What is a fentanyl patch?
Fentanyl patch is an opioid pain medication, sometimes called a narcotic. Fentanyl patches are a strong prescription pain medicine. The patches are used to treat moderate-to-severe chronic pain around the clock. We use fentanyl patches when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them. Buy fentanyl patches online. Fentanyl patches are not for treating mild or occasional pain or pain from surgery. The patches are not for used to treat pain that is not around-the-clock Buy transdermal.
Fentanyl can slow or stop your breathing, and maybe habit-forming. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription Buy transdermal.
Using this medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.
Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing Buy transdermal.
Before taking this medicine,
You should not use fentanyl unless you recently used opioid medicine and your body is tolerant to it (ask your doctor if you’re not sure) Buy transdermal.
Do not put a fentanyl skin patch on any person who does not have a personal prescription for this medicine. You should not use fentanyl if you are allergic to it, or if you have:
- Severe asthma or other breathing problems; or
- a stomach or bowel obstruction (including paralytic ileus).
To make sure fentanyl patches are safe for you, tell your doctor if you have ever had:
- breathing problems, sleep apnea;
- a head injury, brain tumor, or mental illness;
- alcoholism or drug addiction;
- urination problems;
- a seizure disorder;
- Liver or kidney disease; or
- problems with your gallbladder, pancreas, or thyroid.
Tell your doctor if you have been sick with a fever. Having a high temperature can increase the amount of drug you absorb through your skin.
Buy transdermal. If you use opioid medicine while you are pregnant, your baby could become dependent on the drug. Buy fentanyl patches online. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.
Do not breastfeed while you are using fentanyl.
How should I use a fentanyl patch?
Apply the fentanyl patch exactly as prescribed by your healthcare provider. Follow the directions on your prescription label and read all medication guides. Never use fentanyl patches in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more fentanyl patches. Never use a skin patch if it has been cut or damaged.
Stop using all other around-the-clock opioid medications.
Never share opioid medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away opioid medicine is against the law.
Do not allow the skin patch to come into contact with your mouth, eyes, nose, or lips, or another person’s skin.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Wear the fentanyl skin patch around the clock, removing and replacing the patch every 72 hours (3 days). Do not wear over 1 patch at a time unless your doctor has told you to.
When placing a skin patch on a young child, choose a wearing area where the child cannot easily remove the patch unsupervised.
Do not stop using fentanyl suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.
Keep both used and unused patches out of the reach of children or pets. The amount of fentanyl in a used skin patch can be fatal to a child or pet who accidentally sucks or chews on the patch. Seek emergency medical attention if this happens.
After removing a skin patch: fold it in half with the sticky side in, and flush the patch down the toilet right away. Do not place a used skin patch into a trash can.
Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, dispose of any unused skin patches in the same folded manner. Do not flush the foil pouch or patch liners; place them in a trash container out of the reach of children and pets.
Fentanyl Patch dosing information
Usual Adult Dose for Chronic Pain: Buy transdermal
Because of the risk of respiratory depression, the transdermal patch is for opioid-tolerant patients only; opioid-tolerant patients have been taking at least: morphine 60 mg daily, oral oxycodone 30 mg daily, oral hydromorphone 8 mg daily, or an equianalgesic dose of another opioid for 1 week or longer.
-Discontinue all other extended-release opioids when beginning therapy. Buy transdermal.
Initial doses: The initial dose should be individualized, considering the patient’s prior treatment experience. We may calculate this dose based on the dose conversion guidelines in the product package insert, local protocol, or another reliable reference; when calculating, be aware there is substantial inter-patient variability in the relative potency of different opioid drugs and products and therefore it is preferable to underestimate a 24-hour fentanyl requirement and provide rescue medication than to overestimate, which could cause adverse reactions.
Dose titration: Buy Fentanyl patches
-Initial: May increase dose after 3 days based on the daily dose of supplemental opioid analgesics required by the patient on the second or third day of the initial application.
-Further titration should occur after no less than two 3-day applications as it may take up to 6 days for fentanyl levels to reach equilibrium. Titration should be based on the daily dose of supplementary opioids required and the following ratio may be used: Increase transdermal fentanyl by 12 mcg//hr for use of supplemental oral morphine doses of 45 mg/24 hours. Buy transdermal.
