- Differential Diagnosis
- Try building your search one term at a time, and be as specific as you can! Search term example: "chronic cough".
- Do not enter multiple findings such as "anemia, chronic cough, weight loss, vomiting" all at the same time.
- After selecting your term from the search results a list of possible diagnoses will be generated. If the list is too long, you will be able to narrow it down by entering additional terms.
- Do not enter values such as "heart rhythm 110" or "sodium 125", instead use "tachycardia" or "hyponatremia".
Drug Information for Fentanyl (Mylan Pharmaceuticals Inc.): Fentanyl Transdermal System CII Instructions for Applying a Fentanyl Transdermal System
- INDICATIONS AND USAGE
- ADVERSE REACTIONS
- DRUG ABUSE AND ADDICTION
- HOW SUPPLIED
- Fentanyl Transdermal System CII Instructions for Applying a Fentanyl Transdermal System
- External Links Related to Fentanyl (Mylan Pharmaceuticals Inc.)
Before Applying Fentanyl Transdermal System
- Each fentanyl transdermal system is sealed in its own protective pouch. Do not remove fentanyl transdermal system from the pouch until you are ready to use it.
- Do not use a fentanyl transdermal system if the pouch seal is broken or the patch is cut, damaged or changed in any way.
- Fentanyl transdermal systems are available in 5 different doses and patch sizes. Make sure you have the right dose patch or patches that have been prescribed for you.
Applying a Fentanyl Transdermal System
- Skin Areas Where the Fentanyl Transdermal System 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).
For children (and adults with mental impairment):
- 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.
For adults and children
- Do not put a fentanyl transdermal system on skin that is very oily, burned, broken out, cut, irritated, or damaged in any way.
- 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 sites.
- Prepare to Apply a Fentanyl Transdermal System:
- 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 at a time unless your doctor tells you to do so. Before putting on a new fentanyl transdermal system, 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.
- Open the Pouch: Tear at notch and remove the fentanyl transdermal system. Each fentanyl transdermal system is packaged with additional pieces of protective film above and below the patch and is sealed in its own protective pouch. Do not remove fentanyl transdermal system from the pouch until you are ready to use it (see Figure 6). The additional pieces of protective film are discarded at time of use (see Figure 7).
- Peel: Peel off both parts of the protective liner from the patch. Each fentanyl transdermal system has a clear plastic liner that can be peeled off in two pieces. This covers the sticky side of the patch. Carefully peel this liner off. Throw the clear plastic liner away. Touch the sticky side of a fentanyl transdermal system as little as possible (see Figure 8).
- 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 9). 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).
- 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 Askina®Derm. These are special see-through adhesive dressings. Never cover a fentanyl transdermal system with any other bandage or tape. Remove the backing from the Bioclusive® or Askina®Derm dressing and place it carefully over the fentanyl transdermal system, 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) 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).
- Wash your hands when you have finished applying a fentanyl transdermal system.
- Remove a fentanyl transdermal system after wearing it for 3 days (72 hours) (see “Disposing a Fentanyl Transdermal System”). Choose a different place on the skin to apply a new fentanyl transdermal system 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. If the patch falls off before 3 days (72 hours) after application, discard it properly (see Disposing a Fentanyl Transdermal System) 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
- Fold the used fentanyl transdermal system in half so that the sticky side sticks to itself (Figure 10). Flush the used fentanyl transdermal system down the toilet right away (Figure 11).
A used fentanyl transdermal system 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 systems 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 sides 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 trash can.
BIOCLUSIVE® is a registered trademark of Systagenix Wound Management, Inc.
Askina®Derm is a registered trademark of BBraun Melsungen AG
Mylan Pharmaceuticals Inc.Morgantown, WV 26505
REVISED DECEMBER 2009MG:FTS:R3
- Drug Information Provided by National Library of Medicine (NLM).