i have been on the patch for a week and not found the relief from the pain, nor been able to sleep through the night without waking in pain.
How long does it take butrans patch to reach it's full potential in pain managment?
Question posted by cjkay777 on 16 June 2011
Last updated on 23 December 2024 by Kg91
The information on this page reflects personal experiences shared by our community members. It is not reviewed for medical accuracy and should not replace professional medical advice.
15 Answers
I've just started the 10mcgs butrans 7 day patch, first application was around 3:40pm on the 21st. It's now the 23rd and I'm still in pain. I have severe spinal stenosis with herniated discs that impede my sciatic nerve and the nerve is the biggest issue right now. It's 2:28 pm right now on the 2nd day and I'm just hoping it will kick in. No changes so far other than some slight irritation on the application site. I'll keep updated as the days progress. I'm also taking 10mg hydrocodone twice daily, I'm just hoping it kicks in soon. I wake up three times a night in pain. I'm wanting to get the surgery to shave off the herniations but they're putting me through every hoop and tons of medication's instead of actually granting me the surgery. Im 33 years old, been dealing with this since 27. I have three boys. I just want some relief and to not need my cane to walk or be stuck in bed
I know that it helped me four to six hours after applying the patch. I was taking Lortab 10 with no relief so after a few hours I had more relief from the patch than the pills.
I been on it for 2 weeks and my back pain is unbearable! Called the doc and can’t get me in for another week... she did give me some pain meds but those are all gone! I been on Percocet for about 2 years and decided to try and get off them, cause I hear so many horror stories about them, always took my usual dosage never anymore extra. Well that was the wrong thing to do, my pain was so much more manageable with them, I am hoping doc put me back on them, cause they really did work for my pain!
Hi i started the patch a month ago .dr start me on 5mg and quickly bump it to 20 mg .because i was getting no relief .i wore the 20 mg patch after the 3 days was getting relief then a second patch it became better i wake up most oain gone.please give it time it is so worth it .i have slip dics plus arthritis in my lower back was in a lot of pain as well as lung cancer patient .i also am taking mobic 7.5 with it now .the 2 together is great .hang in there !!
I'm on the 15mg patch. Been on it for almost 2 months. Before I started the butrans patch didn't matter what I took my back and leg where in constant pain. I put the 1st patch on about 6 hours later I could tell it was too strong. So I cut it in half... few weeks into it I also noticed that the pain relive was only about 4 days. So now I put the other half on about 3or4 days after the first half was applied keep on both halves 7 days each they really have been the only thing getting me out of bed and being an active mother again. I have 3 small boys so glad the doctor gave me this. I also take tremadol for break threw but I only have to take it in the morning that's when my pain is the worst .
I just started the 10 so I will come back and answer after 7 days
In my experience, sublingual is the only way to take in Buprenorphine and get it to work. And when it works, it WORKS.
The whole time I was on Butrans, I was in agony, and after several months I fired my PMD because he was talking like the pain was all in my head, what they gave me was equivalent to what I had taken before (they consulted a dose titration chart), and I said PEACE OUT.
Went to my new Doctor and he was shaking his head. He said "they've basically just pushed you through rapid withdrawal without your consent." I was like "jigga say who?" And he got up and came back with stacks and stacks of articles (the kind the professionals read) that said clear as day "BUTRANS IS 50% AS EFFECTIVE - YOU MUST DOUBLE THE DOSE WHEN TITRATING."
I was on a 10mg patch, and he had me walk out with 2mg of sublingual Buprenorphine pills. I was FREAKED OUT. Like "You're all I've got - I just fired my other Doctor - now you're going to leave me with THIS??? " (I was so scared cause I know how they work. You start out with them a certain way and that's pretty much what you're stuck with going forward." He said "you have NO idea how much withdrawal you've already gone through. All that pain you kept talking about was REAL." So he bumped me up by one more pill just to make me feel better and when I came in a month later, I shook my head at him and said "I can't believe it. My pain has been more under control, except for some breakthroughs here and there, than I've felt in YEARS. And on this low a dose." He said "Hey, you did all the hard work on that Butrans patch! That must have been a devastating 5 or 6 months!"
"You have no idea... "
I am a new butrans patch user. I've only had it on for 2.5 days. I have felt absolutely nothing so far. NO pain relief at all.
Butrans works VERY VERY well. If you don't feel pain in the first 3-4 days follow up appointment for pain med titration.
Hi Kfkerry... I have been on the butrans patch for almost 3 months. I was given the 5.0 patch first, even though the pain management clinic had my full medical history of pain med use for over 30 years. I called the clinic 9 days after being on the patch to advise them it wasn’t working. They prescribed the next step up which was the 7.2mg patch. I received some relief but it only took some of the edge off of my pain. I have since been given the 10mg patch which I started 3 days ago. It has made a significant difference! So, with that said, keep on pushing your health care provider until you achieve the relief you need to function!