Maintenance dose: Adjust dose to get an appropriate balance between pain management and opioid-related adverse reactions. During chronic therapy, periodically reassesses the continued need for opioid analgesics. pain patch, pain patches, fentanyl patch, transdermal
What should I avoid while using a fentanyl patch?
Avoid sources of heat while you are wearing the patch. Do not use a heating pad or electric blanket, a waterbed heater, tanning bed or sauna. Do not sit in hot water, sunbathe, or raise your body temperature with vigorous activity. Heat can increase the amount of drug you absorb through your skin and may cause an overdose or death.
Grapefruit may interact with fentanyl and lead to unwanted side effects. Avoid the use of grapefruit products.
Do not drink alcohol. Dangerous side effects or death could occur. Buy Fentanyl patches.
Avoid wearing a skin patch on a part of your body where a child could reach or remove the patch from your skin. Avoid allowing children to watch you put on a skin patch. Never tell a child that the fentanyl skin patch is a “bandage.” Buy Fentanyl patches.
Avoid driving or operating machinery until you know how using fentanyl patches will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
Fentanyl patch side effects
Get emergency medical help if you have signs of an allergic reaction to a fentanyl patch: hives; chest pain, difficult breathing; swelling of your face, lips, tongue, or throat.Buy fentanyl patches online.
Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue-colored lips, or if you are hard to wake up.
Remove the skin patch and call your doctor at once if you have:
- slow heart rate, sighing, weak or shallow breathing (up to several days after removing the skin patch);
- breathing that stops during sleep;
- confusion, severe drowsiness, feeling like you might pass out;
- Chest pain, fast or pounding heartbeats; or
- low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.
Common fentanyl patch side effects may include:
- headache, dizziness, drowsiness, tiredness;
- nausea, vomiting, stomach pain, diarrhea, constipation;
- itching, redness, or rash where a patch was worn;
- Sleep problems (insomnia); or
- increased sweating, or shivery feeling.
-Do not begin a patient on a fentanyl transdermal patch as their first opioid.
-some patients may require a 48-hour dosing interval; We should evaluate an increase in dose before changing dosing intervals. Buy Fentanyl patches.
Our dosing interval; It should evaluate an increase in dose before changing dosing intervals. Buy Fentanyl patches.
Why is this medication prescribed?
Fentanyl patches are used to relieve severe pain in people who are expected to need pain medication around the clock for a long time and who cannot be treated with other medications. Fentanyl is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.
How should this medicine be used?
Transdermal fentanyl comes as a patch to apply to the skin. We usually apply the patch to the skin once every 72 hours. Change your patch at about the same time of day every time you change it. Follow the directions on your prescription label carefully and ask your doctor or pharmacist to explain any part you do not understand. Apply fentanyl patches exactly as directed.
Your doctor may start you on a low dose fentanyl patch and accumulate your dose, not more often than once every 3 days at first, and then not more often than once every 6 days. Your doctor may decrease your dose if you experience side effects. Talk to your doctor about how you are feeling during your treatment with fentanyl patches.
Fentanyl patches are only for use on the skin. Do not place patches in your mouth or chew or swallow the patches.
Do not stop using fentanyl patches without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop using fentanyl patches, you may have symptoms of withdrawal. Call your doctor if you experience any of these symptoms of withdrawal: restlessness, teary eyes, runny nose, yawning, sweating, chills, muscle pain, large pupils (black circles in the center of the eyes), irritability, anxiety, backache, pain in the joints, weakness, stomach cramps, difficulty falling asleep or staying asleep, nausea, loss of appetite, vomiting, diarrhea, fast heartbeat, or rapid breathing.
Do not use a fentanyl patch that is cut, damaged, or changed. If you use cut or damaged patches, you may receive most or all of the medication at once, instead of slowly over 3 days. This may cause serious problems, including overdose and death.
You may bathe, swim, or shower while you are wearing a fentanyl patch. If the patch falls off during these activities, dispose of it properly. Then dry your skin completely and apply a new patch. Leave the new patch in place for 72 hours after you apply it.
