Mylan Fentanyl Patches for Sale
Mylan Fentanyl Patches for Sale: Mylan Fentanyl Patches is for managing pain in patients who are opioid-tolerant, severe enough to need daily, around the clock long-term opioid treatment, where alternative treatment methods are not adequate.
Which patients are considered opioid-tolerant?
Those taking opioid drugs
- For at least one week or longer
- 30 mg oral oxycodone per day
- At least 60 mg morphine a day
- 25mcg fentanyl patches an hour
- 25 mg oral oxymorphone per day
- 8 mg oral hydromorphone per day
- An equianalgesic dose of another opioid
- 60 mg oral hydrocodone per day
Due to addiction risks, abuse, and misuse with opioids, even at the doses recommended, and due to the higher risks of overdosing and even death, we should reserve Mylan Fentanyl patch use only for people who alternative options are inadequate to offer adequate pain management, ineffective or not tolerated. Buy mylan fentanyl patches
Mylan Fentanyl patch is transitioning from white –blue colored print on recent manufactured patches. During this transition, you can expect the patch to come in either white or the new blueprint. The reason for the change is making the patch more visible on the skin and does not affect the patch effectiveness.
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- Mylan Fentanyl patch is the number one most dispensed Fentanyl patch in the US
- Mylan is the only manufacturer with eight dosage strengths as mentioned in the first paragraph.
- Doctors should make sure they are specifying Mylan Fentanyl patch when prescribing a Fentanyl patch.
Patients do not need cards, coupons, or forms while purchasing Mylan Fentanyl patch. Eligible patients and those who have commercial insurance can pay as low as $10 to get the patch in moderate dose strength. Note that restrictions can apply to every patient. Note that Mylan Fentanyl patch can lead to addiction, abuse, and misuse, life-threatening respiratory depression, neonatal opioid withdrawal syndrome, accidental exposure, cytochrome p450 3a4 interaction, risks from concomitant use with benzodiazepines or other CNS depressants and risk of increased Fentanyl absorption with the application of external heat.
Overdosing or misusing this drug can cause addiction and even death. Before prescribing this medication, a doctor should make sure he or she has accessed each patients risk to the Mylan Fentanyl patch. The doctor should also monitor the patient closely for development of unusual conditions and behavior.
MYLAN FENTANYL PATCH
Fentanyl Transdermal Patch
12.5, 25, 50, 75 & 100 micrograms per hour
What Mylan Fentanyl
Patch is used for
Mylan Fentanyl Patch is used to relieve chronic or long-lasting pain, which requires strong painkillers. The patches contain a medicine called fentanyl. This strong pain reliever belongs to a group of medicines known as opioid analgesics. Fentanyl relieves pain by blocking the nerves that recognize pain messages from the body. Each patch is applied onto the skin every 72 hours (3 days). The patch releases a continuous amount of fentanyl that is absorbed through the skin in contact with the patch (see Fentanyl Patch Diagram). Your doctor may have prescribed Mylan Fentanyl Patch for another reason. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Buy mylan fentanyl patches
Mylan Fentanyl Patch may be retrieved and abused by addicts. Please ensure that used patches are concealed and disposed of
carefully. Return unused patches to the pharmacy (see Disposal at the end of this leaflet).Keep used and unused patches
where children cannot reach them. Buy mylan fentanyl patches
Before you use Mylan Fentanyl Patch When you must not use it You should not use Mylan Fentanyl Patch:
• if you have an allergy to fentanyl or any of the ingredients. See Product Description at the end of this leaflet for a list of ingredients.
• for acute pain or pain following surgery.
• for mild or intermittent pain.
• other than 12.5 or 25 micrograms/hour patch if you have never had opioid analgesics for pain relief.
• if you have difficulties breathing.
• if your central nervous system is severely impaired, e.g. brain or spinal injury.
Do not use Mylan Fentanyl Patch if the packaging is torn or shows signs of tampering. Do not use Mylan Fentanyl Patch after the
expiry date (month and year) printed on the pack. Before you start to use it You must tell your doctor if you:
• are pregnant or planning to become pregnant.
