Fentanyl Patch

Updated

CAN ANYONE TELL ME HOW TO KEEP THE PATCH FROM COMING OFF AFTER SECOND DAY ? I SHOWER A COUPLE TIMES A DAY AND ON THE SECOND DAY THE PATCH WON'T STAY ON.THEN YOU USE MORE THAN WHAT IS PERSCRIBED AND YOU RUN OUT OF PATCHES AND THE INSURANCE COMPANY WON'T PAY FOR ANY MORE THAN PERSCRIBED, THEN COMES WITHDRAWAL?

216 Replies (11 Pages)

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1

The information I received with my patches indicate that the patch should not get wet. I have the same problem.
In reading other post, there is a clear cover that can be obtained to protect the patch from water.
I have not researched for any sourses, but will soon.
I will contact you again if I find a resonable sourse, unless I see another post answers your question.
This drug scares me, I have expereniced the DT's with much weaker drugs, and I would not wish that 10 days of hell on anyone.
Hope you feel better.

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2

JOHN : I USE THE MYLAN patch that is just like a piece of tape .the instructions that comes with this patch says it is ok to bath,swim are whatever.I have tried using the film to cover the patch to keep it attached to the skin but this allows more of the drug to enter ths body at one time.the same as when your body temperture raises.the drug works but if i knew what i know nowabout this drug i would never started using it.thanks

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3

My husband uses the fentanyl patch and has since Nov 2007. The patch worked wonders for his pain and he showed every day with it on with no problem. Just be sure the skin is dry, no lotion or power on skin before applying.

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4

I have been useing the Fentynal patch for somw time now and they have been nothing but troule trying to keep them on. I found a medical tape at walgreens that is 100% waterproof that I would end up taping the patch on. this tape is kind of a rubber based product. I really streaches with you and holds good. Other than that I've tried everything. I finally got tired of withdrawning at the end of each month because of the Insurance issues ( they can care less about you!) and went back to an oral pain medication. good luck!

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5

isobutyl alcohol, wash area on arm and let dry, this helps alot. i only have about 1 comming loose about every 6 months or so & i live in sw az. the few that do come loose i put a few drops of superglue on edges where adhisive is. that wont come off. you can use that white tape also. i wear 2 100mcg every 3 days and the alcohol does great.

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6

It is true about cleaning the spot well with alcohol. I do the area 2 times before applying my patch and hardly ever have a problem with the patch coming off. Try it and good luck!

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7

I found that the clear second skin products the 1x2 3/8for 50mg size(Tegaderm by 3M, can get them at any drugstore) that are made for covering burn areas does a great job of keeping this on my skin. I have tried the alcohol cleaning the skin, no lotion etc, but had the same falling off problem. When I found the clear Tegaderm items, it made all the difference in the world. I think some people have a higher level of oils in their skin than others, making the adhesive not stick

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8

3M Tegaderm dressing tape, or Opsite tape, both work great.
I know medicaid or someone even covers the cost at least have for me for years, as they are aware of the problem.
heat from a shower etc. can cause excess drug release also. There are generic brands of dressing tape etc. in CVS pharmacies and the like also, as these name brands are pricey, if you must pay for them.

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9

I have been using the duragesic patch for about 4 years. I put it on and then use a Johnson and Johnson cloth tape over it. I can go swimming or shower without losing the patch. The tape is a 1 cloth tape.

I hope this helps.

Paul

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10

I used these short term at one point and I perspire very heavily.Sometimes I used a bit of tape to reinforce as others suggested. Since it is just showering that is the issue, perhaps you can find an area to apply the patch that gets less water exposure? Or even modify your bathing routine - tub bathe or not shower that arm, etc. and washcloth clean that area around it? Is there a pain management nurse to consult? Best wishes.

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11

Did you try a small piece of duct tape? I wouldn't take the advice on super glue. When showering, possibly cover with the stretchable bandage that is used for wrapping sprains, with either of these methods, I would probably apply the patch to the ankle area or upper arm area so it could be wrapped all the way around. With the stretchy bandage I would just carefully remove it after showering, otherwise you could leave it on as long as it wasnt too tight.

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12

Hello Bull,
Yesterday was my first visit to this site. I didn't know it existed. The replys to your post regarding securing the duragesic patch are really something. Very creative. I meant to bring the tape with me into my office so that I could give you the exact name but forgot. I had exactly the same problem and experimented for a while before finding this tape. It works perfectly every time. Cost is minimal and depends how much tape you are using. Simple , fast ,effective and economical. Look for my post tomorrow for the exact name of tape. It's the only one I have found that really works well in this situation.

Paul

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13

Take a sandwich bag, lay it over the patch, put waterproof tape on all sides, this will make it waterproof. Then remove after your shower.

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14

Try a product made by 3M called Nexcare Tegaderm transparent dressings.You simply place the dressing directly on top of your fentanyl patch.You will then be able to shower daily without fear of losing your patch.I've been using them for a year,and used to have the same problems w/them coming off prematurely.Pain doc suggested

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15

Call patch manufacturer and report. They sent me a LARGE supply of clear sticky cover patches to keep Duragesic patches
from falling off, free of charge. A little tricky putting them on, but with practice....

