Question about Fentanyl/Durogesic patches

  1. Fentanyl patch and relief of osteo pain

    Has anyone had any experience with the use of the Durogesic/ Fentanyl patches for people who suffer from chronic osteoporosis pain?
    I would appreciate any information and thoughts that any one may have on the success. I am enquiring regarding this to perhaps help the quality of life of a lady who has chronic osteo in her back and has difficulty with allergies and swallowing tablets. She has been on fosamax for 18 month or so but her quality of life recently has really deteriated due to the increased pain levels.

    Thank you in advance for suggestions
    Tookie
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  2. 43 Comments

  3. by   kids
    I have used them on MANY patients with sever OA (usually LOLs) with very good results (back when I did LTC). They are expensive but not so bad when compaired with the cost of BID to TID dosing of sustained release narcotics (keep in mind the horrors of US drug pricing).
  4. by   renerian
    Actually my brother had horrible osteo and it helped him. ALOT.

    renerian
  5. by   Tookie
    Thank you both Renreian and kids-r-fun for replying
    Forgive my ignorance - could you please give me an explanation for the followig they are not abbrevations that l am used to using
    LOLs'
    BID toTID dosing
    Thank you both for replying
    sandra
  6. by   adrienurse
    Yes, I have 2 patients who are taking it for osteo pain. Have to withstand constant demands from float staff wanting to know why fentanyl is indicated, but I firmly believe it works.
  7. by   sunnygirl272
    they work wonderfully when they work...bear in mind:
    absorption rate will be affected by:
    ~amount of body fat (med is fat soluble)
    ~body temp (higher temps result in quicker absorption)
    ~hydration/dehydration (dehydration hinders the absorption)

    this is what i recall from my times in pain clinic nursing and hospice...
  8. by   Buddha
    I love this drug!:kiss
    Last edit by Buddha on Feb 4, '03
  9. by   ERNurse752
    Originally posted by Sandra m. Took
    Thank you both Renreian and kids-r-fun for replying
    Forgive my ignorance - could you please give me an explanation for the followig they are not abbrevations that l am used to using
    LOLs'
    BID toTID dosing
    Thank you both for replying
    sandra


    BID = twice a day
    TID = three times a day
    LOL = little old lady

  10. by   Buddha
    Sunnygirl your 100% Right. I have used Duragesic patches from anything like chronic OA to terminally ill. Remember like any drug patients can become tolerant and the dose needs to be adgusted. This drug is a wonderful for the geratric population esp for individuals whom have trouble taking medications. I have had several patients whom skin beccame irritated by the paste. Make sure that the site is rotated and the skin is cleaned after removing the patch.
  11. by   hoolahan
    I have also seen it used very successfully in the elderly with sever DJD (degen joint dis aka arthritis OA etc...)

    One lady was so snowed from the qid (foru times a day) darvocet, she luterally was wearing a diaper b/c she had no strentgh to move. I suggested the lowest dose patch to her doc, we stopped the darvocet, and her dtr was so amazed, in a week's time, she perked up, started making it to the BR, and stopped using the doapers. Her entire quality of life was changed.

    One thing, it is difficult for the elderly to manipulate this patch. I wroite to the manufacturer and c/o b/c it was so hard to see the clear backing, and I can't tell you how many times I found someone wearing the patch w the backing still on it. I asked them to color-code the doses and to make the backing and the pATCH A CONTRASTING COLOR or make an outline, so the older folks could see it. They write me back thanking me, but not sure if it has changed anything.

    Also , have to dispose of the used patches carefully, it could kill a young child or animal if they ate it out of the garbage or laying around the home. They need to be folded up and flushed.
  12. by   P_RN
    I used these for a short period of time after I hurt my back.

    Another thing to remember is they CAN NOT be CUT! The medicine is floating between the plastic backing and the permeable layer. A patient with fever, in a hot room, or under an electric blanket can get overdosed quickly due to increased absorption. If the skin beneath the patch gets irritated you can get the doc to order a steroid inhaler (preferabley the dry type) and puff that on the skin before you apply the patch. On patients I like to write the date and time right on the patch. Also I like to put it in a fairly accessable place so it isn't overlooked by the next caregiver.
  13. by   renerian
    Hoolahan good suggestions on the manufacture of the product.

    renerian
  14. by   Sleepyeyes
    I really like the patch for pts. who have chronic severe pain, and usually we've had a good result.

    I had only one patient out of many who was found to be allergic.

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