Buprenorphine 5mg Patch Question

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Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/12/2011 2:36 PM (GMT -6)   
Hello,
 
I am new to this forum and have a question about the Butrans/Buprenorphine Patch. 
 
I am to start the Butrans Patch soon and am concerned.
 
I get really hot at night and sweat a great deal as of lately and am wondering if the patch is going to make me really sick?  My pain doctor said not to worry, but I think he's playing it down a lot, especially from all of the post I have been seeing about the patch and heat, and I am also worried about over dose from this as well.
 
Kind of afraid to take it.
 
 
 
Also, I'd like to hear any good experiences with the patch as well if anyone has any. 
 
 
 
 
Any thoughts?
 
 
 
 
(Ulitmately I guess I wont know until I try sadly....)  :/
 
Thank you,
Tink

momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2261
   Posted 9/12/2011 4:21 PM (GMT -6)   
Hi Tink Welcome to our chronic pain forum. There are a lot of caring and supportive members here.

As far as the patch goes, I'm not on the Butrans patch, but I am on the Fentanyl patch. I have feared the same thing, but so far I have been ok. I do use a patch called Tegaderm to keep it on, as it doesn't want to stay on very well. I purchase the Tegaderm at Walgreens or you can order them on Ebay.

I wish you good luck with getting pain management from the patches.

hugs
loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 9/12/2011 5:36 PM (GMT -6)   
hi there. i have had the same concern living in AZ...right now i'm taking oxycodone for the pain from my crohn's disease. we're trying to find something that works a bit better. the doc said to wait a month or so before giving the patch a try due to the sweating issue. he said he has a lot of patients who stop the patch during the summer out here and switch to solely taking meds by pill etc. then once it cools off a bit they go back on the patch. personally i can't offer any insight but thought this info from the pain mgmt doc in hot as heck AZ might be some good info for you.
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/12/2011 6:18 PM (GMT -6)   
Hello,

Thank you so much, both of you, for responding. I will just have to see how it goes and am hoping for the best!

I have Interstitial Cystitis or Painful Bladder Syndrome, and am switching from one medication that has gone sideways to the Butrans Patch as my bladder pain becomes a 10 when not on anything to help with the pain. I am super scared as I haven't had to switch medications since being diagnosed, and bladder pain is unique to each person. What pain med works for one, may not work for another sadly. It is such a obscure disease. I just hope the patch works.

I will get the Tagaderm patches today, thank you for the info Loretta, very good to know. :)

mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 9/12/2011 7:21 PM (GMT -6)   
good luck- i hope you find something that works...i'm in the same boat with switching meds...once i find something that works to some extent and doesn't mess with the rest of my personal pharmacy i tend to stick with it even if there ight be better options...
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/12/2011 8:33 PM (GMT -6)   
Thank you, me too.
 
Good luck with your meds as well.  I understand about the personal pharmacy heh.  Didn't used to be like this once upon a time.  It's definately a bummer.  :/

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 9/12/2011 8:46 PM (GMT -6)   
See Tink, I though you'd get better responses for your question here...
many well wishes to you, hun...
and keep us posted on how your doing.
**********************************************
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
********>^..^<********>^..^<*******

Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/12/2011 9:25 PM (GMT -6)   
Thank you for your help, I really appreciate it.  :)
 
I will keep you posted.

Post Edited (Tink22) : 9/13/2011 12:22:22 AM (GMT-6)


vveach
New Member


Date Joined Sep 2011
Total Posts : 3
   Posted 9/13/2011 1:40 AM (GMT -6)   

Hey Tink,

Im glad that i have a chance to share some experience here.  Firstly, i would like to share my injury with you.  I ruptured a disc 8 years ago.  Today i have scar tissue attached to my spinal cord and sever disc deterioration in my lumbar region.  I suffer from 8-10 scale pain everyday and work 10 hour shifts at my job as a manager to support my family.  All this at age 27.

I have tried numerous diffferent painkillers from 8mg Dilaudid every 2-4 hrs, to 8mg Oxycodone every 4-6 hrs.  Everything i tried did not give me much reliefe to get my pain in a managable state so i could function to support my family.  My Dr. then talked to me about BuTrans and we decided to give it a shot.  I started BuTrans in December of 2010.  I was prescribed 5mcg/hr for the first 2 weeks, while still taking Dilaudid (8mg) every 2 hours for these 2 weeks.  After the 2 weeks, i was then moved to the 10mcg/hr patch, at this point i noticed that my Dilaudid intake wwas down to 8mg every 4-6 hours.  By 6 weeks, i was off of the Dilaudid and solely working with BuTrans.  I am now on 20mcg/hr and have been doing very well. 