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16

If you are using the Jenssen name brand (not generic), you need the number on the foil pack or box, your 72-hr dose amount (so they know what size you need), call Jenssen and they will send you a three month supply of J&J Bioclusive breathable adhesive covers. When you are close to running out call them and they will continue to re-suppy you.
Also, when you wash, do not use lotions, dry the skin extrm. well before putting the patch on. Alcohol will help as suggested earlier. Good luck. I have used the patch and receive the J&J covers every 3 months for 6 years now.

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17

sorry to hear your problem with that patch, however it is very common. I put clear packing tape over my patch as soon as I place it on.It also prevents water or any soap or lotion from getting into the patch cause certain chemicals can react to the patch. I am happy to say after being on it for 5 years, due to an awful accident I asked my doctor to start taking me off of it, its not easy by no means, I am now down to 25mgs from 100mg. I do suffer with pain but its something I am willing to try to do.I take 1 day at a time. good luck to you.

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18

Fentanyl Patch, to keep from falling off after the second day use self-adhesive bandage. Buy good brand so you can use it several times, I had the same problem. Will

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19

before getting into shower..apply saran wrap or plastic bag over the patch and hold with rubber band...i've used this method with staples or stitches i've had..works great :)

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20

I have been on the patch and I have found a great solution! Before you put on a patch, take a roll on anti-persp. deodorant and apply where you will put the patch. After the deo. dries put patch on. Remember to hold it down for at least one minute or more!

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216

Re: den (# 7) Expand Referenced Message

Yes, you are right about people and different skin lotions etc. My problem with the patch was my sweating, I sweat allot when I’m on chemo and the patch and any adhesive did not stick to my skin, lately I haven’t been sweating as bad probably because I’m on chemo now every 3 weeks instead of every two weeks, there was nothing I could do when my patch did not stick, I sweat from the inside so I just hoped it would not fall off, thank you for posting, allot of people think it’s not sticking to them because the shower or bath, but in my case, showering had nothing to do with it not sticking, it was like you said, our body fluids are different then some other people,

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215

Re: Cactus Arizona (# 213) Expand Referenced Message

Fentyl
My insurance won't cover every two days and I really need it two days. They don't work as well as they usedt

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214

Re: jb (# 8) Expand Referenced Message

You can use Nexcare tegaderm patches they help but I recently went off fetynal for the same reason. If you use the tegaderm sometimes if your in the heat it will start to peel but if you change patch every two days for example your going to have to hurry up and get your shower over with then put the patch on. You shower two times a day well that’s going to jeopardize the medicine. You have to decide to either cut down the showers and stay inside during summer or do what I did. Go off the patch for summer months and take oral medicine which for me Im in pain. I have kids so I have to be able to swim. Be in the heat and sunbathe those are the things people like to do. Anyway sorry for my lack of punctuation lol. I’m in pain and I seen this and wanted to tell you. Try the Tegaderm put it on carefully and hopefully it will help. If it falls off in the shower you can’t reach for another patch. You’ll be short. So yes I get where your at. I had to suffer cuz of it coming off. Good luck. Nexcare is cheaper than the real Tegaderm. Hope it helps. There’s no guarantee that’ll stick however. I know from experience.

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213

Re: John (# 1) Expand Referenced Message

You can use Nexcare tegaderm patches they help but I recently went off fetynal for the same reason. If you use the tegaderm sometimes if your in the heat it will start to peel but if you change patch every two days for example your going to have to hurry up and get your shower over with then put the patch on. You shower two times a day well that’s going to jeopardize the medicine. You have to decide to either cut down the showers and stay inside during summer or do what I did. Go off the patch for summer months and take oral medicine which for me Im in pain. I have kids so I have to be able to swim. Be in the heat and sunbathe those are the things people like to do. Anyway sorry for my lack of punctuation lol. I’m in pain and I seen this and wanted to tell you. Try the Tegaderm put it on carefully and hopefully it will help. If it falls off in the shower you can’t reach for another patch. You’ll be short. So yes I get where your at. I had to suffer cuz of it coming off. Good luck. Nexcare is cheaper than the real Tegaderm. Hope it helps.

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212

In order to keep the patches on there's a clear plastic type cover like the hospital uses. Some insurance companies covers them. If not, they can be purchased over the counter.

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211

Hi. I have been on the patch forever. I like Mylan patches better B/C they stick better and take up less room. Glad wrap makes a product that keeps it waterproof, it's called Press and seal. I just wrap it around patch and arm and no problems. I have very thick long hair and I use these on the nights I wash hair. Most supermarkets have it in the baggies/foil isle. This will work.

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210

Use lighter fluid to clean skin really well before appling make sure skin is stretched well like if u put on chest raise arm as u apply if it does come off i have found paper tape will help u reapply

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209

Re: Dawn (# 194) Expand Referenced Message

I understand. It's awful worrying that the only thing that gives any real relief and quality of life will be taken away. It seems the powers that be don't understand the pain came before the medicine not the other way around.

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208

I have no choice in taking strong narcotics such as fentanyl, but I get agitated, uncomfortable and can’t sleep. I’m one of the 12% to this happens to.

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207

Re: den (# 7) Expand Referenced Message

I use the Tegaderm HP (by 3M) in size 4”x 4 3/4” and have never had a problem. I sweat profusely in summer months and shower at least once daily. I order them by box of 50 to cut the cost to approximately $.75/Tegaderm.
Hope this helps!

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