Fentanyl Transdermal Patches (Page 2) (Top voted first)

I've been using the 100mcg/hr of Fentanyl Patches and I've been using them for a long time. They stick well and they last almost 3 days and I'm prescribed every 2 days, so I get extra relief by putting the new one on @48 hrs with the first one stil on; and I take 100mg of roxicodone, but the pain still is killing me and I've looked on the internet at the Patch by Par drugs, has anyone used this brand and would you give me a critique on them; how long do they last? do they stay on well?? I get my script of 9 boxes Monday and I need to make a decision.

thanks,
lakebum

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I use the Watson Brand. I change every 72 hrs.. My fave brand.. They stay on really well even after shower.. Wall Mart carries this brand..

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Par brand is.much better. I have been on patches for 10 yrs and the mylan do not stick well, they itch and while I have to press down on the par for 30 secs they always stay on and last 3 days while the mylan do not

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I have been having a problem with the Par patches coming off in the hot weather. The adhesive from the "covers" are very strong and burn my skin. I like to put patches on my back so I can wear sleeveless shirts. My back is burned from the adhesive. I have tried other places but they come off easily. If anyone can suggest another place to put the patches I would appreciate your help. The 75mcg patch is large enough to be seen through clothing. Now the black lettering on the patch makes me feel like I am wearing a scarlet "O" for opiate medication on board.

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I have been using mylan but my new pharmacy has Par brand. I am wondering if medication has the gel reservoir because they are the only ones that stick for me.

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OK, I hate the Par brand patches. Within 12 hours of one being on my skin I develop welts at the edges of the patches and it feels like they are cutting into my skin. then they release. So I get big red welts and then they don't last. Perfect...NOT!
The bummer is that there goes years of trying to establish a buffer supply. If I can get half of the time they are supposed to last I'll be lucky, if you consider a large patch of red welts on your body! And by the time they are gone and I am due a new prescription I'll be out entirely and in pretty miserable shape. I'm going to search until I can find a pharmacy that will fill with Mylan.

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Hey guys. I've been using fentanyl for years. After having tried virtually every brand I have settled on Malinkrodt brand. They are awsome, stick well, work well, and do not irritate skin. Best of all, they have no reservoir but a matrix embeded in the adhesive backed patch. I have endured 18 neck spine and back surgeries after an accident in which I broke my neck and permanantly damaged my spinal cord. My pain is skeletal and also neuropathic. I use fentanyl along with oxycodone and hydromorphone. Try Malinkrodt brand!

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Edward I have never heard of that brand. I am going to find out if they are available in my area and if insurance will cover. The heat wave in NY has been hell with these Par patches. Sick of doing all I can to hold on until I can refill prescription because they never stay on as long as they should.

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Marie, I have found my back to be the best place as well. Problem is after using right side and left side my skin is not healed enough to put back on one of the "good spots". I find the patches stick best wrapped around slightly to my side or "flank". If you have any other locations that work well, please share. The Par patches are so much larger than the Mylan brand. The adhesive can be irritating and does not stand up to heat, sweat, or long showers.

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Edward, I understand your problem, I'm just not sure that any patch will give you what you're looking for except a higher dose through the winter. It all depends on your surface body tepurature. It's not the same as your internal body temperature, and fluctuates based on the temp of your working/living environment. I know I have more pain in the wintertime too, and my doctor has offered different muscle relaxers, break through medications, etc. Its hard because she worries that since your breathing is suppressed on higher mcg.'s of fentanyl, anything more could cause a worsening of that effect. It could be that you need an altogether different opioid medication that can be taken orally during the winter, then go back to fentanyl in the spring/summer. Sorry I couldn't be more help.

Kevin, in my opinion, the Par patches are larger, and more difficult to keep on for the full amount of time. You just end up having to tape them down for the duration of its use. I personally prefer Mallincrodt, but I'd rather have any matrix patch than use the liquid filler Par patches. Also, unless your doctor told you to, I wouldn't have more than one patch on at a time. You'll be getting an uneven amount of medication, cause yourself to have a higher tolerance, and possibly get too much medication and overdose.