At the beginning of my program with Buprenorphine, I too, was very worried about side effects and more importantly, the effectiveness of this drug.  To this day, I have not experienced any side effects except slight drowsiness in hot weather, and application site skin irritation.  BuTrans has been a huge benifit for me in managing my pain.  It has enabled me to function to my expectations at work and home.  I can enjoy life with my 2 year old son.  Its amazing.

I urge you to give this a chance and i am interested to see how it goes for you.

 

Good luck!


Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/13/2011 3:02 AM (GMT -6)   
Thank you so much for your response!
 
I am super scared I have never had to take pain medication before
and seeing all of the horrible side effects from heat, it not lasting the
full 7 days, skin rashes and blistering, and it falling off, just scares the
heck out of me.  It just seems like so much maintenance and stuff you
have to do just to keep the darn thing on and working properly.  :?
I am new to all of this pain medication stuff, and I am
frightened.  :(
 
Has the skin site irritation been tolerable? And does the site irritation subside
when you move the patch to it's new location for the next week?
 
May I ask, what mcg you are on, I will be starting on the 5mcg.   I am tiny, I
weigh only 110 lbs, I wonder if this will be a big issue.  How much do you weigh
if I may ask.  I wonder if weight will have anything to do with how it effects me.
 
Thanks for the wonderful information and good news.  I was starting to wonder
if I should not take it.
 
Tink

vveach
New Member


Date Joined Sep 2011
Total Posts : 3
   Posted 9/13/2011 12:26 PM (GMT -6)   
Tink,
 
I am currently on 20mcg/hr.  I too started with the 5mcg/hr and moved up.  Like i said before, the side effects fro BuTrans have been considerably lower than other pain medications i have tried.  Probably the best.  As far as side effects from heat, i wear my patch when im out in the sun, in the hot tub etc.  I personaly dont notice a difference or any side effects.  I feel a bit lazy but thats probably it.  As far as skin irritation goes, it is very minimal.  I get application site redness and its a bit itchy.  Within 4 days after removal, it is back to normal. I rotate the patch to 4 different sites, each shoulder and each leg at the front of my quads. 
 
I have learned a couple tips to help keep the patch on and not fall off.  At $75/patch here in Canada, you definitely dont want them falling off.  Make sure the site is hair free.  I use my hair clippers to cut the hair short, dont shave as per instructions.  I also use Tegaderm over my patch which helps keep it on for the whole week.  I used to find that my patch was falling off after 3 days.  I went to the drug store and purchased waterproof medical tape, but it didnt work at all.  Try the tegaderm, it helps.  Also, put the patch in an area where you dont sweat as much and also in a spot where it is not going to be rubbed a lot.
 
I hope this helps, please feel free to ask any more questions.  I do urge you to give this a try.  The closest i ever was to managable pain was taking 40mg of oxycontin every 4 hours and it didnt work as well as my BuTrans does and i have absolutely NO SIDE EFFECTS.  It has been truly wonderful to be on BuTrans.
 
Good Luck!

Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 9/13/2011 1:09 PM (GMT -6)   
Thank you so much for the information. Good to know all of these things, and some positive feedback. :)

I will let everyone know how I'm doing on it.
DX: Interstitial Cystitis or Painful Bladder Syndrome - 2005

momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2261
   Posted 9/13/2011 5:20 PM (GMT -6)   
Your welcome Tink. Good luck. I would definitely put it where you won't rub it off. I wear my patch on my upper arm, switching back and forth. Let us know how you're doing when you get a chance.

hugs
Loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Tink22
New Member


Date Joined Sep 2011
Total Posts : 10
   Posted 10/10/2011 10:12 PM (GMT -6)   
Hi everyone,
 
Well, the patch isn't working well for me sadly.  :(
 
I have been on it a month and it is causing all kinds of problems.
 
It is making me anxious and causing insomnia.  I also itch from head to toe, and my face
has gotten so dry that it is flakey, red and burns.
 
I am super bummed, as it is working really well for the pain.
 
I am to try Tramadol next, I hope I have better luck on it.
 
 
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