Duragesic Transdermal Patch (Page 2)
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I have been on the Duragesic Transdermal Patch for years. I've never used the generic form, so I can't compare the two. I've been on Narcotics for many years, due to a chronic back, hip, and knee condition. The Duragesic Patch has been more effective than anything else. I've had it all...Percocet, Hydrocodone, Oxycotin, methadone...Unlike a pill, the medication doesn't wear off in 3 to 4 hours. Unlike pills, I don't suffer from nausea. I think the benefts of the patch outweigh any negative results from other narcotics. I only have one complaint about the Duragesic Patch...It won't stay stuck on me. It always falls off. However, the maker of patch, does offer overlay dressings, free of charge. The overlay dressing is a clear, thin sheet, that is applied over top of patch, adherring to the skin around the patch. Sometimes in the summer it causes a minor skin irriation. I would highly recomend the Duragesic Patch to anyone that takes narcotics for chronic pain.

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I have tried both and I prefer the generic. It's smaller, not as big skin reaction. I actually request the generic so I don't get as big of a skin rash or itching.

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does anyone know of a pain management doctor in the west palm beach or surrounding area? i just moved here and can't seem to find a doctor willing to prescribe my duragesic, i guess cause i'm using it for arthritis and not for cancer pain. i've been using the patch for five years and it really helps with my pain. it's very frustrating cause i only have three patches left. thank you.

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In response to the patient who was having difficulty sleeping on the second and third day of their Fentanyl patch use, it may be of some benefit to discuss the possibility of switching to one patch every 48 hours with your physician. I had similar problems while using the patch for 72 hours at a time, and they stopped when I switched to one patch every 48 hours.
Regarding the stickiness of the larger patches, Mylan offers a generic patch which is about 1/4 as large as duragesic patches, and does not contain a large bulky reservoir. It blends into the skin and is much easier to apply and maintain than the bulkier Duragesic and Watson patches. Hope that helps.
Note: This advice is not meant to take the place of the advice of your physician or pharmacist. Do not change dose, dosing schedule, or stop using the Fentanyl patch without your doctor's permission and a suitable opiod tapering program to avoid withdrawal symptoms. Always read the enclosed patient leaflet.

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Can you put opsite or tegaderm over a Duragesic patch to prevent them from falling off?

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Recently I started using the generic 75 along with the Brand 100 and I can't sleep! It's a cycle one night I sleep great but the day I change the patch that night I'm up all night long! I mean all night! It's been going on like this for 3 weeks now and I need answers! I've tried all the sleep meds that are avalible and now I don't no what to do??? Do you have any answers?

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I am glad you have such good results from it, I totally understand, due to my own condition, how hard it is to find something that really works and how miserable it is to be in pain all the time and nothing helps.

However, I would just like to add a warning here, for people who are not used to taking narcotics, it is not safe, nor smart, to just jump to these patches. Especially if you have had adverse reactions to some narcotics.

I found out the hard way, when my doctor tried to jump me from Darvocet, a very mild naroctic pain reliever, to the 25mcg patches, that if you are not already tolerant to narcotics or are sensitive to them, these patches can cause serious problems.

Their half-life is 17 hours, so once you have worn it for that long, so 50% off the med is in your system, it will take over 30 hours to be completely expelled from your body, meaning the misery of a bad reaction is very prolonged. I put on one patch when she prescribed them for me, and one it hit my system I couldn't even hold down water, even after my doc gave me a scrip for a very strong anti-nausea med that is normally used for cancer patients. All I did was sleep and puke. Even after removing the patch, I was still sick for quite awhile, because of their long half-life.

So you really have to have a tolerance to narcotics built up to use these patches, they are 80 times stronger than morphine, which is why they are dosed in Micrograms, rather than mgs.

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