Which Fentanyl patch manufacturer is best?

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Nancie
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Price

When I was on 75 The price before ins was $263.94. I believe they are much more expensive and that is the price my ins co paid to the pharmacy. As far a brand goes I find Mylan to be the best They stick the best and just a hint, my PM gave me Tegaderm to hold the patches in place and they are a God Send. I have PT in the pool 3 times a week and there in no way they would stay without them. They are expensive but I have gotten them from E Bay for about $1 a piece as apposed to the phar cost of $13-15 per ten.I also change mine q48hrs so they work for me, not sure how they would do for 3 days. Hope this helps. Take Care, Nan

str8tupdude rip
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I used to use Tegaderm to

I used to use Tegaderm to keep them on, and I change mine every 48 hours also, so getting them to stick isn't such a problem anymore.  I used to use the Tegaderm, but as you said they are terribly expensive.  A cheaper alternative I found was just a plain old bandaid.  Not the bandaid brand, I think it's Nexcare...Yes, it is Nexcare Comfort bandages.  They are 3 inches wide X 2 inches in height and they fit perfectly over the mylan 100mcg patches and only a little of the adhesive on the bandaid sticks to the patch so if you have to take the bandaid off for some reason it won't pull the patch off.  These work far better than the Tegaderm IMO.  I even had trouble keeping those on sometimes.  The only time I use the Tegaderm now is to cover the bandage when I get in the shower.  If you go out and buy some of the bandages make sure and get the fabric ones.  The plastic ones don't work at all.  Hope this helps...Ray

Nancie
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Thanks Ray, Will give it a

Thanks Ray, Will give it a try.Take Care, Nan

mrbrandman
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Yes Ray, for safety reasons,

Yes Ray, for safety reasons, Duragesic now uses the silicone adhesive matrix.

What I meant about the sizes is that I was told once that ONLY Mylan are size proportionate to dose, that all the others had the same size patch for all doses. That is simply untrue. Mylan is undoubtedly the smallest, but so far Watson and Sandoz both have different sizes for the different doses.

--TS--
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Ray, as mrB said, Duragesic

Ray, as mrB said, Duragesic did change their patch to the matrix and the med is mixed with the glue...just like the Mylans.

I was on the original Duragesic patch and when I picked up my next month's supply last summer, I got the new Duragesic patches that are designed like the Mylans. The next day I had tremors and and symptoms that felt like withdrawals. The 2nd day the tremors and shakes got worse. It may have been due to the Medrol Dose Pack I started that first night, but I've been on those before and never had that type of problem. I returned the rest to the pharmacy and exchanged them for the Sandoz patches and have been fine since.

Has anyone else noticed a difference in strength or effectiveness with the New Duragesic patches?

 

 

mrbrandman
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I have never had brand name

I have never had brand name Duragesic, but I do believe Sandoz is the best among the reservoir patches. They work for me 3-4 days on good days and for 2 1/2 - 3 days on bad days, where on the Mylans it was 2 days tops. They come on strong and tinker out fast. Even at that I was already feeling withdrawal on the 2nd day. The Mylans are a lot more sensitive to heat as well, I can take a hot shower with the Sandoz or even Watson without feeling the extra fentanyl being released. I do like the Mylans for size, and especially lack of reservoir, but I have to go with what is working best. Sandoz and Watson do not require any bandages or tegaderm like Mylan did, and they last longer. =(  I would prefer to be on the Mylan. My pharmacist said he heard word that they ALL might be changing over to the silicone adhesive matrix. Yikes! I don't know what I will do then. Could be just talk. He is not my regular, he is a Walgreens Pharmacist where I go just for my patches now, everything else I get from my regular pharmacy.

--TS--
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MrB, I agree with you 100%

MrB, I agree with you 100% about the Mylans vs the Sandoz and Watsons. Any of the patches that do NOT have a  reservoir seems to wear off very fast. As I mentioned above, even when the Duragesics changed to a matrix  system and it did the same as the Mylans and I felt the withdrawals and increased pain. They just don't work for me. 

I sure hope they don't change all of them or we are going to be hurting. This is the only long acting med that has worked so well for me.

Let's keep our fingers crossed!

mercurialme
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Mylan gets a 10

I see a number of people, on different discussion boards, talking about how much better the Sandoz & Watson patches are versus the Mylan.  In my experience it's been quite the opposite.  I've used all three and love the Mylan patches; I feel they work well and stay on just fine as long as they're applied to clean, lotion/oil-free skin.  As far as the Sandoz, Watson and brand name patches go, I've had nothing but problems; primarily with the adhesive.  I've found that I have some sort of "allergy" to the adhesive in those things as every time I have to use one, the thing literally eats into my skin leaving open wounds!  I mean the entire perimeter of the patch.  I had one on for less than an hour and it had already begun to eat away at my skin.  I removed it and had a significant lesion in the shape of the patch on my back.  I've tried putting these things on all different parts of my body and it's always the same thing.  Why do I continue to use them, you may ask – it's because my insurance company has decided to no longer cover Mylan brand, only the Sandoz or Watson.  Needless to say I'm entering into discussions with my insurance to see if I can get them to make an acception, but thus far, no dice.

Besides that (and that's enough), but on a pettier note, I can't stand the crinkling noise the gel-filled patches make nor the bulk of them.  All this being said, I was wondering if anyone knows whether or not there is another brand that is made like the Mylan.  I'd even read a few minutes ago (don't remember which site it was) that one of the companies make several Fentanyl patches, just under a different name.  Does anyone know if there is any truth to that claim?

Any help is greatly appreciated!  Thanks.

mrbrandman
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Fingers crossed TS.

Fingers crossed TS.

htmom
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Reservoir type

TS why want your insurance cover Mylan?  Is Mylan more expensive?  Just curious.  I prefer Mylan over Watson, Sandoz.  The reservoir type give me severe diarrhea that can't be stopped with OTC's.  I was put in the hospital because my k dropped so low. htmom