Fentanyl Transdermal System – Instructions for Use
|Condition:||Anesthesia, Anesthetic Adjunct, Breakthrough Pain, Chronic Pain, Pain, Postoperative Pain, Sedation|
|Form:||Skin patch (transdermal)|
|Ingredients:||Fentanyl, Silicone Adhesive|
Before Applying Fentanyl Transdermal System
- Fentanyl transdermal system is a patch with a medicine gel sealed inside. The patch is designed to keep the medicine gel from getting on your hands or body. If the gel from the patch accidentally gets on your skin, wash the area with large amounts of water only. Do not use soap, alcohol, lotions, oils , or other products to remove the medicine gel because they may increase the medicine's ability to go through the skin.
- Each fentanyl transdermal system patch is sealed in its own protective pouch. Do not remove a fentanyl transdermal system patch from the pouch until you are ready to use it.
- Do not use a fentanyl transdermal system patch if the seal is broken or the patch is cut, damaged or changed in any way.
- Fentanyl transdermal system patches are available in 4 different doses and patch s izes. Make sure you have the right dose patch or patches that have been prescribed for you.
Applying a Fentanyl Transdermal System Patch
- Skin Areas Where the Fentanyl Transdermal System Patch May Be Applied:
- Put the patch on the chest, back, flank (sides of the waist), or upper arm in a place where there is no hair (see Figures 1-4).
- Put the patch on the upper back (see Figure 2). This will lower the chances that the child will remove the patch and put it in their mouth.
- Do not put a fentanyl transdermal system patch on skin that is very oily, burned, broken out, cut, irritated, or damaged in any way.
For children (and adults with mental impairment):
For adults and children
- Avoid sensitive areas or those that move around a lot. If there is hair, do not shave (shaving irritates the skin). Instead, clip hair as close to the skin as possible (see Figure 5).
- Talk to your doctor if you have questions about skin application s ites .
- Prepare to apply a Fentanyl Transdermal System Patch:
- Choose the time of day that is best for you to apply fentanyl transdermal system. Change it at about the same time of day (3 days or 72 hours after you apply the patch) or as directed by your doctor.
- Do not wear more than one fentanyl transdermal system patch at a time unless your doctor tells you to do so. Before putting on a new fentanyl transdermal system patch, remove the patch you have been wearing.
- Clean the skin area with clear water only. Pat skin completely dry. Do not use anything on the skin such as soaps, lotions, oils, or alcohol before the patch is applied.
- To Open the Pouch: Tear open the pouch along the dotted line, starting at the slit, and remove a fentanyl transdermal system patch. DO NOT CUT the pouch. Each fentanyl transdermal system patch is sealed in its own protective pouch. Do not remove the fentanyl transdermal system patch from the pouch until you are ready to use it (see Figure 6).
- Peel: Peel the liner from the back of the patch and throw away. Touch the sticky s ide of a fentanyl transdermal system patch as little as possible (see Figure 7).
- Press: Press the patch onto the chosen skin site with the palm of your hand and hold there for at least 30 seconds (see Figure 8). Make sure it sticks well, especially at the edges.
- Fentanyl transdermal system may not stick to all patients. You need to check the patches often to make sure that they are sticking well to the skin.
- If the patch falls off right away after applying, throw it away and put a new one on at a different skin site (see Disposing a fentanyl transdermal system patch).
- If you have a problem with the patch not sticking
- Apply first aid tape only to the edges of the patch.
- If you continue to have problems with the patch sticking, you may cover the patch with Bioclusive™ or Tegaderm™. These are special see-through adhesive dressings. Never cover a fentanyl transdermal system patch with any other bandage or tape. Remove the backing from the Bioclusive™ or Tegaderm™ dressing and place it carefully over the fentanyl transdermal system patch, smoothing it over the patch and your skin.
- If your patch falls off later, but before 3 days (72 hours) of use, discard it properly (see Disposing a fentanyl transdermal system patch) and put a new one on at a different skin s ite. Be sure to let your doctor know that this has happened, and do not replace the new patch until 3 days (72 hours) after you put it on (or as directed by your doctor).
- Wash your hands when you have finished applying a fentanyl transdermal system patch.
- Remove a fentanyl transdermal system patch after wearing it for 3 days (72 hours) (see “Disposing of fentanyl transdermal system”). Choose a different place on the skin to apply a new fentanyl transdermal system patch and repeat Steps 2 through 6.
Do not apply the new patch to the same place as the last one.
Water and fentanyl transdermal system
- You can bathe, swim or shower while you are wearing a fentanyl transdermal system patch. If the patch falls off before 3 days (72 hours) after application, discard it properly (see Disposing a fentanyl transdermal system patch) and put a new one on at a different skin site. Be sure to let your doctor know that this has happened, and do not replace the new patch until 3 days (72 hours) after you put it on (or as directed by your doctor).
Disposing a fentanyl transdermal system patch
- Fold the used fentanyl transdermal system patch in half so that the sticky side sticks to itself (Figure 9). Flush the used fentanyl transdermal system down the toilet right away (Figure 10). A used fentanyl transdermal system patch CAN be VERY dangerous for or even lead to death in babies, children, pets, and adults who have not been prescribed fentanyl transdermal system.
- Throw away any fentanyl transdermal system patches that are left over from your prescription as soon as they are no longer needed. Remove the leftover patches from their protective pouch and remove the protective liner. Fold the patches in half with the sticky s ides together, and flush the patches down the toilet. Do not flush the pouch or the protective liner down the toilet. These items can be thrown away in a trashcan.