Generic Name : FENTANYL SKIN PATCHES
Pronunciation : (fen' ta nil)
Trade Name(s) :
Why it is prescribed: Fentanyl is used to manage the chronic
pain of cancer and other conditions. It also has been used to
relieve pain after surgery.
When it is to be taken: Fentanyl skin patches are applied
once every three days. Follow the instructions on your prescription
label carefully.
How it should be taken:
Fentanyl patches are applied to the skin. Follow the instructions
provided and these steps:
1. Select a clean, dry areas of skin on your front or back, above
the waist. Do not apply the patch to oily, broken, burned, cut,
or irritated skin. To clean the skin area, use only clear water-no
soap or alcohol. If the areas are hairy, clip this hair with a
scissors but do not shave it. Be sure that the area is completely
dry before applying the patch.
2. Remove the skin patch from its protective pouch and peel off
the protective strip, exposing the adhesive surface. Try not to
touch the sticky side.
3. Immediately place the adhesive side against the skin.
4. Press the patch firmly, for about 10 to 20 seconds, with the
palm of your hand. Be sure that the edges adhere to your skin.
5. Wash your hands promptly.
Apply each patch to a different skin area to avoid irritation.
If a patch accidentally comes off or if the skin under the patch
becomes irritated, remove the patch and replace it with a new
one in a different area. Be sure that this new skin area is clean
and dry. Do not remove a skin patch from its protective pouch
or remove the protective backing until just before applying it.
Do not use a patch if the pouch or backing has been broken or
damaged. Dispose of all used patches immediately. Fold each patch
in half with the sticky sides together and flush it down the toilet.
Special Instruction :
1. Do not apply fentanly more often or for a longer period than
as directed without consulting your doctor. If you continue to
have pain, contact your doctor. Your doctor may change your dose
from time to time to control your pain properly.
2. This drug may decrease mental alertness. Do not drive a car
or operate dangerous machinery until you know how it affects you.
3. Alcoholic beverages and fentanyl can affect each other, causing
unpleasant side effects.
4. Fentanyl comes in a sealed system containing a gel. If any
gel in the skin patch accidentally contacts your hands or body,
wash the area immediately with large amounts of water. Do not
use soap, alcohol, or other solvents.
5. You may bathe or swim while wearing a fentanyl skin patch.
Side Effects :
1. Skin redness, irritation, or itching. Use a different site
for each patch. If these effects are severe or persist for more
than a day, contact your doctor.
2. Drowsiness, dizziness. Lie down for a while. If these effects
persist, contact your doctor.
3. Headache, chest pain, confusion, nervousness, sweating, constipation,
nausea, vomiting, difficulty urinating. Contact your doctor.
4. Difficulty breathing. Call your doctor immediately or take
to hospital emergency department.
Other Precautions :
1. If you are allergic to fentanyl or any other medication or
to adhesives, tell your doctor before you apply a fentanyl skin
patch.
2. Tell your doctor what prescription and nonprescription drugs
you are taking, particularly monoaminooxidase inhibitors phenelzine,
isocarboxazid, and tranylcypromine, even if you stopped taking
them in the last two weeks.
3. Do not take pain relievers, sleeping pills, tranquilizers,
antidepressants, sedatives, or any other medications within 24
hours after using fentanyl skin patches unless your doctor tells
you to do so.
4. If you develop a fever while using fentanyl, notify your doctor.
Your dose may need to be adjusted while you have the fever.
5. Tell your doctor if you have a history of heart, kidney, or
liver disease; asthma or difficulty breathing; or drug or alcohol
abuse.
6. Women who are pregnant or may become pregnant should inform
their doctors before using fentanyl.
7. Do not allow anyone else to use your medication; it is against
the law.
Storage Conditions : Keep both used and unused skin patches
out of the reach of children. Store them at room temperature,
away from excess heat.