I sweat alot ,and nothing seems to work?
What works good to keep a fentanyl patch stuck on ?
Question posted by 1sickpuppy on 8 March 2013
Last updated on 17 March 2018 by ccb5776
14 Answers
ccb5776
18 March 2018
I'm new but try those Fabric Band-Aids,the bigger strips in the box,the ones that stretch,it's what I use,vertical,over patch about 4,they are like super glue
Leezza
26 April 2017
If you are using Mylan Brand, you can contact them directly and they will send your covers that you place over you Patch. They are called - Askina Derm Film Dressings (Mylan advised me NOT to use Tagaderm Dressings, so please be careful).
I contacted Mylan using this "contact form" from the website -- They called me within a few days for some basic info and a week later I had my first box of the covers, along with a form to fill out to have them sent again -- https://www.mylan.com/en/contact-mylan
It was my Pharmacist told me that they offer these for those who have trouble with some of the patches not staying on. I was using them properly (as they advise), however there are simply some 'bad' patches that do not stay on well.
These work very well and are the only product that Mylan Recommends. NOTE: If you are using a brand other than Mylan, I would call or write the company and ask what type of covers they offer. I have used some other brands in the past and were even worse, so I'm happy with Mylan, and moreso now that I have these covers.
Madyson514
29 March 2017
I've tried putting medical tape over the patch before getting in. Of course I do my best to keep the water off of it while showering. Now though in the last week the patch and tape have both come off 2x. Does anyone have any suggestions??? I truly hope so.
nanavirginnia
2 Oct 2016
This is about keeping fentanyl patches on. I notice that these posts are not new ones but just came across this site. Bet y'all have never heard of what I use. this is a small roll on bottle that women use to keep up their lowcut undies or dresses. Got at Amazon or ebay a. few years ago thinking it would come in handy for something in the future; but never had chance to use it. I do not recall the price but it was not expensive at the time. When I started using Fentanyl patches and get the free covers from Mylan, I take it one step further: after applying fentanyl patch, BUT BEFORE applying the patch cover, we roll this around three outside edges of Fentanyl patch. (later it washes off with water ). This works very good especially since I have hot flashes and also sweat a lot. NAME IS "it stays" body adhesive, made by new horizons diversified interests. Their phone is 541-476-8782 if you can't find it online.
Also, about showering, I wrap Glad Wrap around area if possible and tuck end into it, similar to what I did when wearing a cast on broken arm a few ywars ago. Also I
have taken a couple of umbrella bags they usually have in hospital lobby and tape top if patch is on my arm.
CancerFre09
4 July 2016
How can I keep a fentyol patch on
MrsRMurphy22
4 July 2015
I haven't tried either the Tegaderm patch covers or the ones that Mylan will send you (as it's a holiday weekend I'll be calling to get some on Monday!). However I wanted to point out that hyperhidrosis (excessive sweating) is a very common side effect of fentanyl, which creates a problem for those of us who use these patches for pain control. Add to that the humidity living in Virginia and yikes! I use bandaging tape (I try to find the clear tape so that it's less noticeable) and it works very well. I put it around the sides of the patch so that the patch is not covered. I wear mine just to the right or left (alternating every other patch) of the area below the clavicle. I try to locate the least "moveable" area and place the patch lengthwise. I'm doing pretty good keeping them on there without tape but use it when necessary.
This area is also above the waterline when I bathe to keep the medication from entering my system too rapidly (potential for overdose but also makes the patch not last the full 48 hours and I'll begin having withdrawal symptoms like excessive yawning and queasiness and itching). Does anyone have any good suggestions for managing the queasy stomach that is also a side effect? How about experience with price differences - I've heard that Wal-Mart has the best price...
shaz68
27 June 2015
hi- i also had the same issue with it- if you call mylan- they will send you out akinaderm which is like tegaderm free of charge. tegaderm does not let air through so they do not want you to use them as you can get too much med that way. i also put 3m medipore dress it tape around the edges- they come in patches but i cut them into strips. this was after many many tries of different things to get them to stay on. hope this helps you. feel better :)
tvwebb509
23 April 2015
Mylan pharmaceuticals well send you one box of #10 8x6 cm "Askina Derm" overlays. Essentially they are the same thing as "Tegaderm" film, but Mylan has ONLY approved Askina Derm film dressings for their TDS. I suggest you request an additional box or what ever they well a lot you. Pay attention and plan ahead as to not run out. Here in WA ST. CHPW well not cover them and they are a bit spendy. Call 1-800-796-9526 and have the lot number ready. You can find it on the bottom of the box next to the bar code or on the back of the pouch the TDS comes in. I place mine generally on my chest, eather above or below the nipple. Clean area well but dont over do it.(after showering seems to be best) I hunch forward so my skin losens, apply the TDS starting from one edge to the other (a wave like motion) then keep it covered with my hand for 30 to 60 seconds.
