the answer is yes and yes and yes. You are reaching therapeutic levels and the tegaderm tape makes it more effective. Location always comes into play. I have found the lower portion of my stomach to be the best place that I get relief from ( I also am quite thin) you will have to find what is best for you as far as location goes and if the tape is making a difference. I would document each location and if you have put tape on or not. For myself i have found the tape to release too much and therefor the patch doesn't last also depending how hot my body temperature is. I change mine every 48 hrs, they do not last 3 days unless you have the duragesic brand..i am glad you found something to work good for you. I know it was life-changing for me when I was introduced to the fentanyl patch. Good luck.
I just started on the fantayl patch yesterday & I'm having no relief (I understand go talk your doctor) so I have had 4 major surgeries in the past 14 months, to be more specific I've had left lung surgery, 2 left knee surgeries(1 they took out a golf ball mass while the second more recent one the removed a tumor and 2 coral shaped masses (yes I'm messed up) did I mention I'm 21? Yeah I know... Ok so the Lung surgery 45% of my lung (left) spontaneously collapsed it was my 7th one & I have a Pic line into my heart for Antibiotic treatments. Ok on the my question with the patches my doctor put my on where is the most effective place to stick it, &/or should I just all together not use them since I'm not getting relief from them anyways and get a different perscribtion or stronger doseage?
21 & messed up. :^}
I have worn one for years. They say that you should feel a little pain but not so much that it interferes with your life. They said if you are totally pain free, you probably are on too high a dose. I tried more (100) and went down to (50) and settled on (75) And tonight I hurt too much to sleep. I think my back got worse. I might need to up it after 8 years. But I put it on my upper arm so I can exercise in a theraputic pool. It doesn't stay on well so I change mine every 48 hours instead of every 3 days. As far as staying on, it doesn't because of the Texas heat, the sweating and the pool. They have these giant bandaids that are waterproof. I use those. They don't cover the entire patch well--the bottom sticks out. So I cut the tape part off another one and put it on the bottom where the patch kind of sticks out a little. It works very well, but looks strange. Try that. I have been using it for years.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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