I sweat alot ,and nothing seems to work?
Have you ever tried Tegaderm adhesive films? They're those things that nurses cover IVs with to keep them stuck to your hand. They're clear and very very thin, and breathable but waterproof too. They can stay on up to 7 days, and they really DO stay stuck! Sometimes you can find them in the stores, but I suggest that you get them online, as you can find them for much cheaper online. I used to use them all the time when I was still using the patches, and they always kept my patches on for as long as I needed them to stay on. It's the same material that those Nexcare clear waterproof bandaids are made of.
If you are using the brand Duragesic patch then you can send away for the Duragesic patch covers from the pharmaceutical company ( I think it is Jansen or J&J I don't remember) that manufactures that Duragesic brand - they are the only company that provides a patch cover - I used them for years and recently I switched brands and now use the fentanyl patch that is manufactured by Mylan Pharmaceuticals and I find that this manufacturer makes a stronger adhesive and this patch is physically smaller in size and it sticks to my skiin without needing any cover.
I used the Duragesic brand for years along with the covers and only when the pharmacy was out of stock was I forced to try a generic brand and luckily this brand has worked out for me - you can also ask your pharmacist to let you try several different brands until you find one that you like as some insurance companies will not pay for the Duragesic patches because the generic brands cost much less - I suggest that you try to generic fentanly patch manufactured by MYLAN - I use the 100 UGH patch which I change every 24 hours. Good Luck - Angela
Hi 1sick puppy, The best thing in my opinion to keep your patch from falling off is a transparent dressing called BIOCLUSIVE. It goes on without hurting your skin, protects the patch from falling off and you can even take a shower. Just be careful of very hot water showing directly on the patch. It can cause the patch to add more medicine at a faster pace. I hope this helps. You can get it at your drug store. Hope you have a good day.
Hi sickpuppy - area of placement is the key here. I used to always put them on my forearm, changing sides with each new parch. I have a new one for you that I read on here (looked for it, but can't find it) The patch stays put extremely well when placed inside the upper thigh. When I read it, have to admit, thought it strange. As soon as applying, heat a wash cloth, wet or dry in microwave for about 30 seconds. Will be quite warm. When it is tolerable (just a few seconds) apply to entire patch for about 20 seconds. This seals the edges very well and I have not had a single one curl up on me. Was surprised at how well it worked - thru showers, sweat, jeans, etc. Definitely worth a try!!!
Mylan pharmaceuticals well send you one box of #10 8x6 cm "Askina Derm" overlays. Essentially they are the same thing as "Tegaderm" film, but Mylan has ONLY approved Askina Derm film dressings for their TDS. I suggest you request an additional box or what ever they well a lot you. Pay attention and plan ahead as to not run out. Here in WA ST. CHPW well not cover them and they are a bit spendy. Call 1-800-796-9526 and have the lot number ready. You can find it on the bottom of the box next to the bar code or on the back of the pouch the TDS comes in. I place mine generally on my chest, eather above or below the nipple. Clean area well but dont over do it.(after showering seems to be best) I hunch forward so my skin losens, apply the TDS starting from one edge to the other (a wave like motion) then keep it covered with my hand for 30 to 60 seconds.
After that I then sit upright and it tightens slightly, like a band aid when you apply them wrong, they just rise up off of your skin. Finally I center the overlay and apply same a TDS (wavelike) as to not trap air or wrinkle it. Do your best to stay conscience of perspiring as it will get trapped and interfere with the release of the medication, also causing the adheritance to fail. Take your time and be causitish so there is no wastage. If so secure patch safly (they may want to see that a TDS actually got ruined) and call your doctor as soon as possible. Also try not to place a new TDS in the same spot back to back, do your best to alternate sites of application. Be safe not sorry! As we know Fentanyl is an extremely strong medication. Cheers to successful pain management.
hi- i also had the same issue with it- if you call mylan- they will send you out akinaderm which is like tegaderm free of charge. tegaderm does not let air through so they do not want you to use them as you can get too much med that way. i also put 3m medipore dress it tape around the edges- they come in patches but i cut them into strips. this was after many many tries of different things to get them to stay on. hope this helps you. feel better :)
I haven't tried either the Tegaderm patch covers or the ones that Mylan will send you (as it's a holiday weekend I'll be calling to get some on Monday!). However I wanted to point out that hyperhidrosis (excessive sweating) is a very common side effect of fentanyl, which creates a problem for those of us who use these patches for pain control. Add to that the humidity living in Virginia and yikes! I use bandaging tape (I try to find the clear tape so that it's less noticeable) and it works very well. I put it around the sides of the patch so that the patch is not covered. I wear mine just to the right or left (alternating every other patch) of the area below the clavicle. I try to locate the least "moveable" area and place the patch lengthwise. I'm doing pretty good keeping them on there without tape but use it when necessary.
This area is also above the waterline when I bathe to keep the medication from entering my system too rapidly (potential for overdose but also makes the patch not last the full 48 hours and I'll begin having withdrawal symptoms like excessive yawning and queasiness and itching). Does anyone have any good suggestions for managing the queasy stomach that is also a side effect? How about experience with price differences - I've heard that Wal-Mart has the best price...
This is about keeping fentanyl patches on. I notice that these posts are not new ones but just came across this site. Bet y'all have never heard of what I use. this is a small roll on bottle that women use to keep up their lowcut undies or dresses. Got at Amazon or ebay a. few years ago thinking it would come in handy for something in the future; but never had chance to use it. I do not recall the price but it was not expensive at the time. When I started using Fentanyl patches and get the free covers from Mylan, I take it one step further: after applying fentanyl patch, BUT BEFORE applying the patch cover, we roll this around three outside edges of Fentanyl patch. (later it washes off with water ). This works very good especially since I have hot flashes and also sweat a lot. NAME IS "it stays" body adhesive, made by new horizons diversified interests. Their phone is 541-476-8782 if you can't find it online.
Also, about showering, I wrap Glad Wrap around area if possible and tuck end into it, similar to what I did when wearing a cast on broken arm a few ywars ago. Also I
have taken a couple of umbrella bags they usually have in hospital lobby and tape top if patch is on my arm.
If you are using Mylan Brand, you can contact them directly and they will send your covers that you place over you Patch. They are called - Askina Derm Film Dressings (Mylan advised me NOT to use Tagaderm Dressings, so please be careful).
I contacted Mylan using this "contact form" from the website -- They called me within a few days for some basic info and a week later I had my first box of the covers, along with a form to fill out to have them sent again -- https://www.mylan.com/en/contact-mylan
It was my Pharmacist told me that they offer these for those who have trouble with some of the patches not staying on. I was using them properly (as they advise), however there are simply some 'bad' patches that do not stay on well.
These work very well and are the only product that Mylan Recommends. NOTE: If you are using a brand other than Mylan, I would call or write the company and ask what type of covers they offer. I have used some other brands in the past and were even worse, so I'm happy with Mylan, and moreso now that I have these covers.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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