• are breastfeeding or wish to breast feed.
• have or have ever had liver or kidney problems.
• have or have ever had lung problems.
• have or have ever had heart problems.
• have or have ever had brain lesions or head injuries.
• have medical conditions which lower your resistance to diseases.
You must tell your doctor if you have not used any opioid
analgesics in the past, unless you are being treated for cancer pain. This is because you may be more likely to experience some of the side effects. If you have not told your doctor or pharmacist about any of the above, tell them before you start using or
are given Mylan Fentanyl Patch. Tell your doctor if you (or a family member) have ever abused or been dependent on alcohol, prescription medicines, or illegal drugs. Mylan Fentanyl Patch may lead to physical or psychological dependence with continued or repeated use.
Your doctor will advise you whether or not to use Mylan Fentanyl Patch or if you need to adjust the dose or adapt your treatment.
Taking other medicines Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food store.
In particular, tell your doctor or pharmacist if you are taking any of the following:
• other strong pain medicines such as morphine, codeine, methadone, oxycodone, pethidine or buprenorphine.
• ritonavir or nelfinavir (used to treat AIDS). Do not take ritonavir or nelfinavir while using Mylan Fentanyl Patch, unless you are closely monitored by a doctor.
• antidepressant medicines belonging to the class monoamine oxidase inhibitors (MAOIs) including moclobemide, phenelzine sulfate and tranylcypromine sulfate. Mylan Fentanyl Patch should not be used at the same time as these medicines and should only be started 14 days after stopping treatment with a MAOI.
• SSRI (selective serotonin reuptake inhibitor) medicines for anxiety and depression.
• certain medicines to treat depression such as nefazodone.
• medicines used as sedatives, sleeping tablets, tranquillizers or muscle relaxants.
• medicines used to treat mental illness or psychotic conditions.
• medicines used to relieve severe nausea and vomiting.
• certain antibiotics used to treat infections such as clarithromycin, oleandomycin and rifampicin.
• certain medicines to treat fungal infections such as ketoconazole and itraconazole.
• medicines used as antihistamines that are sedating.
• certain medicines that act on the heart and blood vessels such as calcium-channel blockers like verapamil and diltiazem.
• certain medicines used to treat arrhythmias such as amiodarone.
• medicines used in the treatment of convulsions or seizures such as carbamazepine, phenytoin,
phenobarbital. Mylan Fentanyl Patch can increase the effect of medicines that are sedating, or slow down your ability to react. A change in dose may be required if Mylan Fentanyl Patch is used with these medicines. Your doctor or pharmacist can tell you
what to do if you are taking any of these medicines.
Effect on driving and operating machinery Mylan Fentanyl Patch can affect your alertness and ability to drive and operate machinery. Do not drive or operate machinery until your doctor says it is safe. Effect of alcohol Avoid alcohol when using Mylan
Fentanyl Patch since their combined effect may cause drowsiness or side effects. Tolerance As with all opioid analgesics, Mylan Fentanyl Patch may lead to tolerance with continued or repeated use. Your doctor may, therefore, prescribe a higher dose of Mylan Fentanyl Patch after some time to continue to give you pain relief. Using Mylan Fentanyl Patch Fentanyl Patch Diagram
(not to scale) Each Mylan Fentanyl Patch is packaged with an additional piece of protective film (plastic) above and below the patch and is sealed in its own protective pouch. The Mylan Fentanyl Patch should be applied to the chosen skin site
immediately after it is taken out of the sealed pouch. Never cut or divide the patch. Do not use a patch that has been
divided, cut, or damaged in any way. Buy mylan fentanyl patches
How much to use
Mylan Fentanyl Patch is available in five different sizes. Your doctor will decide which patch, or combination of patches, is suitable to control your pain.
• Each patch is applied onto the skin and lasts for three days (72 hours).
