Fentanly Patches... Weaning, Body Heat, Cuttting

I have been reading all of the posts on Fent. pain patches. I have been on 25 MG since March 2009. I was on one brand and could not get it to stay stuck after a hot flash. I am in surgically induced menopause. The pharm then switched brands, which do stick better. But I have noticed about an hour after a hot flash that I get dizzy and sick to my tummy. I also am in stage 3 kidney failure. I decided to call the number on the back Mylan box. YES, body temp. changes, such as fever or menopause, or even rise from exercise, can cause the patch to release more med than it should. ALSO, in my talking with the company I learned I should NOT be taking it with my kidney failure as it IS processed thru the kidneys. I am going to a highly respected pain doc in our area. When I told them about the kidneys back in March, they said it would be fine. Also, they said due to the hot flashes, I should replace the patch every 48 hrs. insted of 72. After learning what I did from the company I asked the doc to wean me off of them. He told me to cut the patch in half and due the 48 hr. routine for 2 weeks. Well, I know the box insert said not to use cut patches. So I called the company yet again. They confirmed it, DO NOT CUT THE PATCHES. Some people on here said it's okay to cut the Mylan brand patch, IT IS NOT OKAY. So now I am waiting for the doc to call back to change my dose and get off of these patches. I feel the risks far outweigh the benefits for me.

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Hello Karen! How are you doing?

Unfortunately, doctors don't always know all the details of the medications they prescribe, they do not study them as intensely as a pharmacist, so a doctor may not be aware of specific warnings, or side effects, though most will try to stay abreast of the most recent, and important information.

Kudos to you for calling the company to double check, rather than just proceeding with possibly dangerous instructions.

The FDA also warns that this medication carries the risk of being habit forming, and may cause other side effects, such as nausea, dizziness, sedation, constipation, and dry mouth.

Ref: Fentanyl Patch Information

How are you doing tapering off?

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