Difference in Fentanyl patches

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Veteran Member

Date Joined Jun 2007
Total Posts : 702
   Posted 8/28/2010 7:36 PM (GMT -6)   
Hi everyone. Sorry I havent been around but I hope this message finds you alll well and pain free!
I have been doing "ok" managing with what I have.
My question is this:
I usually get the
 patches that do not have the fel in them. But My pharmcy gave me 2 manufacturers and now I just put on the gel one.
Is there any difference in how they work?

Veteran Member

Date Joined Jul 2008
Total Posts : 2317
   Posted 8/28/2010 9:43 PM (GMT -6)   
I didn't notice a difference. I think the main thing is that the one is harder to abuse.
However, like any generics, there can be differences from one to another -- or even with the same generic manufacturer from one batch to another (though that's less common).

Your pharmacist should be able to give your more info if you ask.

Veteran Member

Date Joined May 2010
Total Posts : 594
   Posted 8/28/2010 9:51 PM (GMT -6)   
I am not familiar with them myself.....however, I know when my sister had the gel ones and was running a fever it released the gel to quickly! Made her sick and the patch only lasted one day instead of 3! Anyway.....that is all I know about them!

Take care,
Spinal Stenosis L3/L4, L4/L5 & L5/S1 with Nerve Impingement, Fibromyalgia, TMJ, GERD, Severe Depression, VERY Large Cyst Right Ovary causing mild twisting, Small Cysts Left Ovary & 3 Large Cysts Uterus and Possible RA

Medications - MS-Contin, Cymbalta, Famotidine and currently Prednisone

Monty's Mom
Veteran Member

Date Joined Aug 2010
Total Posts : 664
   Posted 8/30/2010 12:24 AM (GMT -6)   
I don't notice a difference, but my pharmacist said to be careful about becoming overheated or running a fever. As in no hot tubs, hot baths, or strenuous activites that would cause a significant rise in body temperature because it could release the medication quickly. Which is what Beckay just said as well. I would call your pharmacist and see if they have any information for you.

Good luck!
The worst sin towards our fellow creatures is not to hate them, but to be indifferent to them. That's the essence of inhumanity. George Bernard Shaw

Pelvic adhesive disease, Irritable bowel syndrome, SI joint pain, 7 pelvic surgeries for pain, ovarian cysts, adhesions, and a kidney stone! Wait, future medial transcriptionist I must say ureteral calculus!

New Member

Date Joined Jul 2010
Total Posts : 7
   Posted 8/30/2010 8:28 AM (GMT -6)   
Obviously the 'gel pack patches' are larger than the 'non-gel version'. This makes it easier for the gel-packs to slip and fall off. Given the size difference, I was also prone to develop rashes under the larger patches.

Veteran Member

Date Joined Jun 2007
Total Posts : 702
   Posted 9/2/2010 9:00 PM (GMT -6)   
I didnt notice a difference at all. Thanks for the info
Chronic Lyme Disease,Fibromyalgia, CFS, PCOS, sleep apnea, hypothyroidism, type 2 diabetes, bulging discs to name a few

Regular Member

Date Joined Aug 2010
Total Posts : 26
   Posted 9/4/2010 8:53 PM (GMT -6)   
The patches may look different, but do the same thing. the reason one has no fentynol showing is some crazy people actually open the pouch and ingest the fentynol
therefore they have come up with the other. I like the smaller patch as you never have to worry about them tearing giving you a massive amount in your system, maybe the people who ingest it like that kind of high but I don't even like getting drunk. I hope this answers your question

Veteran Member

Date Joined Sep 2008
Total Posts : 1670
   Posted 9/5/2010 6:52 PM (GMT -6)   
Hi Merry, I've tried two different patches, the durogesic ones that release fentenyl kept falling off me, so I'd have to use strapping tape over the top of them to keep them on, now I'm on the Norspan which release buprenorphine. I like these patches they last a week instead of 3 days, every 3 days was a pain to remember when to change them all the time. Weekly is good. Also they have a stronger adhesive so they don't peel off as easily but I do get a small rash from them.
Effects wise I haven't noticed much difference, they both seem to take a while to fully build up in your system but once you're there it takes out my background pain. I still need BT meds but feel much happier on these than the tramadol I'd been on.
Hope that helps, not sure which patch you're on? O r given he choice of? Best wishes, golitho

Veteran Member

Date Joined Jun 2007
Total Posts : 702
   Posted 9/7/2010 5:28 PM (GMT -6)   
Thanks for the info everyone.
I am on fentanyl patches.
The one with the gel seems to last longer. But other than pain control it is teh same as the non gel ones.
I guess I was hoping that the gel ones would be so much better as my pain levels are still kinda high (7) for having these and BT meds. I am just afraid to rick the boat and tell my pm docs.
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