I haven't used the newly redesigned Duragesic patches, but was waiting for some feedback on how they work. I have never had a problem with my Mylan patches. I didnt' notice any difference in the older Duragesic patches vs Mylan. I've used pretty much all of the different brands and haven't noticed any appriciable differences in how I feel. I got relief with all of them, reguardless of the maker. The only issue I ever had was them sticking. That's just me tho. Im sure others will have different experiences...Ray
htmom, My insurance does cover the Duragesics. The Duragesics are twice the cost of the Mylans. The original patches with the resevoir worked great for me. I have been on all of them and the matrix ones w/o the reservoir (ie, Mylan) just never did work for me. They would not give much relief the first day and practically none the 2nd day.
Once Duragesic changed their delivery system and design of their patch, I got the same feeling as the Mylan's...Tremors and slight relief on the first day, and Shakes and lots of pain on the second day.
All I can say, for ME, the non-resevoir pathes just don't seem to have as much med in them to give me a steady-state delivery of fentanyl. The Mylans never did. Then, the Duragesics that use to work Very well for me when they had a resevior stopped working when they made them like the mylans.
Maybe they just can't put enough med in the adhesive to deliver a steady-state rate of med over two days, OR, they just don't work for ME.
When I returned them to the Pharmacist, She asked if I could bring in one of the used NEW Duragesics(now w/o the resevoir) so she could look at it. When I showed it to her, she said..."Where is the medicine?". I was shaking so bad that she gave me the Sandoz patches in exchange and had me put one on there in the back room.
I guess we all react differently to them.
Ray, If you like the Mylan brand. Give the New Duragesics a try. They look just like the Mylan's now! As far as them sticking as well as the Mylans, they did seem to stick better but I just had them on for a day and a half, so I can't give you too much feed back on that part. But, they did seem to stick better...MORE GLUE!
Besides. If you are using they Duragesic brand...if they don't stick, the company will send you the covers to hold them on for free!
You know what's funny is that a few people have told me now that the company will send you something to help the patches stick. I called the company and they said they don't do that. Weird huh. The only reason I ever used the name brand was the pharmacy had run out of generics (Mylan) and the had to give me Duragesic. I have tried everything under the sun to help the little buggers stick and I think I have it down now. This is what I do. First, wash the area with soap and water. I know the package says not to use soap, but if you rinse it off good, there isn't a problem. You have to use plain soap, nothing with moisturizer in it, because you want to remove the oil from your skin. Then use an alcohol prep or some rubbing alcohol on a gauze pad or paper towel...whatever you have handy. Clean the area well and LET IT DRY COMPLETLY. Again I know the package says not to use anything, but they mean dont wet your arm with alcohol and then try to stick the patch on the wet area. That's why letting it dry completly is important. The object is to remove all the oil from your skin. Then after everything is nice and dry and clean apply your patch and apply even pressure for at least 1 minute. I use a hair dryer to heat it up a little so make the adhesive more tacky (again, the package says not to expose the patch to EXTENDED periods of heat), but the 30 seconds or so that you're blow drying it wont' hurt. After you've applied heat, press again HARD with the palm of your hand making sure that the edges of the patch are stuck. Then all I use to cover it is Nexcare Comfort fabric bandaids. They are the medium size, 2" X 3", about the size of a credit card. They are cheap..Way cheaper than Tegederm and they work much better. You have to be careful and apply the bandage and make sure it covers the entire patch and that the edges of the bandaid extend beyond the edges of the patch. Then when you want to take a shower or bath you can use a tegaderm to cover the bandage and it won't get wet and fall off. Since I've started doing this I have not had a patch come off, or even the bandaid come off. I change my patch every 2 days so that helps too. That third day was a beach, besides it wanting to come off, I had slight withdrawals all day. I guess my body metabolizes fent faster. If you have problems with the third day like alot of people do, you can ask your doc to change to q48 hrs change instead of 3 days. That will give you 5 more patches a month. That made all the difference in the world for me. Also if you have problems with that gunk sticking on your arm after you remove the patch and bandaids, there is a product called Detachol. It's like a solvent, but its made for people to use to remove adhesives from the skin. It isn't safe to use any other solvent on your skin like lighter fluid or fingernail polish remover or paint thinner...etc...It's a little on the expensive side, but one bottle will last forever and it is safe to use on your skin. You just have to make sure you wash the area well with soap and water afterwards....Ray
Brilliant lesson on the Mylan patches Ray, Bravo!