• After three days, remove the old patch and apply a new patch to the skin at a different place. You should not use more than
one patch at a time, unless your doctor authorizes otherwise (for example to obtain a dose that cannot be achieved with a single
patch). The old patch should be removed before the new patch is applied. Children Mylan Fentanyl Patch should not be used in children under 12 years of age or in adolescents under 18 years of age who weigh less than 50 kg. Using it for the first time
The first patch may take up to a day to take effect after it is applied onto the skin. This is because fentanyl is slowly absorbed through the skin into the blood. Your doctor may prescribe additional medicines to control the pain for the first day. Applying the patch
1. Find an intact and hairless spot of skin on the upper part of your body or on your upper arm. This skin should be healthy and
undamaged. Do not place the patch onto skin that is red, burnt or damaged.
2. Trim any excess hair with scissors. Do not shave the hair as this may affect the skin. If you need to wash the skin before applying the patch, use clean water only. Do not use soap, oils or lotions. The skin should be completely dry before applying
3. To open the pouch, locate the pre-cut notch indicated by the scissors. Carefully tear the pouch along the edge and then fully open the pouch by folding it open like a book.
4. Remove the Mylan Fentanyl Patch from the pouch. Discard the pieces of protective film. Do not apply the patch if it looks damaged in any way. Never cut or divide the patch. Do not use a patch that has been divided, cut or damaged in any way.
5. Each Mylan Fentanyl Patch has a clear plastic protective (release) liner that covers the sticky side of the Mylan Fentanyl
Patch. The protective liner can be peeled off in two pieces. Carefully peel off each part of the protective liner separately, and discard the liner. Avoid touching the adhesive (sticky) side of the patch.
6. Apply the patch to the skin and press with the palm of the hand for about 30 seconds. Make sure all of the patch is in contact with skin and the corners are stuck tightly. Buy mylan fentanyl patches
7. Always wash hands after applying or removing the patch. You can now leave the patch on for three days (72 hours). You may
have a bath, shower or swim. Always write on the pack the date and time you applied the patch. It will help you to use Mylan Fentanyl Patch correctly and remember when the next patch is due. If the Mylan Fentanyl Patch does not stick properly, first aid tape may be applied around the edges of the patch. If the adhesion problem persists, the Mylan Fentanyl Patch may be overlaid with a transparent adhesive film dressing, eg.
Opposite Flex grid, or Opposite Flex fix. Never fully cover a Mylan Fentanyl Patch with any other bandage or tape. Your doctor may prescribe additional pain relievers to control occasional outbreaks of pain. Changing the patch
1. After three days (72 hours), remove the patch.
2. Fold the used patch in half so that the adhesive side sticks to itself. Wrap the folded patch and carefully dispose of it in the
3. Apply a new patch straight away to a different area of the skin, following the steps under ‘Applying the patch’. If you do not understand the instructions provided with this medicine, ask your doctor or pharmacist for help. If your pain continues, see your doctor who may prescribe additional medicines to help control the pain or change the dose of Mylan Fentanyl Patch. If you forget to use it If you forget to apply a patch, and are not sure what to do, check with your doctor or pharmacist. If you have trouble remembering when to apply each patch, ask your pharmacist for some hints. If you receive too much (overdose) The most important sign of overdose is difficulty in breathing. If a person using Mylan Fentanyl Patch has abnormally slow or weak breathing, remove the patch. Keep the person awake by talking to them or gently shaking them every now
and then. Immediately telephone your doctor, or the National Poisons Information Centre (0800 POISON or 0800 764 766) for advice, or go to the Emergency department at the nearest hospital, if you think you or anyone else may have used too much Mylan Fentanyl Patch. Do this even if there are no signs of discomfort or poisoning. You or the person may need urgent medical attention. Keep the number of these facilities handy. Information for the doctor in case of overdose: inject with naloxone
and transfer patient to hospital. Please refer to full Product Information for details on appropriate management of overdose.
While you are using Mylan Fentanyl Patch Things you must do.
