See the detailed instructions for use for information about how to apply and dispose of the duragesic patch. Apply the patch immediately upon removal from the package. Side effects of duragesic fentanyl transdermal, warnings, uses. Put patch on clean, dry, healthy skin on the chest, back, upper leg, or upper arm. The directions for using the fentanyl skin patch must be followed exactly to prevent death or other serious side effects from overdosing with fentanyl. This emedtv resource offers more directions on using fentanyl patches, including important tips for how to avoid accidentally overdosing on the medicine. Durogesic dtrans 100 mcghr transdermal patch summary of. If one edge of the patch becomes loose, use tape or a sticky adhesive film to secure the. Remove the patch from the package, peel off the protective strip and immediately apply it to the site. Fentanyl transdermal route side effects mayo clinic. They should only be used by people who have longterm chronic pain and are already prescribed a high dose of opioids.
It can help control chronic pain in people whose pain is not improving with other medications. Fentanyl is a strong narcotic analgesic pain medicine. Sep 01, 2012 her experience is intended to complement the recent fda alert by focusing on safe disposal of fentanyl patches in homes, hospitals, and longterm care facilities. Change your patch at about the same time of day every time you change it. It should be used only by people who are opioidtolerant. Duragesic is used to treat moderate to severe chronic, constant pain that is expected to last for several weeks or longer. Flush the used fentanyl patch down the toilet right away. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. After a duragesic patch is applied, fentanyl passes into the skin a little at a time. Make sure you have the right dose patch or patches that have been prescribed for you. Fentanyl is also used as a recreational drug, often mixed with heroin or cocaine. Your doctors instructions and the drug s label or package insert should give information on where to put it. Feb 04, 2020 use duragesic fentanyl transdermal patch as ordered by your doctor.
If there is hair where you are putting the patch, clip the hair as close to the skin as you can. Shortacting analgesics may be needed during the initial 24 hours of fentanyl patch application and for breakthrough pain. Put the patch in a new area each time you change the patch. When used on children or persons with decreases mental alertness, the patch need not be put on the upper part so as to lower the chance of the patch from being placed in the mouth. Proper disposal of fentanyl patches can save lives american. Since duragesic patch is used as needed, you do not need to follow any dosing schedule. This may lead to signs like change in sex ability in men, no menstrual period in women, lowered interest in sex, or fertility problems. Misuse or abuse of duragesic fentanyl transdermal patch by placing it in the mouth or chewing, swallowing, injecting, or snorting it can lead to overdose and death. Using damaged or cut duragesic patches can lead to the rapid release of the contents of the duragesic patch and absorption of a potentially fatal dose of fentanyl. Health care professionals should advise patients wearing medication patches about procedures for proper removal and disposal before mri and replacement afterwards. While wearing a fentanyl patch, do not expose the site to heat sources. Put the patch on the chest, back, flank sides of the waist, or upper arm in a place where there is no hair see figures ad. Aug 18, 2012 the duragesic fentanyl patch is used to treat chronic pain by supplying a steady dose of fentanyl a powerful opioid pain medication over an extended period of timeusually up to 72 hours. This medicine should only be used on skin that is not irritated or injured.
Instructions for use duragesic durahgeezik fentanyl transdermal system cii be sure that you read, understand, and follow these instructions for use before you apply duragesic transdermal system patch talk to your. A list of important tips for using this patch is also included. If you somehow miss wearing duragesic skin patch, do not wear missed one without telling your doctor. Ask your pharmacist about the best way to dispose of patches you do not use. Others should be placed on the lower abdomen or hip. Do not put the patch in your mouth, chew it, or swallow it. For instance, certain patches should be applied to the upper chest or the upper, outer arm. Fentanyl sometimes called by the brand name duragesic is a very strong opioid narcotic pain medication. Fentanyl skin patch is used to treat severe pain, including acute pain following surgery.
Apply the duragesic patch immediately after removing it from a sealed package do not use patches if the package has been opened or the patch appears to have been tampered with. The duragesic skin patch should not be used if you need pain medicine for just a short time, such as after dental surgery or tonsil surgery. We present a novel method of fentanyl extraction from a mylan matrix. Firmly press the patch in place with the palm of the hand for about 30 seconds. Do not applymore than 1 patch at the same timeunless your healthcare providertells you to. Webmd provides common contraindications for duragesic transdermal. The fda is conducting an investigation into the deaths associated with these patches. The release liner is removed prior to application to the skin. Fentanyl transdermal patch 72 hour drug information.
A certain amount of the medicine must build up in the skin before it is absorbed into the body. It is 75100 times more potent than morphine 1 since their introduction in 1990, transdermal fentanyl patches have been widely utilized as an acceptable and efficacious method of analgesia. Fda requiring color changes to duragesic fentanyl pain. Fentanyl transdermal patch duragesic is a prescription medication used to treat severe chronic pain such as cancer. Do not use the patch for mild pain or pain that occurs only once in a while. Fentanyl duragesic is a opioid narcotic drug used to treat chronic, aroundtheclock pain.
