What is fentanyl transdermal (skin patch)?
Fentanyl is a narcotic (opioid) pain medicine.
The fentanyl skin patch is used to treat moderate to severe chronic pain.
Fentanyl transdermal may be used for other purposes not listed in this medication guide.
What should I discuss with my healthcare provider before taking fentanyl transdermal (skin patch)?
Do not use this medication unless you are already being treated with a similar opioid
(narcotic) pain medicine and your body is tolerant to it. Opioid medicines include morphine (Kadian,
MS Contin, Oramorph, and others), oxycodone (Oxycontin), and hydromorphone (Dilaudid). Talk
with your doctor if you are not sure you are opioid-tolerant.
Before using fentanyl, tell your doctor if you are allergic to fentanyl or any other
medications, or if you have:
If you have any of these conditions, you may need a dose adjustment or
special tests to safely use this medication.
FDA pregnancy category C. This medication may be harmful to an unborn baby, and
could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or
plan to become pregnant during treatment.
Fentanyl may also cause addiction and withdrawal symptoms in a nursing infant. Do not use
fentanyl transdermal without telling your doctor if you are breast-feeding a baby.
Older adults may be more likely to have side effects from this medicine.
Fentanyl may be habit-forming and
should be used only by the person it was
prescribed for
. This medication should never be shared with another person, especially
someone who has a history of drug abuse or addiction. Store the medication in a secure place where
others cannot get to it.
The fentanyl transdermal patch may burn your skin if you wear the patch during an MRI
(magnetic resonance imaging). Remove the patch before undergoing such a test.
How should I take fentanyl transdermal (skin patch)?
Use this medication exactly as it was prescribed for you. Do not use the medication in
larger or smaller amounts, or use it for longer than recommended by your doctor.
MISUSE
OF A FENTANYL SKIN PATCH CAN CAUSE HARMFUL OR FATAL SIDE EFFECTS.
Read all patient instructions carefully before using a fentanyl transdermal skin patch. Ask your
doctor or pharmacist if you have questions.
If the skin must be washed before you apply a skin patch, use clear water only. Allow the skin
to dry completely before applying the patch.
Do not use soaps, oils, lotions, alcohol, or other chemicals on the skin where you will apply
a fentanyl transdermal skin patch. These substances could increase the amount of fentanyl that your
skin absorbs, possibly causing harmful effects.
Apply the skin patch to a flat, dry, hairless area of the chest, back, side, or outer side of your
upper arm. To remove any hair from these areas, clip the hair short but do not shave it. Press the patch
firmly with the palm of your hand for 30 seconds. Make sure the patch is sticking firmly, especially
around the edges. You may wear the patch for up to 72 hours.
Never wear more than 1
fentanyl transdermal skin patch at a time unless your doctor has told you to.
After removing a skin patch fold it in half, sticky side in, and flush the patch down the toilet.
Apply a new patch to a different skin area on the chest, back, side, or upper arm. Do not use the same
skin area twice in a row.
Do not use a fentanyl transdermal skin patch if it has been cut or damaged.
Doing so could expose you to too much fentanyl, which can cause a life-threatening
overdose.
Store the skin patches at room temperature. Keep each patch in its foil pouch until you are
ready to use it.
Keep both used and unused fentanyl transdermal patches out of the reach of children or
pets.
The amount of fentanyl in a used skin patch could be fatal to a child or pet who
accidentally sucks on or swallows the unit.
Seek emergency medical attention if this
happens.
Keep track of how many skin patches have been used from each new package of this medicine.
Fentanyl is a drug of abuse and you should be aware if any person in the household is using this
medicine improperly or without a prescription.
What happens if I miss a dose of fentanyl transdermal (skin patch)?
Since fentanyl transdermal is used as needed, you may not be on a dosing schedule. If you are
using the skin patches regularly, apply the missed patch as soon as you remember. Continue wearing
the patch for up to 72 hours and then apply a new one if needed for pain.
Do not
wear extra patches to make up a missed dose.
Where can I get more information about fentanyl transdermal (skin patch)?
Your pharmacist has information about fentanyl transdermal (skin patch) written for health professionals that you may read.