• Always follow your doctor’s instructions carefully.
• Tell your doctor if you become pregnant while using Mylan Fentanyl Patch.
• If your pain continues or returns, see your doctor. You may need additional medicines to control the pain or a change in the
strength of the Mylan Fentanyl Patch.
• Tell your doctor if you develop a fever. At high temperatures, the amount of fentanyl absorbed by the skin increases. Your doctor may need to adjust your Mylan Fentanyl Patch dose.
• If you are about to start taking a new medicine, tell your doctor and pharmacist that you are using Mylan Fentanyl Patch. Things you must not do Do not expose the patch to direct heat from electric blankets, heat pads, heated water beds, heat or tanning lamps, intensive sunbathing, hot water bottles,
long hot baths, saunas or hot spa baths while you are using Mylan Fentanyl Patch. Direct exposure to such heat may cause an
increase in the amount of
fentanyl absorbed by the skin, resulting in possible overdose and death.
• Do not use Mylan Fentanyl Patch to treat any other complaint unless your doctor says so.
• Do not give the patches to anyone else, even if their symptoms seem similar to yours.
• Do not stop using Mylan Fentanyl Patch unless your doctor advises you to do so. If you have been using Mylan Fentanyl Patch for a long period of time but stop it suddenly without your doctor’s advice, you may experience withdrawal symptoms (such as nausea, vomiting, diarrhea, anxiety and shivering). Seek your doctor’s advice if you experience these symptoms. Things to be careful of
• If the patch accidently adheres to another person (for example, family member sharing the same bed), remove the patch and
contact your doctor or Poisons Centre. Do this even if there are no signs of discomfort or drowsiness.
• Different brands of fentanyl patches may vary in size, shape, color or adhesiveness. Do not switch brands of fentanyl patches unless your doctor and pharmacist authorize it. Buy mylan fentanyl patches
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects. Do not be alarmed by this list of possible side effects. You may not experience any of them. Ask your doctor or pharmacist to answer any questions you may have. Tell your doctor if you experience any of the following:
• nausea, vomiting, constipation, dry mouth, diarrhea, uncomfortable feeling in the stomach or belching after eating, indigestion, blockage in the bowel.
• low blood pressure, headache, weakness or dizziness, high blood pressure.
• sleepiness, confusion, hallucinations, euphoria, depression, loss of appetite, anxiety, trouble sleeping, agitation, loss of memory, pins and needles. Buy mylan fentanyl patches
• sweating or trouble urinating.
• skin rash (local redness and itch at the site of the patch is usually mild and resolves when the patch is removed).
• unusual tiredness or weakness, feeling of body temperature change.
• sudden signs of allergy such as rash, itching or hives on the skin. Tell your doctor immediately if you notice any of the following,
as you may need urgent medical care:
• slow heart beat.
• fast heart beat.
• convulsion or seizure.
REMOVE the Mylan Fentanyl Patch and tell your doctor immediately or go to the Emergency Department at your
nearest hospital if the following happens
• breathing slows or weakens.
• temporarily stopped breathing.
• difficulty in breathing.
• sudden allergic reaction, which includes swelling of the face, lips, tongue or other parts of the body, shortness of breath or wheezing. Make sure that you are with someone who can keep you awake by talking to you or gently shaking you every now and then. Nausea, vomiting, diarrhea, anxiety and shivering may occur initially when you are switched from other opioid analgesics to Mylan Fentanyl Patch or if therapy is stopped suddenly. Tell your doctor if you experience any of these effects. Medicines like Mylan Fentanyl Patch can lead to addiction. This is unlikely when Mylan Fentanyl Patch is used correctly. Other side effects not listed above, sexual dysfunction and withdrawal symptoms may also occur in some people. Tell your doctor if you notice any other effects. After using Mylan Fentanyl Patch Storage Keep the patch in the sealed pouch until it is time to apply it. Keep the patches in a dry place where the temperature stays below25°C. Keep the patches where young children cannot reach them. A locked cupboard at least one and a half meters (1.5 m) above the ground is a good place to store medicines.