Duragesic is used to treat moderate to severe chronic, constant pain. At least 95% 665 mg of lidocaine will remain in a used patch. The transdermal patch is a longacting formulation with a delayed onset of effect initially and a prolonged duration of action. It will work only if it has been applied correctly. Use this medicine exactly as directed by your doctor. Transdermal buprenorphine and fentanyl patches in cancer pain140320 duration. Tell your doctor if you feel an increased urge to use more fentanyl. The patches are used to treat moderate to severe chronic pain in opioidtolerant patients, severe enough to require daily, aroundtheclock, longterm opioid treatment. Duragesic patches are intended for transdermal use on intact skin only. Transdermal patches that must be removed before mri. Fentanyl duragesic patch side effects although fentanyl patches are effective at relieving pain, they are known to cause some severe, potentially fatal side effects, including. Longterm use of an opioid drug like fentanyl transdermal patch may lead to lower sex hormone levels.
Duragesic is a brand name for the narcotic pain medicine fentanyl. Although fentanyl patches are effective at relieving pain, they are known to cause some severe, potentially fatal side effects, including. However, if you are wearing duragesic skin patches on regular basis then you have to follow instructions given by your health care provider. To dispose of the duragesic patch, fold the patch in half with the sticky side inside. The drug from the patch is absorbed into your body over a period of time. Instructions for use duragesic instructions for applying a. Find out what health conditions may be a health risk when taken with duragesic transdermal. See the section below disposing ofa duragesic patch.
When placing a skin patch on a young child, choose a wearing area where the child cannot easily remove the patch unsupervised. Duragesic patch lawsuits overdose, duragesic side effects. Side effects may include profuse sweating, coughing, nausea, diarrhea, and tearing. Duragesic is a skin patch containing fentanyl, an opioid pain medication. You should wear the duragesic patch continuously for 3 days, unless advised otherwise by your healthcare provider. How to apply a fentanyl patch with pictures wikihow. Take off the old patch before applying a new patch. Put the patch on the chest, back, flank sides of the waist, or upper arm in.
Do not use the patch if it appears to be broken, cut, or. Fentanyl patches should only be used to treat longterm chronic pain by people who have previously taken high doses of prescription pain medicine opioids for 7 or more days without relief. Each fentanyl patch is worn continuously for 72 hours. Lidoderm lidocaine patch 5% is comprised of an adhesive material containing 5% lidocaine, which is applied to a nonwoven polyester felt backing and covered with a polyethylene terephthalate pet film release liner. In general, for a loose patch, you can use the palm of your hand to press the patch back onto the skin. Do not apply the new patch to the same place as the last one. It makes the patch much more pliable and seems to activate the adhesive better. After i get the patch in place i then apply warm air from the hair dryer directly to the patch. On july 15, 2005, the food and drug administration fda issued a public health advisory to alert patients and their physicians of reported deaths and other serious side effects from overdoses of fentanyl administered through the use of a transdermal patch. Duragesic label page 1 full prescribing information for. If the patch has not been used, take it out of the pouch and remove the liner that covers the sticky side of the patch before folding it in half. Jul 16, 2018 a transdermal patch is a patch that attaches to your skin and contains medication. Do not put these patches in a garbage can where they can be easily found by children and pets. Duragesic patches are a strong prescription pain medicine.
Last november, a 2yearold boy named blake died after accidental exposure to a used fentanyl patch hastily discarded in a longterm care facility. Up to a full day 24 hours may pass before the first dose begins to work. You will be taught how to use this medicine in the hospital, but you will not use it at home. Duragesic fentanyl dose, indications, adverse effects. Opioid analgesic, anesthesia adjunct controlled substance schedule ii pregnancy risk category c action binds to specific opioid. Fentanyl actiq side effects, dosage, interactions drugs. It has a rapid onset and its effects generally last less than two hours. Duragesic information, uses, side effects and dosage. In contrast, the newer generic patch by mylan lacks a reservoir, with the fentanyl instead being suspended in a gel matrix within the silicone adhesive layer. Do not leave the hospital with the patch on your skin. If skin needs preparation, use clear water and clip, do not shave, hair. Follow the directions on your prescription label and read all medication guides.
Never use a skin patch if it has been cut or damaged. In young children or persons with decreased mental alertness, the duragesic patch should be put on the upper back to decrease the chance that the patch will be removed and placed in the mouth. Withdrawal symptoms, drug interactions, dosage, and pregnancy and breastfeeding safety are provided. A nurse or other trained health professional will give you this medicine after surgery. Do not use if the pouch seal is broken or the patch is damaged. Side effects of duragesic fentanyl transdermal, warnings. Patients should be instructed to read the us fdaapproved medication guide each time this drug is dispensed. The fentanyl transdermal patch, duragesic, is most commonly used for the control of pain that has not responded to other interventions, including other opiates. Fentanyl injury lawsuits pharmaceutical litigation. I have found a method contrary to directions but it works for me. Fentanyl also comes as a buccal and sublingual tablet, oral lozenge, sublingual spray. After a duragesic patch has been applied, fentanyl passes into the skin a little at a time. Do not apply more than 1 patch at the same time unless your healthcare provider tells you to. The fentanyl transdermal system patch is used for the management of persistent, moderate to severe chronic pain in opioidtolerant patients when a continuous, aroundtheclock opioid analgesic.