You can apply a fentanyl patch to your chest, back, upper arms, or the sides of your waist. If you are applying the patch to a child or to a person who cannot think clearly, choose an area on the upper back to make it more difficult for the person to remove the patch and place it in his or her mouth. Choose an area of skin that is flat and hairless. Do not apply the patch to parts of the body that move a lot or to skin that has been exposed to radiation, or that is sensitive, very oily, broken out, irritated, broken, cut or damaged. If there is hair on the skin, use scissors to clip the hair as close to the skin as possible. Do not shave the area.Buy Fentanyl patches.
To apply the patch, follow these steps: Buy Fentanyl patches.
Clean the area where you plan to apply the patch with clear water and pat completely dry. Do not use any soaps, lotions, alcohols, or oils.
Tear open the pouch containing the fentanyl patch along the dotted line, starting at the slit. Remove the patch from the pouch and peel off both parts of the protective liner from the back of the patch. Try not to touch the sticky side of the patch.
Immediately press the sticky side of the patch onto the chosen area of skin with the palm of your hand.
Press the patch firmly for at least 30 seconds. Be sure that the patch sticks well to your skin, especially around the edges.
If the patch does not stick well or comes loose after it is applied, tape the edges to your skin with first aid tape. If the patch still does not stick well, you may cover it with Bioclusive or Tegaderm brand see-through dressings. Do not cover the patch with any other type of bandage or tape.
If a patch falls off before it is time to remove it, dispose of the patch properly and apply a new patch. Leave the new patch in place for 72 hours.
When you are finished applying the patch, wash your hands with water right away.
When it is time to change your patch, peel off the old patch and apply a new patch to a different skin area.
After you remove your patch, fold it in half with the sticky sides together and flush it down a toilet.
Other uses for this medicine
We sometimes prescribe this medication for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before using fentanyl patches,
Tell your doctor and pharmacist if you are allergic to fentanyl, or any other medications, or any of the ingredients in fentanyl patches. Ask your doctor or pharmacist or check the Medication Guide for a list of the ingredients.
Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING and any of the following medications: antidepressants; antihistamines (found in cough, cold, and allergy medications); buprenorphine (Buprenex, Subutex, in Suboxone); butorphanol; dextromethorphan (found in many cough medications; in Nuedexta); lithium (Lithobid); medications for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine;, pentazocine (Talwin); sedatives; 5HT3 serotonin blockers such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin-reuptake inhibitors such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), and sertraline (Zoloft); serotonin and norepinephrine reuptake inhibitors such as desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), and venlafaxine (Effexor);trazodone (Oleptro); or tricyclic antidepressants (‘mood elevators’) such as amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil). Also tell your doctor or pharmacist if you are taking or receiving the following medications or have stopped taking them within the past 2 weeks: monoamine oxidase (MAO) inhibitors including isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). Many other medications may also interact with fentanyl, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor what herbal products you are taking, especially St. John’s wort and tryptophan.
Tell your doctor if you have or have ever had paralytic ileus (condition in which digested food does not move through the intestines). Your doctor may tell you not to use fentanyl patches.
Tell your doctor if you have or have ever had seizures; slowed heartbeat; difficulty urinating; low blood pressure; or thyroid, heart, liver, pancreas, gallbladder, or kidney disease.
tell your doctor if you are breastfeeding.
You should know that this medication may decrease fertility in men and women. Talk to your doctor about the risks of using fentanyl transdermal patch.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are using fentanyl patches.
You should know that this medication may make you drowsy. Do not drive a car, operate machinery, or do other possibly dangerous activities until you know how this medication affects you. Buy transdermal.
You should know that fentanyl patches may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start using fentanyl patches. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.
You should know that fentanyl patches may cause constipation. Buy transdermal. Talk to your doctor about changing your diet or using other medications to prevent or treat constipation while you are using fentanyl patches.
What special dietary instructions should I follow?
Talk to your doctor about eating grapefruit and drinking grapefruit juice while using this medication. Buy transdermal.
What should I do if I forget a dose?
If you forget to apply or change a fentanyl patch, apply the patch as soon as you remember it. Be sure to remove your used patch before applying a new patch. Wear the new patch for the time prescribed by your doctor (usually 3 days) and then replace it. Buy transdermal. Do not wear two patches at once unless your doctor has told you , you should.