Do not store Mylan Fentanyl Patch or any other medicine, in the bathroom or near a sink. Do not leave medicines in the car or on window sills. Heat and dampness can destroy some medicines. Disposal The contents of Mylan Fentanyl Patch may be retrieved and abused by addicts. Fold used patches so that the adhesive side of the patch sticks to itself, wrap and dispose of carefully in the rubbish. If your doctor tells you to stop using Mylan Fentanyl Patch, or your patches have passed their expiry date, return the patches to your pharmacist. Product description What it looks like Mylan Fentanyl Patches are available in 5 sizes. Each carton contains 5 patches. The patches are rectangular and transparent, imprinted with the strength: ‘Fentanyl 12.5 mcg/hr.’ in white for the 12.5 micrograms/hour strength. ‘Fentanyl 25 mcg/hr.’ in white for the 25 micrograms/hour strength. ‘Fentanyl 50 mcg/hr.’ in white for the 50 micrograms/hour strength. ‘Fentanyl 75 mcg/hr.’ in white for the 75 micrograms/hour strength. ‘Fentanyl 100 mcg/hr.’ in white for the 100 micrograms/hour strength. The number beneath the name Mylan Fentanyl Patch refers to the
amount of fentanyl in micrograms (one thousandth of a milligram) released by the patch per hour. Ingredients The patches contain the active ingredient fentanyl. The patch is made of a silicone adhesive, simethicone, polyolefin film, white ink and a polyester
release liner. Buy mylan fentanyl patches
Fentanyl patches may be habit forming, especially with prolonged use. Use the fentanyl patch exactly as directed. Do not apply more patches, apply the patches more often, or use the patches in a different way than prescribed by your doctor. While using fentanyl patches, discuss with your health care provider your pain treatment goals, length of treatment, and other ways to manage your pain. Tell your doctor if you or anyone in your family drinks or has ever drunk large amounts of alcohol, uses or has ever used street drugs, or has overused prescription medications, or has had an overdose, or if you have or have ever had depression or another mental illness. There is a greater risk that you will overuse fentanyl patches if you have or have ever had any of these conditions. Talk to your health care provider immediately and ask for guidance if you think that you have an opioid addiction or call the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP. Buy mylan fentanyl patches
Fentanyl patches may cause serious or life-threatening breathing problems, especially during the first 24 to 72 hours of your treatment and any time your dose is increased. Your doctor will monitor you carefully during your treatment. Because of this serious risk, fentanyl patches should only be used to treat people who are tolerant (used to the effects of the medication) to opioid medications because they have taken this type of medication for at least one week and should not be used to treat mild or moderate pain, short-term pain, pain after an operation or medical or dental procedure, or pain that can be controlled by medication that is taken as needed. Tell your doctor if you have or have ever had slowed breathing or asthma. Your doctor will probably tell you not to use fentanyl patches. Also tell your doctor if you have or have ever had lung disease such as chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways), a head injury, a brain tumor, or any condition that increases the amount of pressure in your brain. The risk that you will develop breathing problems may be higher if you are an older adult or are weak or malnourished due to disease. If you experience any of the following symptoms, call your doctor immediately or get emergency medical treatment: slowed breathing, long pauses between breaths, or shortness of breath. Buy mylan fentanyl patches
Taking certain medications with fentanyl may increase the risk of serious or life-threatening breathing problems, sedation, or coma. Tell your doctor and pharmacist if you are taking or plan to take any of the following medications: amiodarone (NextiraOne, Peperone); prepatent (Emend); benzodiazepines such as alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (conopid), diazepam (Dias tat, Valium), etizolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), and triazolam (Halcion);carbamazepine (Carbachol, Epiboly, Equator, Tetrytol, Terrill); certain antifungals such as fluconazole (Diflucan), itraconazole (Noel, Sopranos), and ketoconazole (Nonoral); clarithromycin (Biaxin, in Prepack); diltiazem (Cardizem, Catia, Dilzak, Tastier); erythromycin (E-Mien, Erythrosine); phosamprenavir (Lixivia); medications for mental illness and nausea; other medications for pain; muscle relaxants; nefazodone; nelfinavir ( Viracept ); phenytoin (Dilantin, Phenetic); rifampin (Ritalin, Reactance, in Reformate, in Refuter); ritonavir (Nervier, in Kilter); sedatives; sleeping pills; tranquilizers; oleandomycin (TAO) (not available in the United States); and verapamil (Callan, Coverer, Verulam). Your doctor may need to change the dosages of your medications and will monitor you carefully. If you use fentanyl with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care immediately: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own. If you use fentanyl with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own. Buy mylan fentanyl patches
