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Old 08-01-2005, 01:04 PM   #1
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wrenegade HB User
Question Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi, I haven't been on in a couple of weeks, but I hope all are doing as well as possible. I have a question about the Duragesic patch. I was approved for the patient assistance program, but when I put my first patch on, I was fine for a while, but when the "room temperature" got up to 90 or so degrees, I got very nauseated and ended up throwing up. My PM doctor just upped my oxycodone and said to "hang onto the patches, maybe I could use them when it's cooler."

I am looking into Perdue's program to see if I qualify for OxyContin, but in the meantime I am in a great deal of pain. I was wondering about putting a patch on for a while (like just until I started feeling the effects) and then taking it back off before I got nauseous. Has anyone ever tried this with success? TIA

 
Old 08-02-2005, 12:13 PM   #2
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Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

wrenegade,

I would like to know the answer to this one too! Anyone?????

 
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Old 08-05-2005, 11:21 AM   #3
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Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi Aaronon,

I am just bumping this back up to the top to see if we can get some bites, otherwise, I am considering being "our guinea pig." If I do so, I will let you know the results, but I have to pick a day when I feel I can bear throwing up if it doesn't work. (I really hate throwing up, so it may be a while.)

wren

 
Old 08-06-2005, 09:23 AM   #4
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RobinD21283 HB User
Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi,

Heat increases the rate at which the medication is released. If you can keep cool, you should be fine. Try to stay in the A/C with it on!

 
Old 08-06-2005, 07:27 PM   #5
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Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

If you take off the patch if it is the sandoz generic you can put it in a ziploc bag and put it back on.You will however have to use some sort of tape (i use duct tape and an ace bandage)I cannot speak for the mylan patch because i quit using them.I know this because I was prescribed the patch and the next day went for an MRI the tech told me to take my patch off I told him that it was only 1 day and that he needs to call my DR to ask if it was ok.the dr.gave me those instructions over the phone and said that if i had any problems i can get a script 2 days early.well i did it and had no problems o now when the med does release too fast I just take it off and put it in a ziploc bag and keep track off the hours it was off so i know when to replace it say 10hrs on 2 off 20 0n 2 off20 on 4 off22 on then i make the change.sometimes though if I go into WDs early because the med ran out then i have some leeway

hope this helps
A Murder of one switched to amoa or whatever

 
Old 08-10-2005, 02:46 PM   #6
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Post Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi All,

First, I decided to be a guinea pig, and this is what I found out: I was able to leave the patch on for about 1-1/2 hours. When I felt slightly nauseous, I took it off, put it in a snack-size ziplock bag, and put it back in the refridgerator. (This is where I keep them, and I was told by Duragesic company that it was okay.) I save the original plastic thingy that it peels off of and put that as well as a piece of wax paper in the ziplock because I was afraid the fentanyl would leach out into the plastic of the ziplock or something. Okay. . . then, I started hurting again a couple of hours later, so I put it back on for an hour before bed (and took it off when I went to bed.) That was 2 days ago.

Yesterday, I left it on for 3 hours straight and then again today for a couple of hours. I was using surgical tape to hold it in place which worked really good the first 2 days, but doesn't seem to want to stick now, even with new tape, so I may try the duct tape (ouch) like Amoa suggested. I did use an Ace wrap over the surgical tape today and that helped. It still gives me a slight headache, and I don't like the way it makes me feel overall, mostly I haven't gotten that good of pain relief with it.

I am using the Duragesic brand because I was eligible for their patient assistance program. I am hoping my doctor will help me try for the OxyContin assistance program since the patch has not worked too well for me.

Anyway, just thought to fill you in.

Robin, thank you for reminding me about the heat versus A/C. One problem is that we live in a very old mobile home in SW Florida. I have central air and fans running all day, but it is still as high as mid 80s/lower 90s in the kitchen and living room because of no insulation remaining in these old walls. The bedroom and bathroom are fine!! I may have to move my computer in their and live in the bedroom in the summer. . .

Thank you, Amoa, for your suggestions. It was helpful to give me some ideas. What does your signature line "A Murder of one switched to amoa or whatever" mean? I was just wondering. . being nosey. . it intrigued me!

Aaronon, let me know if you try this how it goes for you, okay? Have you had similar problems with the patch?

