is it true the best place is where the fat is? i have been putting it on the middle of my back (right where the bone is). i am on 25+25 mcg patch but doesnt seem to be working much. well now i just got a script for 50 mcg and hoping this might work better. eventho, 25+25 is 50 mcg.
so anyhow, i have heard u have to put the patch where there is alot of fat. is that true? will inner thigh work? cuz i tried it on my arm but did not work. it kept on coming off.
I always put mine on my outer upper arm. I buy a bandage - special order it at my pharmacy - called Hypafix, made by Smith & Nephew. It is 4 inches by 10 yards, and costs about $13/box. Cut it in strips, or to the size of your patch plus an extra inch or so, then cover your patch with it, with extra on the sides to stick it on your arm. This bandage will allow you to shower with it on, go in the pool, etc. without coming off.
I don't know about the Valium, but I took something similar to Valium (it is in the same family of meds) called Klonopin, and used that with my Fentanyl patch. Of course you should consult your doctor regarding using any medication with your patch.
Hey there, no it is not true that you want to put the patch where the "fat" is. The medication in the patches is absorbed through the muscle and it is best to have it on a spot that has as little "fat" as possible. I use my upper arms and have used my upper back but not very close to my spine. Yes you can take Valium while on Fentanyl. There is no interaction, but it can make you tired because they are both CNS deppressants. Valium has muscle relaxation properties so it can help with muscle spasms much better than a muscle relaxer sometimes. There are clear patches that can cover over the Fentanyl patch, I use Tegaderm patches on depending on your ins. coverage they are usually covered if you get a script for them and fill them at a Medical Supply Store. I have found that using rubbing alcohol on the place where I am going to place my patch helps keep it on better and I think makes it deliver better, although it is not recommended by the manufacturer to do this.
Why I don't know. Seems to work much better for me than just cleaning the area with water. When I clean my with the rubbing alcohol I see that is sticks better, and the covering that I put over it sticks very well and doesn't lift like many others will. Good Luck. Hope this was helpful.
Another tip: if you do use tegaderm or other clear occlusive "iv" dressing, you can get them pretty cheap on amazon.com. Also, after applying the patch, see where the adhesive, or tape is going to be sticking around the patch. Use a "skin prep" swab or tincture of benzoin to help the skin get really "tacky" before applying the cover/tape. It helps it stay on forever.
Whoa! Talk about horrible advice. First talk to someone who understands the delivery of this medication like a pharmacist. I realize this is a very old post but for future reference here is how I understand it and make sure you ask someone official. I have been on these patches since the brand name was all anyone could get and these patches have given me a life. Some days are better than others but I can go grocery store shopping, clean my home, take care of my children and go to school because of I have adequate pain control. Thank goodness for doctors who understand chronic pain. That being said, as I understand it; you DO want to place the patch in an area with more fat and muscle as it's absorbed into the subcutaneous tissue.
If you prep the area with alcohol wipes make sure you rinse the area fully with warm to hot water leaving no residue behind but the insert says no alcohol. It's tough to remove the adhesive without something though so rinse rinse rinse. Also, exfoliate the area the day before a patch placement and site switching. The dead skin can cause the patch to come off. Use a skin prep like that is tacky if your patches are falling off. Tagaderm is great but if your patch is coming off underneath then it will rub, causing friction and the edges can cause a rash. Also Tagaderm is pricey. I place my patches on my upper arms but recently believe that Mylan might be putting more adhesive in the patch causing breakouts. Think I might have to switch to another site. I heard the upper outer thigh right below the hip joint works great and has been the place for these. I'm always hesitant when switching to a new site since it seems my skin has to get used to the patches and wont stick as readily if it isn't. Good luck to everyone, pain is no joke.
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