Drinking alcohol, taking prescription or onprescription medications that contain alcohol, or using street drugs during your treatment with fentanyl increases the risk that you will experience these serious, life-threatening side effects. Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment. Buy mylan fentanyl patches
Do not allow anyone else to use your medication. Fentanyl patches may harm or cause death to other adults and children who use them. Store fentanyl patches in a safe place so that no one else can use them accidentally or on purpose. Be especially careful to keep fentanyl patches out of the reach of children. Keep track of how many patches are left so you will know if any are missing.
People who are not being treated with fentanyl patches may be seriously harmed or may die if the sticky side of a patch touches their skin. Be careful not to allow the sticky side of the patch to touch anyone else’s skin. If you are holding or caring for children, make sure that they do not touch your patch. If the patch accidentally comes off of your body and sticks to another person’s skin, immediately remove the patch, wash the area with clear water, and get emergency medical attention.
Fentanyl patches that have been worn for 3 days still contain enough medication to cause serious harm or death to adults or children who are not being treated with the medication. Never throw used or unused patches in a trash can or leave them in a place where they may be found by others, especially children. Dispose of used and unwanted patches properly according to instructions. (See STORAGE and DISPOSAL.)
If your fentanyl patch is exposed to extreme heat, it may release too much medication into your body at once. This can cause serious or life-threatening symptoms. Do not expose your patch or the skin around it to direct heat such as heating pads, electric blankets, heat lamps, saunas, hot tubs, and heated water beds. Do not take long, hot baths or sunbathe while you are wearing the patch. Your patch may also release too much medication if you have a fever or if you get very hot after physical activity. Avoid physical activity that might cause you to get very hot. Call your doctor right away if you have a fever. Your doctor may need to adjust your dose.
Tell your doctor if you are pregnant or plan to become pregnant. If you use fentanyl patches regularly during your pregnancy, your baby may experience life-threatening withdrawal symptoms after birth. Tell your baby’s doctor right away if your baby experiences any of the following symptoms: irritability, hyperactivity, abnormal sleep, high-pitched cry, uncontrollable shaking of a part of the body, vomiting, diarrhea, or failure to gain weight. Buy mylan fentanyl patches
Your doctor or pharmacist will give you the manufacturer’s patient information sheet (Medication Guide) when you begin treatment with fentanyl patches and each time you fill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website or the manufacturer’s website to obtain the Medication Guide. Buy mylan fentanyl patches
Talk to your doctor about the risks of using this medication.
Why is this medication prescribed?
Fentanyl patches are used to relieve severe pain in people who are expected to need pain medication around the clock for a long time and who cannot be treated with other medications. Fentanyl is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain. Buy mylan fentanyl patches
How should this medicine be used?
Transdermal fentanyl comes as a patch to apply to the skin. The patch is usually applied to the skin once every 72 hours. Change your patch at about the same time of day every time you change it. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Apply fentanyl patches exactly as directed.
Your doctor may start you on a low dose fentanyl patch and gradually increase your dose, not more often than once every 3 days at first, and then not more often than once every 6 days. Your doctor may decrease your dose if you experience side effects. Talk to your doctor about how you are feeling during your treatment with fentanyl patches.