Frankly, I just got tired of messing with all that junk to try and make them stick, and got tired of being halfway in withdrawal because the patch was on my skin, just not stuck on my skin. It was almost to the point where I was going to ask to be switched to something else, but I didn't really want to because the fentanyl works so much better than the other opiates I've tried. I believe That's why I believe I failed that drug test when I first started using them. It wasnt sticking well to my arm and the medicine wasnt going in. It was in my system, just below the cut off level for the test. What's the point in using something (and paying for it) and having it not work. Doing what I do now made all the difference in the world. Now I practically have to pry the thing off my arm!!!...Ray
Thanks! That was all great info. Your're right about the patches only lasting two days. Most all people I know have to change them every two days. I, like you, am a fast metabolizer and none of my meds last as long as they say they are suppose to.
Your system sure will cut down the cost of the Tegaderm patches as they are expensive when used with two patches every two days.
As far as the covers for the Duragesics patches, I can PM you the phone number for the program that sends the covers. They are just like the Tegaderm covers, but better and free, if you use the Duragesic brands. You have to give them the NDC code off the box, the date you bought them, pharmacy and doctor name. Then, when you need more you just send in a return form with the cover off of one of the Duragesic boxes with the label on it. I have been getting them up till a few months ago when I switched to the Sandoz. Oh, they will ask you some questions such as: have you folllowed the directions, have you tried using tape, etc. You'll have to tell a small fib and tell them you have tried all of those things and they still don't stay on. The name of the covers are called Bioclusive Dressings (Covers) and they are made by Johnson and Johnson.
Hope they still have the program. They should. They send you enough to use for each application, which I've found that by using them, it makes them stick real good and I can feel the improved effect from the patches. You get all the med since they are constantly secure to your body, like when you use your method. Only it's alot simpler!
I've used the Watson's and the adhesive made me itch after I took them off. I went to CVS, and they carried the Mylan's, which stick better and don't have the reservior, and aren't as itchy. When I take off a patch after 48 hours, I wash the area with soap and water, dry it, then use some cortizone cream my doc gave me. They don't really itch while I wear them.
I just went back on fentanyl after rotating to morphine for awhile, and I use tegaderm over the patches, to keep them on. Otherwise, they tend to get water under them in the shower, or my clothes rub them loose on the edges. The Mylan's are small enough that I can use one on different parts of my upper arm. I switch arms every time I change the patch, but it's nice that they're so small. I get 100 tegaderm patches on ebay for about $22.00, and they work well.
I was kind of leary about getting back on the patch because I've been going through hot flashes for the last few months but so far, so good.
Hi this is my first time being on here and i am exstatic that there are other people out there who dont believe the matrix patches work half as well as the resevoirs. My doctors,pharmacists and family have all been telling me i"m crazy! i have always used the mylan brand and then one day they were out so they gave me the sandoz kind and i was like whoa! what is this pain relief stuff! now, so i asked the pharmacy to always give me sandoz and they did but now the sandoz that i received(75 mcg.) isnt a resevoir kind! i was taking 50mcg and the doc bumped me up last week so needless to say, again i am in severe pain and have to tell the doctor that i am once again disantisfied.I shouldnt feel guilty but i"m sure u know how it is when they start treating you as if your bothering them.So i was wondering if you had any advice? where do you get your resevoir patches at? does sandoz maybe just make them in the 25's and 50's? Is it true that the brand name duragesic's are no longer using this design either. If i knew who made them and wher to get them i'm sure I could talk to my neighborhood pharmacist and work something out. I thought oh well,I'll just pay a cpl. more bucks n just get the name brand but if they dont work either, im at a severe loss, it has been the only thing to come close. So sorry for writing a book but do you or does anyone else know who makes the 75's in a resevoir style, or maybe even the 25's,it would x*#& but i could maybe do 3 of the 25's or one 50 and 0ne 25, as long as they worked. Is there an oral fentanyl that would be equivelent to the patch. someone told me there are lollli pops? Thank you for any help you might be able to offer. I want to be well educated the next time i see my doctor so he doesnt think i am a complete wacko! Sometimes they don't understand that the pain will infact drive you crazy!k, again thanks, --rachel(i dont know where in the country you are located however i live in the denver metro area if anyone knows a good pharmacy,doctor, etc. i have a pretty good doctor, but am always looking to improve the quality of my life!) Can they maybe be ordered from canada, ive never gone that route so i dont know the specifics, im sure my insurance probably would have a problem with it but i can use any of the name brand pharmacies, walgreens, riteaids,grocerystores,mom n pops, etc.
If it works and doesn't cause skin irritation, go for it!
As of current, Walgreens is stocking the Watson's which are still reservoir. I have to get my patches at Walgreens since my regular pharmacy only stocks Mylan and the pharmacist has now power to order anything else. At this pharmacy, corporate decides who has the best quality for the cheapest price and all stores get which ever manufacturer they chose with the exception of Brand Names. I am sad to hear about Sandoz, I found them to be excellent. Im getting scared that the pharmacist was right when he said he heard that all manufacturers will be switching to the adhesive matrix.