I have been on the fentynl patch for several years. I use a 25 and a 12.5. For some reason I can not go up to the 50, it just hits me to hard after about 18 hours. If I could work thru the side effects of the next dosage I may have much better pain relief, but with work and little ones around I cant do that. The dr has recomended it many times but it just never worked.
I also have issues in summer with the patch. For one thing they have a hard time sticking if you are real sweaty. I use tegaderm over them to keep them in place. I can say that when I was in Florida I had problems with feeling a bit woosy, as well as last week when we had a couple days 95-100 degrees, that is definetely something to keep in mind. When I had my hot tub, I would only go in the night that I took off my patch and then put a new one on afterwards. That way my skin had a low amount on it and no patch that could release extra due to the heat. It does take some planning,lol.
Certain "brands" give me blisters too, I wish my pharmacy would stick to one type. I do find also that by day 3 I am feeling some significant increases in pain. The doctor can prescibe these for every 2 days as well, which I did for about a year, I needed insurance approval for this. I do find that the only area I can wear them is on my upper arms, which my doctor says is OK, but the info says anterior chest wall (I think).
I am also heavily affected by oral meds and this was such a great option. I dont feel any goofy effects on an average day, but I take a fairly low dose. I really do like the patches even with the issues.
I wish you luck
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.