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Old 08-09-2006, 08:22 PM   #1
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daylilyfan HB User
Red face skin sensitivity to fentanyl patchs, questions

I have a doctor appointment tomorrow and thought someone here might answer a couple questions for me....

I get the name brand now, because of exteme sensitivity to the adhesive on the mylan brand after the second day. I have the sensitivity to the name brand too... but the adhesieve is only on the very outside of the patch, so I tolerate it a bit better. But I have an awful time with them sticking.. I end up putting big bandaids on over them.. then I get sensitivity from the bandaids...which is actually worse than using the mylan brand. I plan on asking the doctor to just write for the generics tomorrow. Someone on the other board suggested I ask my doctor to prescribe for me to change every 48 hours so I can change the spot I put them, and also something about putting Flonase nasal spray on first to cut the skin reaction? Anyone else have this and have any ideas for me?

I have been going a year now without pain meds for the RSD - then I got botox shots trying to release some frozen muscles from it... and I had a terrible reaction..therefore the use of patches now. What relief! I have slept for more than 2 hours straight for the first time since last August. Why didn't I go for this sooner?

Thanks so much...
Jules

Last edited by Administrator; 08-09-2006 at 11:20 PM.

 
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Old 08-10-2006, 12:33 AM   #2
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Re: skin sensitivity to fentanyl patchs, questions

Have you tried using paper tape to hold the patches down? I am allergic to regular tape, but can use that.
Sunny

 
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Old 08-10-2006, 12:48 AM   #3
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Re: skin sensitivity to fentanyl patchs, questions

Hi! Sorry to hear that you are having such a challenge. Is there a reason that you chose to go with patch instead of a different long acting med? Paper tape was a great suggestion, or surgical tape. Good luck

 
Old 08-10-2006, 05:38 AM   #4
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Re: skin sensitivity to fentanyl patchs, questions

Hi Lady alaska, Silicone adhesives are tough on many people and the mylan patch has several lyers as you mentioned. Paper tape is a good idea for added strength without more silicone but yes I have heard of spraying the area that patch is going to be aplied with a steroidal nasal spray. It's supposed to reduce the ititation and inflamation. I've heard it works very well. Reaction to the adhesive is atually a reason to DC the patch so you really need to let your doc take a look and see if it's irritation or allergy. Hopefully he's familiar with the steroidal spray method because it does work from what I hear.
Good luck, Dave

 
Old 08-10-2006, 04:54 PM   #5
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daylilyfan HB User
Re: skin sensitivity to fentanyl patchs, questions

Well, my doctor was uncomfortable with the flonase idea. She had never heard of it. She also didn't want to go to 48hr. switching... so we will try the mylan brand again... even though I had problems with it too. It's smaller, so I can use smaller bandaids to hold it on. I've had problems with paper tape too. My skin has always been SO sensitive, that I have been unable to wear makeup etc. for my adult life, and at 48, still get acne if I use any moisturizers etc.

Thank heavens I am ok with the lidoderm patches. Who knows why I can use those and not other adhesives. LOL.

I've been fighting the idea of any opioid or narcotic for my RSD - but the patch had worked for me in the past for a severe back injury. So I am familiar with it and other than the skin issue, have not had any issues with it except I've not been on one this strong before, so am dealing with some drowsiness and upset stomach, but she says this should go away with time.

I'd love to try the Sandoze brand but no pharmacy will order it. It seems that the cost is more to the pharmacy than the mylan, and the pharmacy is only paid "X" dollars from the insurance for a generic... so they would have to eat the difference, and the sandoze is more than the mylan. Just curious if the Sandoze would make me itch like the dickens too.

I've covered mine with some stuff that I think is called nexaderm? a thin, clear, really sticky wound covering, something like a second skin.. you can get over the counter, but if you don't get it on perfect the first time, your sunk. It's made by 3-M I think. It works great, makes it waterproof, doesn't break me out, but like I say, if a corner flips over on it, its ruined, and if it flips over on the patch, it's stuck.

Thanks for your help!

Jules

 
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