What are the possible side effects of fentanyl transdermal (skin patch)?
Get emergency medical help if you have any of these
signs of an allergic
reaction:
hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Remove the skin patch and call your doctor at once if you have any of these serious side
effects:
-
weak, shallow breathing;
-
severe weakness, feeling light-headed or fainting;
-
cold, clammy skin; or
-
pale skin, easy bruising or bleeding.
Less serious side effects may include:
-
nausea, vomiting, stomach pain, constipation, gas;
-
dizziness, drowsiness, anxiety, sleep problems (insomnia);
-
muscle stiffness, back pain;
-
itching, blistering, redness, or swelling where the patch was
worn; or
-
increased sweating, urinating less than usual.
This is not a complete list of side effects and others may occur. Call your
doctor for medical advice about side effects. You may report side effects to FDA at
1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about fentanyl transdermal (skin patch)?
MISUSE OF THIS MEDICATION CAN CAUSE HARMFUL OR FATAL
SIDE EFFECTS.
Do not use this medication unless you are already being treated with a
similar opioid (narcotic) pain medicine and your body is tolerant to it.
Talk with your
doctor if you are not sure you are opioid-tolerant.
Do not expose the skin patch to heat while you are wearing it.
This
includes a hot tub, heating pad, sauna, or heated water bed. Heat can increase the amount of drug you
absorb through your skin and may cause harmful effects.
Fentanyl may be habit-forming and
should be used only by the person it was
prescribed for
. This medication should never be shared with another person, especially
someone who has a history of drug abuse or addiction. Store the medication in a secure place where
others cannot get to it.
Keep both used and unused fentanyl transdermal patches out of the reach of children or
pets.
The amount of fentanyl in a used skin patch could be fatal to a child or pet who
accidentally sucks on or swallows the unit.
Seek emergency medical attention if this
happens.
Avoid drinking alcohol, or using other medicines that make you sleepy (such as cold medicine,
other pain medication, muscle relaxers, and medicine for depression or anxiety). They can add to
extreme drowsiness or breathing problems caused by fentanyl.
The fentanyl transdermal patch may burn your skin if you wear the patch during an MRI
(magnetic resonance imaging). Remove the patch before undergoing such a test.
What should I avoid while taking fentanyl transdermal (skin patch)?
This medication is for use only on the skin. Avoid touching the sticky side of a skin patch
with your fingers. Do not allow the medicine to come into contact with your eyes, nose, mouth, or lips.
If it does, rinse with water. Do not use soap or other chemicals.
Fentanyl can cause side effects that may impair your thinking or reactions. Be careful if you
drive or do anything that requires you to be awake and alert.
Avoid drinking alcohol, which can increase dizziness or drowsiness.
Tell your doctor if you regularly use other medicines that make you sleepy (such as cold
medicine, other pain medicine, muscle relaxers, and medicine for depression or anxiety). They can add
to extreme drowsiness or breathing problems caused by fentanyl.
Do not expose the skin patch to heat while you are wearing it.
This
includes a hot tub, heating pad, sauna, or heated water bed. Heat can increase the amount of drug you
absorb through your skin and may cause harmful effects.
What other drugs will affect fentanyl transdermal (skin patch)?
Before using this medication, tell your doctor if you are using any of the following drugs:
-
carbamazepine (Tegretol, Carbatrol);
-
phenytoin (Dilantin);
-
diltiazem (Cartia, Dilacor, Tiazac);
-
St. John's wort;
-
rifampin (Rifater, Rifamate, Rimactane);
-
antibiotics such as clarithromycin (Biaxin), erythromycin
(E-Mycin Ery-Tab, E.E.S.), itraconazole (Sporanox), ketoconazole (Nizoral), or troleandomycin
(Tao); or
-
HIV medicines such as amprenavir (Agenerase), tipranavir
(Aptivus), indinavir (Crixivan), saquinavir (Invirase), lopinavir/ritonavir (Kaletra),
fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept).
This list is not complete and there may be other drugs that can interact with
fentanyl transdermal. Tell your doctor about all the prescription and over-the-counter medications you
use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not
start using a new medication without telling your doctor.
What happens if I have an overdose of fentanyl transdermal (skin patch)?