It took my patch 36 hours to start working... it hit me hard and I had no pain in the next three days. I seemed to use it up within three days and had no pain relief until putting the patch on again and waiting for about 30 hours to work. My pharmacist said it sounds like you are using it all up and he asked me if I had ever abused narcotics. I have in my early 20s. He said people who have have more opioid receptors and they are harder to treat with patches. He told me I should try going on 5 mcg patch... keep it on and 3.5 days later put another 5 mcg patch on... letting them overlap. Anyone heard of this?
Butrans patches are quite expensive. Your insurance isn't likely to cover them for more than the 7 days, plus it's unlikely that your doctor will prescribe them in that manner. You might instead try to get the 10 mcg patch instead. The 5 mcg one is the lowest level. Also are you placing the patch in the areas indicated in the directions? I am not personally able to, due to my sensitive skin, but they still work for me, but admittedly at a lower dose. Good luck.
I started using the patch last month and couldn't tell a diff the first week. It wasn't until patch 2 that I started to tell a small diff in my pain level. At patch #3 I wasn't having to take my pain pills at work. It didn't even cross my mind, where as before it was every 4 hrs I was having to take a pill. Although it wasn't the greatest relief, it was enough that I could function. What's even better, I was so much more productive and my head was clear and not all foggy from the pain pills. I love that part about this patch. I'm on the Butran 10 and replacing the patch, It doesn't give me immediate relief. From reading comments here and other sites, not very many people get 7 days of pain relief. If it's known to be so ineffective the last few days, it would make sense to me to have patient's replace the patch sooner.. just my opinion.
I have now gone 2 full days without any breakthrough pain meds and that is a first in over 8 yrs without having to lay in bed suffering . It's definitely the best thing I've taken for my back pain. just doesn't last long enough.
My doctor did prescribe me the 5 mcg patch, but I change it every Wed and Sat. I initially had to get the patch approved by my insurance, but my insurance is paying for the two patches a week. I am really liking this so far and I am getting so much better relief without slurring my words at the beginning of the patch and no pain relief at the end.
That's good news. I'll have to ask my doctor if I can do the same because the patches are nearly intolerable with the red itchy welts. I think that changing them more often could help with the problem.
I don't change my patch twice a week. I leave them on so I always have two on at once. I don't think I am allergic to the patch, but I do get red itchy spots under the patches too. I think it is normal to get the irritation from the patch.You just have to find different places to put them.
As far as placing them in more areas, in time the skin reacts no matter where you put the patches. I believe this because there are a lot of people who cannot keep wearing them according to my doctor as well as people on this website who say that they had to stop wearing them.
I just put mine an hour ago and I'm. Already feeling some relief i suffere from chronic back pain. For past 8years i had surgery on my lumber spine L4L5 and i also suffer from chronic pain in my stomach from scar tissue. From surgeries i must admit up to now first time i feel pain free i hope this last long. I did feel lighthead a little bit and some itching so i took some Benadryl and that seems to help a bit i dont want to be on pain meds cause there so addictive n i been all types from percocet lortab Vicodin ext. Hopefuly like i said earlier this will work well for me il keep you posted on my out come.
I know this is from 2013 but if your on website still please contact Me. I have question about surgery area and abdominal scar tissue pain! Mine is excruciating and I've been trying to figure out what is going on for 5 years now! Thank you!
Everyones experience seems to be different. I began butrams patch a week ago. I definitely had relief w/in three days and could feel the effects almost immediately- with in 10-15 minutes I felt a little out of it "high" for lack of a better description. By the 2nd day (w/in 12 hours of application) my pain was lessened. I have been on Vicodin 7.5 for 6+ years plus Soma & Xanax. I had to take a Vicodin the 2nd day but didnt take any from day 3 until earlier today (day 7) I just applied my second patch about an hour ago.
I asked my pharmacist today and was told to give it a full 24 hours to take effect. I have loved my patch which has helped me a lot. Of course, I also need Botox, nerve block and trigger point injections, plus 2 other daily medications. And I'm still fairly disabled, but don't suffer 24/7 with severe migraines. My migraines are especially difficult to treat due to them being caused by my stroke.
Yeah it was weird. The warning labels are for high blood pressure and low heart rate and w/in 15-20 minutes my BP dropped lower then I've ever seen it and my pulse jumped to 114! My paramedic husband thinks that's the reason I was feeling so off, being that we took my vitals right before the patch and it changed that drastically. My friend is also on the patch and the exact opposite happened to her in the same time frame. Guess that every body is different rule applies there.
QUESTION: is the 1st day you apply the patch start day 1 or is day 1 next day? Like if you put the patch on the 1st do you change it on the 7th (1,2,3,4,5,6,7 making 7) or the 8th (2,3,4,5,6,7,8 making 7)? I've heard both and it's quite confusing!
If you put it on during the day on Monday, the 1st, then you next change it the next Monday, the 8th. Exactly once a week. But the pharmacist also told me that there is some medication left on the patch, to a lesser degree, for a couple days after the week, so sometimes I stretch it out an extra day, just to get a run on additional patches in time. LOL. And yes everyone is different. I didn't see any change in my blood pressure or my pulse from having it on.
