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10sox
02-27-2009, 09:45 PM
Has anyone lived in a hot/humid climate and worn this patch? I live in FL and am outdoors quite a bit with my small children. Needless to say, I get pretty hot just keeping up with them. Just getting them in/out of their carseats is enough to make me sweat.

I live in chronic pain every day from very bad nerve damange from a very bad back. I was told by my Pain Doctor that I can not try any more LA medication because my GI doctor confirmed that was what was causing all my tummy issues. (I was on Opana ER)

SO, for now I am on Neurontin and Hydrocodone. I have been in so much pain, that he told me to double up on my hydrocodone and take them on a schedule. I am doing this, but still in lots of pain.

I have heard good things about the patch from a friend of mine (who does not live in a hot climate). Do you think I should ask my doctor about this? I know it's bad to ask for a drug by name, but not sure how else to ask him. Also, since the patch is on the skin, does that mean it bypasses the stomach??

Oh yeah...do you think my kids could peel off my patch? They are constantly pulling at me and I would be afraid they would grab it and it would get on their hands. Is this something to be concerned about?

Thanks!!!!!
10sox

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ck07073
02-27-2009, 11:57 PM
Hi,
I've been on Fentanyl patchs for many years because of my back issues. I have mixed feelings on this.... they are highly addictive. I tried to get myself off of them but it was impossible. At the same time they work the best and I don't feel them like I do when I take percocet or vicodin.
I live in NJ but have been to Aruba, Mexico and Florida many times and I did not have a problem with them staying on. If you do start using them you have to be extremely careful around your kids and even pets. IF there is any chance of your children getting their hands on them then do not get them. Fentanyl is a strong narcotic and even a small amount could result in a serious overdose for a young child. What you could do to make sure they won't come off is use first aid tape or other kind of adhesive bandage/tape made to work on the skin.
Stomach issues are listed as a possible side effect. Your doctor could tell you more.
I hope this helps you,
CK

Executor
02-27-2009, 11:58 PM
10 Sox-

What LA meds have you tried? What stomach issues was the Opana causing? Once you reply, I will offer my advice / suggestions.

Regards,

Ex

Boxerluver
02-28-2009, 08:31 PM
I am in Florida and I have worn the patch for years. I used to use the tegraderm cover but now just use the patch and it stays on jsut fine.

Melissa

brianpain33
03-01-2009, 04:38 AM
If you have problems with the patch staying on then you can use several different things to get the patch to stay on: see the tips on the main board under fentanyl patch sticking tips.

I use the Optisite Flexifix which is an adhesive that comes on a roll and you just cut off what you need and apply over the fentanyl patch. It would protect your little ones from pulling off the fentanyl patch and also ensure that the patch stays on in the hot, humid weather. If you wear the brand name Duragesic they will send you the adhesive overlays for free if you request them.

good luck and I am sure there are plenty of parents that wear them with little ones.

brian

neckpatient
03-01-2009, 08:44 PM
I live in Arizona and haven't had a problem, I cover with tegaderm which I found to be best in keeping it sticking to my skin through any activity I do. I also found that they don't stick as well on my arms or other areas, but I have absolutely no trouble on my lower leg, calf level, inside edge of the shin near the fatty part. I haven't tried swimming with it. The more active or "hot" you get the medicine can deliver faster. If I am going to be outdoors long like at a picnic I have this little velcro wrap that has a gel ice pack in it and I wear it in the area to keep my leg cool. Maybe an unnecessary precaution but I haven't had any problems so it is worth it.

10sox
03-02-2009, 01:14 PM
Thanks for the feedback everyone. I am definitely going to ask my Dr. about this at my next visit!! My kids are only 2 and 4 and they don't understand personal boundries yet...ha! So, that is why i am a little concerned about them getting into it.

aprilreign
03-24-2009, 04:43 PM
Hi I am on 75 mcg Duragesic patch for the past 4-5 years. I have found it only sticks well on my back. Warmth helps with sticking; holding hand over patch for 90 seconds or so after applying it will help it attach. Patches usually flake off when too dry. I live in Florida, but am bed-ridden a lot- but it's more likely that a shower w/ direct spray pressure and rubbing it dry w/ towel would make it vulnerable to peeling off. Your children are not at any significant risk if your patch is covered by clothing and your patch is not compromised by cuts, etc. Generally you would have to cut it on purpose to cause leakage (exception: there was a generic recall on the 25 mcg patches due to defects) but in general they are not a problem for this. Dispose of where your child cannot reach and you are pretty safe from them being in any possible danger, touching the outside of the patch on your skin won't do anything. The patch needs many hours (if uncompromised by cuts, etc) to start to go into your tissue (unlike pain meds that go directly into your digestive system. This is why it's good for me, I have Crohn's disease, and fibro and arthritis. I also take Percocet 10/325 for B/T. The patch BYPASSES being ingested, and thus protects your gut from problems with ingestion of pills. People like me are told not to take anything but tylenol due to corrosive properties of other NSAIDs. so hydrocodone/tylenol pills and Duragesic (fentanyl) are a better choice for those with gut disorders. Only caveat that i can think of which isn't a factor for me since i suffer from the opposite, is that most opiates have potential constipating factors (due to "slowing you down") but since Duragesic goes directly into tissue, not your gut, it's better than most if you have problems with your digestive system. Hope this helps, and I hope I am not too late for your posted question. If you have any more questions about Duragesic, I would be happy to help. Be well.





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