Fentanyl patches are only for use on the skin. Do not place patches in your mouth or chew or swallow the patches.
Do not stop using fentanyl patches without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop using fentanyl patches you may have symptoms of withdrawal. Call your doctor if you experience any of these symptoms of withdrawal: restlessness, teary eyes, runny nose, yawning, sweating, chills, muscle pain, large pupils (black circles in the center of the eyes), irritability, anxiety, backache, pain in the joints, weakness, stomach cramps, difficulty falling asleep or staying asleep, nausea, loss of appetite, vomiting, diarrhea, fast heartbeat, or rapid breathing. Buy mylan fentanyl patches
Do not use a fentanyl patch that is cut, damaged, or changed in any way. If you use cut or damaged patches, you may receive most or all of the medication at once, instead of slowly over 3 days. This may cause serious problems, including overdose and death.
You may bathe, swim, or shower while you are wearing a fentanyl patch. If the patch falls off during these activities, dispose of it properly. Then dry your skin completely and apply a new patch. Leave the new patch in place for 72 hours after you apply it.
You can apply a fentanyl patch to your chest, back, upper arms, or the sides of your waist. If you are applying the patch to a child or to a person who is unable to think clearly, choose an area on the upper back to make it more difficult for the person to remove the patch and place it in his or her mouth. Choose an area of skin that is flat and hairless. Do not apply the patch to parts of the body that move a lot or to skin that has been exposed to radiation or that is sensitive, very oily, broken out, irritated, broken, cut or damaged. If there is hair on the skin, use scissors to clip the hair as close to the skin as possible. Do not shave the area. Buy mylan fentanyl patches
To apply the patch, follow these steps:
- Clean the area where you plan to apply the patch with clear water and pat completely dry. Do not use any soaps, lotions, alcohols, or oils.
- Tear open the pouch containing the fentanyl patch along the dotted line, starting at the slit. Remove the patch from the pouch and peel off both parts of the protective liner from the back of the patch. Try not to touch the sticky side of the patch.
- Immediately press the sticky side of the patch onto the chosen area of skin with the palm of your hand.
- Press the patch firmly for at least 30 seconds. Be sure that the patch sticks well to your skin, especially around the edges.
- If the patch does not stick well or comes loose after it is applied, tape the edges to your skin with first aid tape. If the patch still does not stick well, you may cover it with Inclusive or Megaderm brand see-through dressings. Do not cover the patch with any other type of bandage or tape.
- If a patch falls off before it is time to remove it, dispose of the patch properly and apply a new patch. Leave the new patch in place for 72 hours.
- When you are finished applying the patch, wash your hands with water right away.
- When it is time to change your patch, peel off the old patch and apply a new patch to a different skin area.
- After you remove your patch, fold it in half with the sticky sides together and flush it down a toilet.
Other uses for this medicine
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before using fentanyl patches,
- tell your doctor and pharmacist if you are allergic to fentanyl, or any other medications, or any of the ingredients in fentanyl patches. Ask your doctor or pharmacist or check the Medication Guide for a list of the ingredients.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING and any of the following medications: antidepressants; antihistamines (found in cough, cold, and allergy medications); buprenorphine (Purenex, Subutex, in Suboxone); butorphanol; dextromethorphan (found in many cough medicationsMany other medications may also interact with fentanyl, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor what herbal products you are taking, especially St. John’s wort and tryptophan.
- tell your doctor if you have or have ever had paralytic ileus (condition in which digested food does not move through the intestines). Your doctor may tell you not to use fentanyl patches.
- tell your doctor if you have or have ever had seizures; slowed heartbeat; difficulty urinating; low blood pressure; or thyroid, heart, liver, pancreas, gallbladder, or kidney disease.
- tell your doctor if you are breastfeeding.
- you should know that this medication may decrease fertility in men and women. Talk to your doctor about the risks of using fentanyl transdermal patch.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using fentanyl patches.