After that I then sit upright and it tightens slightly, like a band aid when you apply them wrong, they just rise up off of your skin. Finally I center the overlay and apply same a TDS (wavelike) as to not trap air or wrinkle it. Do your best to stay conscience of perspiring as it will get trapped and interfere with the release of the medication, also causing the adheritance to fail. Take your time and be causitish so there is no wastage. If so secure patch safly (they may want to see that a TDS actually got ruined) and call your doctor as soon as possible. Also try not to place a new TDS in the same spot back to back, do your best to alternate sites of application. Be safe not sorry! As we know Fentanyl is an extremely strong medication. Cheers to successful pain management.
njz
30 June 2015
For the past 7 years the only place that will not sweat off is the boob area above the nipple. My doc had never had anyone put it there, but I sweat like crazy, especially through menopause. Has never come off. Mylan are the only patches that NEVER come off. You gave great ideas for keeping them on. Larger amount of adhesive on Mylan made big difference for me. I was really allergic to name brand duragesic broke out in huge blisters. Very glad to find Mylan.
nytetears
6 Dec 2016
This is a really old post but I wanted to thank you non the less. I just called them and got signed up to get the patch covers you saved me a lot of heart ache dealing with the patches falling off thank you. Sign up was easy and (pun intended) painless
Mybumhip
22 April 2015
Haven't you guys ever read the package insert? DO NOT COVER WITH TEGADERM! The only thing you can use to cover a fentanyl is Bioclusive.
tvwebb509
23 April 2015
Bioclusive is approved for Apotex TDS.
Jamie Hagler
28 Oct 2015
Thanks for all of your answers. I live in Texas plus have hot flashes. Hopefully I can find BIOCLUSUVE at any drug store??? Or do I need to order online.
jfizer11
5 Feb 2017
You must have had an extremely old product because I just received my first prescription Mallinckrodt fentanyl patches 50, MCG and it clearly states a good product to cover the patch with to keep it on is Tegaderm!!
Something changed or perhaps you misread it? I even double-checked after I read your post and sure enough it recommends Tegaderm, I looked it up carefully because my first patch came off and I'm in agony tonight and now I have to wait The Standard 12 to 18 hours! I hope it stays on tonight because I have nothing to hold it on with.
And what are we supposed to do if to comes off and our prescription only allows a month supply?? Laying in bed screaming for 6 days?
Ludacris because I use estradiol patches and I can lie in the hot tub for an hour without it coming loose.
BeYondRepair
7 Dec 2013
Hi sickpuppy - area of placement is the key here. I used to always put them on my forearm, changing sides with each new parch. I have a new one for you that I read on here (looked for it, but can't find it) The patch stays put extremely well when placed inside the upper thigh. When I read it, have to admit, thought it strange. As soon as applying, heat a wash cloth, wet or dry in microwave for about 30 seconds. Will be quite warm. When it is tolerable (just a few seconds) apply to entire patch for about 20 seconds. This seals the edges very well and I have not had a single one curl up on me. Was surprised at how well it worked - thru showers, sweat, jeans, etc. Definitely worth a try!!!
Lee720
24 April 2016
I found your post quite interesting; What brand of patches do you use? I'm wondering if this works sufficiently for the brand you use specifically, or perhaps for all duragesic patches in general (if not all, at least for the majority of them).
Lee720
24 April 2016
to be more specific, my former comment is mostly referring to the washcloth method for the purpose of sealing the sides of the patch...
Madeleinejohanna
12 Sep 2016
Be very careful with heating the patch higher than body-temp!!! Regardless of your brand, the rate of absorption is controlled by temperature (the medicine is heat released) and if you're on a high dose-or low, really-and keep the cloth on for more than a few seconds (or go hottubbing, get a high fever, or elsewise raise your temp or that of the patch itself) you can overdose, or release too much medicine in that brief period so that there will not be a sustained dose through the end of the patch's life, causing tiredness, aches, spasms, etc.
Ashleigh_1976
17 Aug 2017
The patch stays put extremely well when placed inside the upper thigh. When I read it, have to admit, thought it strange...
