We find that duragesic patches will stick longer and better if you place a piece of tegaderm over it to help reinforce the secureness to the skin, and sometimes a swipe of skin prep along the outer edge will also help to keep it in place better, (Not under the patch though,of course) The most recent pain management seminar I attended is exact with what jansgirl has stated, but we were told not to place them over the boney prominances as the medication needs the fatty layer to absorb.( a problem with ineffective management of pian in a very skinny boney person) Thanks for letting me share! I'm not a nurse, but my husband has used Fentanyl for about 3 years now. He can only use the generic brand because the name brand falls off.

Bistro Script Regular Font. He's thin but muscular. Also he changes his every 48 hours, it has never lasted 3 days on him. Ramsey Sleeper Architectural Graphic Standards Pdf. Anyway my question is, he has always placed it on his shoulder, alternating sides each new patch. The past few weeks he gets chills the day he is supposed to change the patch.

He feels like it's withdrawals. So we tried something we've never tried before and placed the patch on his upper chest area near his arm, and we cannot believe the chills stopped.

He hasn't had chills since he moved the placement of the patch about 2 weeks ago, and he was getting them consistently every 2 days. Have any of you heard of this happening with fentanyl?

Medication Guide Fentanyl transdermal system is only for adults and children over the age of two with. Cover the patch with Bioclusive™ or Tegaderm™.

Can a place on your body get to where it doesn't absorb the drug any longer? I can't find that on the Internet anywhere.

Also - just f.y.i. For you nurses - my husband used to use a much stronger patch but he ended up in the emergency room about 5 times for withdrawals - it was horrible for him every time. Probably 3 of those times he had not done anything wrong - he'd changed his patch as directed. This is such a seriously strong drug. He's been on the weakest patch (12.0 mcg/hr) for probably 18 months now and has never been to the ER since he's been at this dose. He has arthritis in both shoulders and this really helps with the pain.