I'm next going to up it to I believe the top dose of 15 mcg/hr. But I don't get as much absorbed because I cannot put it on my upper arm, or my upper back where it absorbs better, because my skin is so sensitive. I instead put it on the upper part of my leg, towards the outside.
Cool, thanks for the info, guess that means I put my 2nd patch on a day early. I'll try that stretch it out method and see if it keeps working for an extra day or two so I can get back on track. Your pharmacist actually seems to know what's going on! Mine can't seem to answer a question with anything but a vague answer or some random generalities that I could've read off the packaging! Thx for the tip!
Sara, I'm on 20 mcg/h so 15 mcg/h is not the highest. From what I understand, the 20 mcg/h is the highest which is unfortunate for me since I don't feel it is near enough for my pain.
Thanks so much for the information about 20 being the top dose. I'm still quite disabled from my migraine pain and it didn't touch my Trigeminal Nerve pain.
My doctor told me that 20 mcg is not the highest and if need be, patches can be doubled up. He said he has a girl on two 20s a week. Just thought I would throw that in.
Oh my God. I can't believe someone could wear 40 mcg of it. But okay. That's very interesting. My neurologist thought that going any higher from my 15 mcg would be a very high dose. Maybe with time, maybe people need more, but these patches have only been out for about 2-3 years. Thanks for more info.
Ive been on the patch for two weeks tomorrow. I was on the 10mcg for the first week, and then my doctor upped it to 2 (10mcg patches) this week. Noticed a huge relief in my pain, not high at all. BUT the last day I have had break through pain. Wondering if you get less and less drug as the days gon on.
To SassieCassie, No, I have been on the patches for years and have found no lessening of the pain relief. But sometimes my migraines do get worse. It's just the nature of pain to get worse and then better, at least with me. Sometimes I get severe migraines and need to take pain pills on top of the Butrans patches. You are now taking the peak dose. If your pain persists, perhaps you need a different pain killer. Talk to your doctor. Good luck to you.
Hi I am just out of hospital had a nerve injection that hasn't worked as well I as thought so on Mophine patches put my first one on last night no relief yet so hoping it starts soon as my back pain is awful
I had a fusion of my spine a few hrs ago and have arthritis in my spine
Would be interested to hear from other people with the same problems as me
My doctor wants me to try Butrans but I'm a bit hesitant, and I definitely don't want anything that makes me feel out of it or "high". I work in a demanding but very fulfilling position, and I don't want to take anything that could jeapordize my career. I've had a negative experience with even a low dose narcotic (it made me fall asleep in class) so I wouldn't take anymore of the pills. My doctor thinks Butrans will be a good option until slow healing fracture is fully repaired.
My doctor wants me to try Butrans but I'm a bit hesitant, and I definitely don't want anything that makes me feel out of it or "high". I work in a demanding but very fulfilling position, and I don't want to take anything that could jeapordize my career. I've had a negative experience with even a low dose narcotic (it made me fall asleep in class) so I wouldn't take anymore of the pills. My doctor thinks Butrans will be a good option until slow healing fracture is fully repaired.
I am like you and have been on it for a week with no relief, I went to the ER and they have me a shot of Demerol and I called my pain specialist and he is ordering me some breakthrough pains also I would suggest that since it can take up to a month for full relief.
What strength are you taking? Also you could ask your pharmacist. They are usually excellent sources of info--even better than the doctors sometimes.
Hi cjkay & welcome! Some Butrans users have had pain relief before 3 days. If it's already been a week for you, I'd suggest contacting your doctor. Your dosage might have to be adjusted. There are 3 different strengths & sizes of this patch. The doctor could also ascertain that the selected patch site is optimal. Many people on this patch also take some other pain medications for breakthrough pain.
cjkay, please check in the medications browser at the top of this page. It shows that with 6 users' reviews the rating was 8.1 out of 10. It's excellent that you joined the butrans support group. This should be very helpful to you.
I'm so sorry for your pain cjkay. The contributors here on this website are very caring & helpful. Please keep us posted, we'd like to try to help you. We truly do care.
Good luck to you! All the best! from Wendy :)
Hi CJ,
I'm like you, been on this for about a week and my pain levels are inconsistent. I'm okay in the morning but my pain is greater in afternoon/evenings despite being on the patch for 6 days now. I am determined though to give this thing the full 2 week trial. I read somewhere else (can't remember but it was a drug info site) that it can take that long to achieve consistent relief when first starting out on it. I am so thankful I have some breakthrough pain medicine available to me. You may want to contact your doctor and ask for this.
Breakthrough meds need to be almost as equitable. Everyone needs to understand that these patches work so much better than the fentanyl.the 20 mcg patch. All patch strengths have a 7 day value. Probably more like 5-6 days v.
Hi, it takes 3 days for the buprenorphine to build up in your system, so it is then that you should feel the mot pain relief. As long as you keep up the use of the patch and change it every 7 days you should continue to receive a steady supply of analgesic at consistent levels
Related topics
Further information
- Butrans uses and safety info
- Butrans prescribing info & package insert (for Health Professionals)
- Side effects of Butrans (detailed)
Similar questions
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.