Great topic, thanks for posting.
I've never had a problem with mine from taking a shower, but I don't take super hot ones anyway. I have used a heating pad, say on my shoulders/neck when the patch is on my low back/buttock, but won't be doing that anymore. For some reason I had taken the warning in my packet to mean direct heat, like the heating pad right over the patch. But after reading that article, I did go read it again and found I was wrong....glad nothing happened. I love using my patch, I was so tired of taking so many pills during a day. I still need BT meds, but at least I'm not taking 12-15 pills (different kinds) every day. I am also bummed that if I want to sit in a hot tub I have to wait for a day that I am changing the patch, take it off, sit in hot tub, wait a few hours to "cool down" then put a new one on....but that I can deal with for the relief it offers me.
I did have a pharmacist (very uncaring one by the way) ask why I was using it (he said he asked everyone who was on pain meds why they were, it was an interest of his I guess) and when I told him it was failed back syndrome he said "oh, so you had back surgery and have pain....this is supposed to be used for cancer patients." "Do you see your doctor often." Yes, every month for a checkup and refill. "I've never seen anyone who didn't have cancer on this medication and dosage." I felt horrible, thought I was on too much meds, and began self-doubting. Then I was MAD....how dare he. I called Walgreens, the pharmacy where this butthead was, and told them I was PO'd. They said it would be dealt with. Now, either he's been fired or I've only gone on days or times when he is not working....I didn't follow up, I just asked that he be spoken with and that people are in chronic pain for different reasons, I don't have to have cancer to receive the benefit of a med that works. I got mad because I felt he was accusing me or my doctor of wrongdoing. I'm on the 50 mcg patch, and I know they go up to at least 100 mcg, so it isn't like I am on a huge dosage. I've had CP for over 7 years, my body definitely has a tolerance, so I thought I was doing good being on 50 mcg.
Sorry so long, that last part hit a nerve and brought it all back like it was yesterday!