- you should know that this medication may make you drowsy. Do not drive a car, operate machinery, or do other possibly dangerous activities until you know how this medication affects you.
- you should know that fentanyl patches may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start using fentanyl patches. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.
- you should know that fentanyl patches may cause constipation. Talk to your doctor about changing your diet or using other medications to prevent or treat constipation while you are using fentanyl patches.
What special dietary instructions should I follow?
Talk to your doctor about eating grapefruit and drinking grapefruit juice while using this medication.
What should I do if I forget a dose?
If you forget to apply or change a fentanyl patch, apply the patch as soon as you remember it. Be sure to remove your used patch before applying a new patch. Wear the new patch for the period of time prescribed by your doctor (usually 3 days) and then replace it. Do not wear two patches at once unless your doctor has told you that you should. Buy cheap mylan fentanyl patches
What side effects can this medication cause?
Fentanyl patches may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- mood changes
- feeling cold
- difficulty falling asleep or staying asleep
- uncontrollable shaking of a part of the body
- pain, burning, tingling, or numbness in the hands or feet
- dry mouth
- stomach pain
- back pain
- difficulty urinating
- skin irritation, redness, itching, or swelling in the area where you wore the patch
Some side effects can be serious. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:
- changes in heartbeat
- agitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea
- nausea, vomiting, loss of appetite, weakness, or dizziness
- inability to get or keep an erection
- irregular menstruation
- decreased sexual desire
- chest pain
- swelling of the eyes, face, mouth, tongue, throat, arms, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
Fentanyl patches may cause other side effects. Call your doctor if you have any unusual problems while you are using fentanyl patches.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) Med Watch Adverse Event Reporting program online or by phone (1-800-332-1088).
What should I know about storage and disposal of this medication?
Store the fentanyl patches at room temperature and away from excess heat and moisture (not in the bathroom).
You must immediately dispose of any used or unused patches that are outdated or no longer needed through a medicine take-back program. If you do not have a take-back program nearby or one that you can access promptly, then throw away any patches by first carefully removing the adhesive backing, folding the sticky sides of each patch together so that it sticks to itself, and then flushing the folded patches down the toilet. Dispose of the pouches and protective liners in the trash. Wash your hands well with water after throwing away fentanyl patches. Do not put unneeded or used fentanyl patches in a garbage can.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach.
In case of emergency/overdose
In case of overdose, remove the fentanyl patch from the victim’s skin and call local emergency services at 911.
While using fentanyl patches, you should talk to your doctor about having a rescue medication called naloxone readily available (e.g., home, office). Naloxone is used to reverse the life-threatening effects of an overdose. It works by blocking the effects of opiates to relieve dangerous symptoms caused by high levels of opiates in the blood. Your doctor may also prescribe you naloxone if you are living in a household where there are small children or someone who has abused street or prescription drugs. You should make sure that you and your family members, caregivers, or the people who spend time with you know how to recognize an overdose, how to use naloxone, and what to do until emergency medical help arrives. Your doctor or pharmacist will show you and your family members how to use the medication. Ask your pharmacist for the instructions or visit the manufacturer’s website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call 911 immediately, and stay with you and watch you closely until emergency medical help arrives. Your symptoms may return within a few minutes after you receive naloxone. If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives. Buy mylan fentanyl patches
Symptoms of overdose may include the following:
- difficulty breathing
- slow or shallow breathing
- extreme sleepiness or tiredness
- difficulty thinking, talking, or walking normally
- small, pinpoint pupils (black circles in the center of the eye)
- unable to respond or wake up
What other information should I know?
Keep all appointments with your doctor and laboratory. Your doctor will order certain lab tests to check your body’s response to fentanyl.
Before having any laboratory test (especially those that involve methylene blue), tell your doctor and the laboratory personnel that you are using fentanyl.
This prescription is not refillable. Be sure to schedule appointments with your doctor on a regular basis so that you do not run out of medication if your doctor wants you to continue using fentanyl patches. Buy mylan fentanyl patches
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.