I bet it does! I put my patch (100 mcg - Aventis/Watson)on my upper stomach - above my belly button - and change from right side, left side, and middle. I use Smith & Nephew SKIN PREP PADS -they make tour skin stickier and more able to bond with the patch. Then I put Smith & Nephew IV-3000 (10 cm x 12 cm. I have yet to lose a patch yet
chronicpainpt
6 Dec 2013
The Mylan company will send you free covers, like Tagaderm, for as long you take the patches
thorking1
4 Dec 2013
Hi 1sick puppy, The best thing in my opinion to keep your patch from falling off is a transparent dressing called BIOCLUSIVE. It goes on without hurting your skin, protects the patch from falling off and you can even take a shower. Just be careful of very hot water showing directly on the patch. It can cause the patch to add more medicine at a faster pace. I hope this helps. You can get it at your drug store. Hope you have a good day.
Angela1227
1 April 2013
If you are using the brand Duragesic patch then you can send away for the Duragesic patch covers from the pharmaceutical company ( I think it is Jansen or J&J I don't remember) that manufactures that Duragesic brand - they are the only company that provides a patch cover - I used them for years and recently I switched brands and now use the fentanyl patch that is manufactured by Mylan Pharmaceuticals and I find that this manufacturer makes a stronger adhesive and this patch is physically smaller in size and it sticks to my skiin without needing any cover.
I used the Duragesic brand for years along with the covers and only when the pharmacy was out of stock was I forced to try a generic brand and luckily this brand has worked out for me - you can also ask your pharmacist to let you try several different brands until you find one that you like as some insurance companies will not pay for the Duragesic patches because the generic brands cost much less - I suggest that you try to generic fentanly patch manufactured by MYLAN - I use the 100 UGH patch which I change every 24 hours. Good Luck - Angela
PoisonAlice
8 March 2013
Have you ever tried Tegaderm adhesive films? They're those things that nurses cover IVs with to keep them stuck to your hand. They're clear and very very thin, and breathable but waterproof too. They can stay on up to 7 days, and they really DO stay stuck! Sometimes you can find them in the stores, but I suggest that you get them online, as you can find them for much cheaper online. I used to use them all the time when I was still using the patches, and they always kept my patches on for as long as I needed them to stay on. It's the same material that those Nexcare clear waterproof bandaids are made of.
mhelcl
8 March 2013
With the Mylan patches the key to them sticking well is in the first 30 seconds you put them on the skin. It is key to of course clean the area of placement and not have hair on the skin and also choose a location on the body that doesn't fold,stretch etc... One good area is right on your hip about 6-12 inches below your waist. this area is normally covered by your underwear.
Take the patch out without touching the glue and once you place it on the skin, press it hard with your palm hard and evenly for about 20-30 seconds. It is also good to slightly warm up your palm when you pres the patch. I usually just make sure my hands are not cold or sometimes I hold them close to my fireplace or above a stove burner but only for few seconds to get them to feel little bit warm. once you place the patch use your warm hand to press on the patch. When you do this the patch easily stick for 48-72 hours even with swimming,exercising, bathing, nothing seem to get it off the skin.
PoisonAlice
9 March 2013
That's exactly how I was applying the patches, in the same spot. In fact, it's the only part of my body I can apply them for some strange reason. But I found that I still had to place a Tegaderm adhesive film over them because the corners would flip up off of my skin from pulling my pants up and down, as well as from wearing belts.
sundawgs
10 Nov 2013
People please.the tagaderm bandages pull away the centre of the patch away from the skin so all u get is the medicine on the outside..you will feel a major pain managment sucsess if u just put it on your bicept and wrap it with a tencer bandage..remove after24 hours and it will stay on foraweek.even though u change ut every 3 days .
Trueblue1938
9 Dec 2013
Wash the area you plan sticking the patch with soap and water, dry thoroughly and put the patch on it will stick and stay there. Fentanyl will cause sweating anyway but do this and you will not have any problems.
Trueblue1938
9 Dec 2013
Wash the area you plan sticking the patch with soap and water, dry thoroughly and put the patch on it will stick and stay there. Fentanyl will cause sweating anyway but do this and you will not have any problems.
shaz68
29 March 2017
Ty all so much. I have tried tegaderm. I will try I. My hip with warm hands with tegaderm. I appreciate all the help. Good luck to u all
Related topics
hyperhidrosis, fentanyl, patch, fentanyl patch
Further information
- Fentanyl uses and safety info
- Fentanyl prescribing info & package insert (for Health Professionals)
- Side effects of Fentanyl (detailed)
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