Question about fentanyl

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Bones And Dones
New Member

Date Joined Feb 2009
Total Posts : 15
   Posted 7/12/2009 6:14 PM (GMT -6)   
I just started using the 100 mcg/hour fentanyl patches.  I can never get them on perfect.(They always seem to not want to not lay completlly flat against my skin) I've had problems getting them to stick.  Is it just me or does this happen to anyone else.  Any suggestions?  Also, will this effect it's delivery into my skin.  Most of the patch is flat against my chest.  But, theres always a place that wants to stick up a litte.  Your help would be greatlly appreciated.
Thanks for your time.

Regular Member

Date Joined Apr 2008
Total Posts : 254
   Posted 7/12/2009 6:28 PM (GMT -6)   

I have been using the patches for years.  There are two different kinds.  Do you have the ones that are more oblong and can actually see the gel inside?  Or do you have the more square ones that just look much like a piece of tape?  Either one I put on my upper arm and have had good "stickiness".  Never try to put one if area has been cleaned with alcohol without thoroughly rewiping it with clean water.  Also, hold the patch  (where ever you put it) in place for at least 30secs - 1min.  

Hope this is of some help.  Good luck!

Do not forget to entertain strangers for by so doing some have unwittingly entertained angels.  (Hebrews 13:2)

Veteran Member

Date Joined Mar 2008
Total Posts : 3089
   Posted 7/12/2009 6:36 PM (GMT -6)   
Hi Bones,

I was on fentanyl patches for a couple of months & I did not have much trouble getting them to stick. I know that this is a common problem, but I never had any major difficulties. I used the generic brand from Watson. There was always a little "tab" on the end of the patch that did not stick, so that you could easily pull the patch off -- I don't know if this is what you are referring to? I used to wear them on my chest & on the side of my torso, although mainly on my side. I tried to place them such that they wouldn't be too effected by the movement of my body. If I held them down for ~30 sec, then the were usually good to go for the 3 days. If I ever had problems, it would be because I placed the patch near a piece of clothing that would rub. Then, sometimes, the corners/edges would start to peel off. If that happened, I'd just tape them down with cloth bandaging tape (just be sure not to cover the patch with non-clear tape, as this can affect the rate of absorption of the meds). If you are having a lot of trouble, you should ask your pharmacist about a protective covering that you can put over the patch. There is a type of clear surgical dressing that can be used. I don't remember the name, because I never had to use it, but maybe someone else can tell you...

Best of luck!


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Date Joined Jul 2009
Total Posts : 2042
   Posted 7/12/2009 6:51 PM (GMT -6)   
I used them for about a week after some surgery I had last year and what I found was that they would stick a lot better if the skin was freshly washed and completely dry. I have a tendency to oily skin anyway and I would actually use DAWN dish soap to clean my upper arm and then really, really rinse the area with water. I would then towel dry and then stand in front of a fan or have my wife use a hair drier on cool to completely dry the area before having her apply the patch.

I would have done all this myself but my surgery was for carpal tunnel and ulnar nerve transposition so I was w/o use of one arm and hand for several weeks.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

Bones And Dones
New Member

Date Joined Feb 2009
Total Posts : 15
   Posted 7/12/2009 7:58 PM (GMT -6)   
Thanks for your responses. I taped the one i have on now. Just down the sides and across the top. Seems to be fine. I'll try the apply after cleaning method on my next one. By the way they are the ones with the gel in them, made by Watson. Thanks again.

Forum Moderator

Date Joined Feb 2003
Total Posts : 16603
   Posted 7/13/2009 3:57 AM (GMT -6)   
I used TegaDerm patches while on Fentanyl. I got the pharmacy to order them. I feel certain you could get them at a medical supply place as well. Its a very thin clear sheet, same thing used when they put an IV in your hand at the hospital. It sticks very well. This was the only way I could keep mine on.
Moderator Chronic Pain
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Swveral other health issues just not enough roo to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.

Veteran Member

Date Joined Jun 2005
Total Posts : 610
   Posted 7/13/2009 5:37 AM (GMT -6)   
My doctor use to give me rolls of that clear tape that they use in ERs that rips really easily, and that use to stick really well for me. But also, as a female, I would put it on my sides under my armpit so that my bra strap covered it and kinda held it on too, plus it was hidden, cause nothing was more embarrassing then having people seeing it. And also cause I live in a town full of addicts, I was scared of them seeing it and following me and knocking me out and taking my meds, it's happened before so one can never be too careful. So make sure where ever you place it, it's in a spot where nobody can see. And if you feel like it's not sticking, talk to your doctor, they can recommend diffrent things, and may even have diffrent tape you can try like my doctor did. Also I heard that some of the patch makers have special patches you can place over them, but you have to call them and give them a number off the box the patches came in, but some companies dont offer this, I know mylan doesnt. I beleive their's 3 diffrent generics and one name brand patches out their, and they're all diffrent, and some people prefer one over the other.


Chronic Pain Moderator

Dx-Gallstones at age 14 that caused Fibromyalgia in 1998. Chronic Pancreatitis at age 15 from Pancreatic Divisum. Fell down cement basement stairs on my bottom in 2001. Got severe migraines after the epidural from my 2nd childbirth in 2002. Was rear-ended by a lady doing 55mph in 2004 then 2 months later rolled my car down a hill and did even more damage to my back. Depression caused by having chronic pain. Asthma from allergies.

meds- Suboxone for pain, Cymbalta for pain and depression, Lyrica for pain and migraines, Imitrex for migraines, Ibprofen for migraines, Ventolin Albuterol inhaler for asthma. Phenergan for nausea, Seroquel for sleep.

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Date Joined Dec 2007
Total Posts : 1235
   Posted 7/13/2009 8:18 AM (GMT -6)   

I use tegaderm bioclusive dressings ( it's the stuff they use to cover IV sites in the hospital). You can buy it at any medical supply house or some pharmacies carry them as well. I buy mine off ebay in large lots of 50 or 100 covers at a time, to save a lot of money. I use the 10 cm x 12 cm ( 4 inches x 4 3/4 inches) for the 100 mcg patches and the smaller ones for the 25 mcg patches. The 4 inch ones are 1626W is the id number for the ones by 3 M that I use.

I know that nexcare also makes one , those you can usually find in any pharmacy in the dressings section, but they can get expensive, something like 12- 14.00 for 5 of I use ebay as I said instead, much cheaper.


There is also something called opsite that you can buy in medical supply places but it can be a bit awkward to use. You can cut to the sizes that you need, but you have to have two hands available to remove the backing and put it in place and then peel the backing off.



PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
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Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
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