On july 15, 2005 the fda issued a public health advisory concerning the use of duragesic patches fentanyl transdermal in response to reports of deaths in patients using the patch. Nov 05, 2019 use duragesic patches exactly as prescribed by your doctor. The patch is usually applied to the skin once every 72 hours. Durogesic dtrans 100 mcghr transdermal patch summary of product characteristics. The duragesic transdermal system patch is used for the management of persistent, moderate to severe chronic pain in opioidtolerant patients when a continuous, aroundtheclock opioid analgesic is needed for an extended period of time. Highalert medications fentanyl patch consumer med safety. To properly dispose of a used fentanyl patch, fold the patch in half with the sticky sides together. Fentanyl patches are a quick and easy but powerful way to dispense pain medication. Accidental transfer of a fentanyl patch to the skin of a non patch wearer particularly a child, while sharing a bed or being in close physical contact with a patch wearer, may result in an opioid overdose for the non patch wearer.
The fentanyl patch sticks to the pets skin and slowly releases a constant amount of pain medication that is absorbed into the bloodstream, providing several days of pain relief. Fentanyl patches durogesic for chronic pain nps medicinewise. Duragesic label page 1 full prescribing information for use. Never use duragesic patches in larger amounts, or for longer than prescribed.
Instructions for use duragesic durahgeezik fentanyl. Duragesic patch fentanyl patch rationale for inclusion in pa. If your manufacturer has supplied a patch disposal unit, follow directions for its use. They should only be used by people who have longterm chronic pain and are already prescribed a high dose of. Monitor febrile patients closely for fentanyl toxicity patient advice. Press firmly for 30 seconds to make sure the patch stays in place. Fentanyl transdermal patch 72 hour drug information, side.
Read the medication guide and, if available, the instructions for use provided by your pharmacist before you start using. Do not wear more than 1 patch at a time unless your doctor has told you to. Find medication information including related drug classes, side effects, patient statistics and answers to frequently asked questions. This emedtv page describes these factors and offers some general duragesic dosing guidelines. Before prescribing duragesic, your healthcare provider will take into account several factors. Duragesic definition of duragesic by medical dictionary. Duragesic fentanyl transdermal dosing, indications. Fentanyl transdermal patch is available as a generic drug and as a brandname drug.
Its primary use is to treat moderate to intense pain. To apply a fentanyl patch, start by preparing the area you are going to place the patch. The patch should be applied to a clean, dry area on the upper arm or back. The duragesic patch is an adhesive patch containing narcotic pain medicine typically narcotic analgesics or opioid analgesics. Mean peak blood concentration of lidocaine is about 0. Due to the risk of respiratory depression, the transdermal patch is for use in opioidtolerant patients only. Download a printable copy of fentanyl transdermal patch article what is a fentanyl transdermal patch.
Choose a different skin site to apply a new duragesic patch. Medically, fentanyl is used by injection, as a patch on the skin, as a nasal spray, or in the mouth. Fentanyl, also spelled fentanil, is an opioid used as a pain medication and together with other medications for anesthesia. Repeat steps 2 through 6above when applying a new duragesic patch. Use duragesic fentanyl transdermal patch as ordered by your doctor. The directions for using a fentanyl skin patch must be followed precisely to prevent death or other serious side effects from overdosing with fentanyl. If necessary, clip hair from the site prior to applying the patch. In the mid1990s, janssen pharmaceutica developed and introduced into clinical trials the duragesic patch, which is a formation of an inert alcohol gel infused with select fentanyl doses, which are worn to provide constant administration of the opioid over a period of 48 to 72 hours. Abstral, actiq, duragesic, durogesic uk, fentanyl oralet, fentora, lazanda, matrifen ca, onsolis, ranfentanyl ca, ratiofentanyl ca, sublimaze pharmacologic class. Use the patches exactly as directed to prevent serious side effects. Transdermal fentanyl comes as a patch to apply to the skin. Before i apply the patch, i heat my arm up with a hair dryer.
Remove a duragesic patch after wearing it for 3 days 72 hours. Wear the fentanyl skin patch around the clock, removing and replacing the patch every 72 hours 3 days. Tape down the edges of the patch if it doesnt stick. Use the lowest dose possible for the shortest time needed. Fentanyl duragesic skin patches are used to relieve moderate to severe pain that is expected to last for some time, that does not go away, and that cannot be treated with other pain medications. When a narcotic medicine is used for a long time, it may become habitforming, causing mental or physical dependence.
506 297 1485 116 65 871 1087 260 841 1081 318 1381 195 378 758 489 553 92 1096 1388 384 1265 1054 511 54 1476 582 892 152 395 1228 240 662 1004 918 173 1049 198