Hop, you definitely should try to get ahold of either the pharmacutical company of your preferred patch, or Duragesic maker Janssen about their rebate programs or programs to help you cover the cost of your patches. I don't know what your copy's are like, but I know Jansson offers a $50 rebate if you pay cash for them. They also had a program that helped me pay full cost of the patches when I was without insurance. It just might be the answer you're looking for.
Take care all.

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I suffer with CRPS for the past 4 years, from a work injury that Workers Comp will not acknowledge....besides that, I have been on Percocet 10/325mg 4 times a day, but during the winter I suffer. My PM just added a 25mcg Fentanyl patch to my regimen, they are PAR manufacture, I have spent so much money in Tegrederms, the sticky isn't sticky, my first day was okay, I showered the next day and it was lifting, not very good for me....glad to find this blog, I'm going to ask my pharmacist if they can order a specific brand for me.

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HI,
Can anyone tell me all the manufactures of Fentanyl with the resovoir gel? Was using actavis and it bearly last 45 hrs.

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Thanks, I found I had a bad batch or something, I got my next refill and it was back to it's usual great quality
Regards,
Kevin

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PAR is the worst Fent. That I have used and I have been on two-75 every three days. Kroger sells this brand. I do not like this PAR brand as they are much larger and they do not stick. They are the worst I have had.

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I agree that the Par Pharmaceutical Fentanyl Patches are terrible. I have used Mylan brand for several years. The Par patches do not stay on even with tegaderm covers and medical tape. As soon as I sweat, they slide off my skin. Changes in drug coverages prohibit me from getting the Mylan patches with the medication in the adhesive. I do not like the reservoir style patch as it does not seem to be absorbed as consistently. The adhesive needs to be improved.

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Not sure why, coarse if your trying to get drugs. Fent does not release like that, that fast. If takes 12-24 hours to get into you body. That's why I never count the first day. And I make sure I use the 75mcg for 2 full days. Take it off the following day.

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where are you located?

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Shari, I share your experience. I am on the same dosage as you. I cannot get the Par brand to stick for 48 hours. Sometimes it's hard to keep in place for 24 hours. I have tried all the tapes and cover patches available. They either don't work or the adhesive burns my sensitive skin. The summer temperatures and humidity make the problem worse. I was wondering if you have found a solution since you posted this.

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It's summer and the Par fentanyl duragesic patches are sliding off my skin after 24 hours. I use 2 tagaderm covers to keep on additional 24-36 hours. The adhesive then causes my skin to break out. I get cuts from the track tape and covers needed to keep the patch on. Anyone with a better suggestion? Really miss the Mylan brand but my insurance will no longer pay for them. The Par 75mcg/hr is like wearing a giant sign " using narcotics". I would like to be able to dress comfortably and not worry about patches being visible.

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The Par fentanyl patches have the reservoir.

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I'm about to try the Par fentanyl patches for the first time tomorrow (Jul. 8) so I can't speak to how they are, but I have used Fentanyl patches for, oh, close to 20 years and have had chronic pain since 5/1979 so I have some small experience. To I have used Mylan for YEARS and to get them to stick I first wipe the skin where I am applying it with a glasses cleaning tissue. The ones with alcohol. I buy a box at CVS (hate CVS!) They are far cheaper than the alcohol wipes and work just fine for me as I usually have no trouble going 72 hours if I need to. I hope that I still can say the same after tomorrow! I also hope that this helps some of you.

A note, I saw someone mentioning that some are talking about taking them recreationally. If you have chronic pain you will reach a point where you don't get the euphoria from your meds. You can take more but you will just go to sleep and not feel high. At least that's been my experience. I don't remember how long it took, but I've been that way for years and years. Good luck to you my Sisters and Brothers in pain.

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