Hope all are doing well. . .one day at a time. . .

wren

 
Old 08-11-2005, 02:06 PM   #7
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Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

wren,

The doctor gave me the "one" to try. I tried putting it on and taking it off. It did eventually become unsticky, so I threw it away. I was so paranoid about having it on in the first place, that I just gave up. I had read so many things about the side effects, and I think I freaked myself out, because I did have some chest pains..etc. I just can't handle all that. I will go back to taking nothing again. My doctor, I think, didn't want to give me that one, but, I was hurting so badly. He doesn't like to give pain pills, you have to beg him, so I just said forget it.

Thanks for the info.

a

 
Old 08-15-2005, 11:13 AM   #8
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wrenegade HB User
Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi aaronon,

I haven't used my patches since I posted this message the other day. It did me fairly good pain relief, but I didn't like the way it made me feel otherwise. . .headachey and still slightly nauseous.

I've gone back to just taking my oxycodone and Soma.

If you don't mind me being nosey, what is your pain from? Is your doctor a primary care doctor? If you are in that much pain, maybe you could go to a pain management specialist.

I didn't like having to get on pain medication at all, but I got to a point where I had to do something. The stress hormones your own body produces can have bad "side effects," too.

As I said, sorry to be nosey, but I hate to think of anyone being in bad pain and not taking anything. On the other hand, if you can handle it, sometimes it's better not to get started down this long road of pain management.

Myself, I am finally considering surgery which I never thought I would do, but if there is a chance of fixing the problem instead of keeping increasing these pills, I may go ahead with that.

Thanks for writing back.

wren

 
Old 08-15-2005, 04:49 PM   #9
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jdlfmc HB User
Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi, When I was on the patch for a few years I used the water proof adhesive tape to keep them on it always worked and especially in the shower and was alot easier on the skin then duct tape and you can get it in allergy free for those that have sensitive skin.
Linda

 
Old 08-23-2005, 01:51 PM   #10
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Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Quote:
Originally Posted by wrenegade
Hi aaronon,

I haven't used my patches since I posted this message the other day. It did me fairly good pain relief, but I didn't like the way it made me feel otherwise. . .headachey and still slightly nauseous.

I've gone back to just taking my oxycodone and Soma.

If you don't mind me being nosey, what is your pain from? Fibromyalgia, Arthritis, TMJ, IBS
Is your doctor a primary care doctor? No,well..he's a GP general practitioner.
If you are in that much pain, maybe you could go to a pain management specialist. Been there done that, got the Suit!

I didn't like having to get on pain medication at all, but I got to a point where I had to do something. The stress hormones your own body produces can have bad "side effects," too.

As I said, sorry to be nosey, but I hate to think of anyone being in bad pain and not taking anything. On the other hand, if you can handle it, sometimes it's better not to get started down this long road of pain management.

5 years ago, when I went back to work....my issues with pain were manageable. Lets just say, I didn't have a choice, had to work. My own choice. In the last 2 years, my pain has doubled. I'm almost unable to get up in the morning. Everything on my body hurts. There isn't a spot that isn't hurting all day every day.

I can NOT go back on pain meds or anything narcotic or my husband will divorce me. (too long a story to tell here) Lets just say, he doesn't have much compassion. IF, BIG IF, my doctor on occasion would give me something, I would never tell him. It's only when I'm thinking that death would be better than life at that moment that I attempt to ask my General/Family practitioner for something.

Myself, I am finally considering surgery which I never thought I would do, but if there is a chance of fixing the problem instead of keeping increasing these pills, I may go ahead with that.

Thanks for writing back.

wren
Finding a doctor that a) believes in Fibro is hard enough. b) Giving a person any kind of pain meds for that Fibro pain, won't happen! I live how I live right now. I can not see living any other way. Until there is divine intervention from somewhere, this is what I do.

 
Old 08-24-2005, 10:31 AM   #11
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StMishl HB User
Re: Wonder about putting fentanyl patch on for a while and then taking it back off. . .

Hi! Just a note that when I've had to take on off and put back on again, a quick (5 -7 seconds) blast from a hair dryer will help it re-stick again in my experience. Place the thing back on your skinn, hold it on, then blast it, maybe using a piece of tape if necessary (sometimes the hairdyer is all it will take). I use the Sanchoz generics. This has worked really well, as heat will cause the back to re-stick.

I have a HORRID time gettig the residue OFF once I remove them... Anyone else? It takes forever, and if I scrub at all I cause bleeding!

Thanks,
Michelle
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StMishl Failed Bk Fusion, facet joint/hip issues & RA -Wish I could Jump like him!

 
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