Duragesic is a skin patch containing fentanyl, an opioid pain medication. Postoperative assessments reveal that the client s blood pressure ranges between 9060 and 10070 mm hg. Fentanyl transdermal is not for treating mild or occasional pain or pain from surgery. John smith, a terminally ill lung cancer patient has pain that is well controlled on morphine sustained action, 90mg every 12 hours. Duragesic can be accidentally transferred to children or another family member while in close contact. Find patient medical information for duragesic transdermal on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Thousands of additional practice questions are available on the enclosed companion cd.
Terms in this set 4 what did your doctor tell you this medication is for. Fentanyl transdermal route precautions mayo clinic. Nov 20, 2004 fentanyl interferes with respiratory function and pupil reaction, both of which are essential parts of neurological assessment. Inappropriate prescribing of fentanyl patches is still causing. Duragesic is a brand name for the narcotic pain medicine fentanyl. Do not remove the duragesic patch from the pouch until you are ready to use it see figure f. This medication is used to help relieve severe ongoing pain. Ask your doctor whether you will need to remove your patch before the test and apply a new patch afterward, and how to do so properly. Before applying duragesic each duragesic patch is sealed in its own protective pouch. Sn instructed patient and caregiver about fentanyl patch. A strong prescription pain medicine that contains an opioid narcotic that is used to manage pain severe enough to require daily aroundtheclock, longterm treatment with an opioid, in people who are already regularly using opioid pain medicine, when other pain treatments such as nonopioid pain medicines or immediaterelease opioid medicines do not treat your. Some patches may contain metals that can cause serious burns during an mri. Duragesic is a brand name product consisting of the opioid pain reliever called fentanyl.
The potential for a drug overdose from a duragesic patch is very high. Jun 28, 2007 ongoing, preventable fatal events with fentanyl transdermal patches are alarming. Apply local heat over the patch to aid drug absorption b. If a child accidentally is exposed to a duragesic patch, call your local poison. Duragesic is used to treat moderate to severe chronic, constant pain that is expected to last for several weeks or longer. Duragesic fentanyl transdermal system is a skin patch that belongs to a group of medicines called narcotic analgesics or opioid analgesics. Withdrawal symptoms, drug interactions, dosage, and pregnancy and breastfeeding safety are provided. Duragesic patches may also be improperly distributed or handled by health care professionals and negligence on their part can cause harm to the patient. Summary duragesic patches are a fentanyl dermal slowrelease system. Control center or the nearest emergency room right away. Fentanyl is used as needed to treat breakthrough pain but not more often than four times a day.
Instructions for use duragesic durahgeezik fentanyl. Cut the patch in half before application if less medication is needed c. A locked box or area may help keep fentanyl transdermal patch safe. In july 2005, the fda issued a public health advisory to inform patients about the risks associated with the duragesic patch and how consumers can reduce these risks with proper precautions. You will need to decrease how much you are exercising. Duragesic patches because of seal breaches which might have allowed the medication to leak from the patch. Duragesic label page 1 full prescribing information for use. Fentanyl belongs to a class of drugs known as narcotic opiate analgesics. Duragesic is a prescription skin patch approved to treat moderatetosevere pain. Do not put the patch in your mouth, chew it, or swallow it. It works in the brain to change how your body feels and responds to pain. It is, however, not unusual for a dental patient wearing a fentanyl patch to be treated in. Please ensure that used patches are concealed and disposed of carefully. Use them to measure the length of ointment squeezed from the tube and to apply the ointment to the skin.
Nov 05, 2019 duragesic is a skin patch containing fentanyl, an opioid pain medication. Despite warnings from the fda, manufacturers, and various patient safety agencies, fentanyl transdermal patches continue to be prescribed inappropriately to treat acute pain in opiatenaive patients, sometimes in large doses or in. Ongoing, preventable fatal events with fentanyl transdermal. Fentanyl duragesic patches are often used in the longterm care setting for residents requiring aroundtheclock pain management. Nclex questions when applying a duragesic fentanyl. Cutting the patch will never ensure that the patient is getting the correct dosage. Jul 16, 2018 transdermal patches are easy to use, but for them to work well, its important to use them properly. Duragesic label page 1 full prescribing information for. The fda is conducting an investigation into the deaths associated with these patches.
Fentanyl interferes with respiratory function and pupil reaction, both of which are essential parts of neurological assessment. If your patient will be using the patch at home, teach him to remove the old. Duragesic patches are made to dispense the medication transdermally over a period of time usually 72hrs. It is particularly effective in managing chronic pain associated with cancer. Do not use more fentanyl than prescribed by your doctor. Your doctor or pharmacist will give you the manufacturers patient information. The patches are prescribed for chronic pain when shortacting narcotics and other types of painkillers fail to provide relief.
Duragesic patch lawsuits overdose, duragesic side effects. Multiple risks for patients using the transdermal fentanyl. Transdermal patches are easy to use, but for them to work well, its important to use them properly. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to overdose or death.
Schedule ii opioid substances which include fentanyl, hydromorphone, methadone, morphine, oxycodone, and oxymorphone have the highest potential for abuse. Fentanyl duragesic is a moderately priced drug used to treat chronic pain. Duragesics skin patch form is used to treat aroundtheclock pain chronic pain that is moderate to severe and expected to last for weeks or longer. It works by changing the way the brain and nervous system respond to pain. Generic fentanyl is covered by some medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Fentanyl transdermal patches are used to treat severe, ongoing pain that cannot be controlled with other medicines. The duragesic patch is an adhesive patch containing narcotic pain medicine typically narcotic analgesics or opioid analgesics. Dec 22, 2019 store fentanyl transdermal patch in a safe place where children cannot see or reach it, and where other people cannot get to it.
Duragesic is the most recognized brand name for fentanyl patches. Reports of fentanyl abuse, including mixing fentanyl into heroin, have been reported more across the united states since 2015. Eligible patients using commercial or private insurance can save on outofpocket costs for duragesic. Duragesic label page 1 full prescribing information for use in opioidtolerant patients only duragesic contains a high concentration of a potent schedule ii opioid agonist, fentanyl. Also some duragesic manufacturers make the patches with the liquid medication visible in the patch and cutting it would release this med. Because of continued deaths from fentanyl patches, the fda recently required the manufacturer of the duragesic patch to print the name and strength on the patch in longlasting ink in a color that is clearly visible to patients and care givers so that patches are easier to find and identify on the body. This medicine should also come with a medication guide and patient instructions. Instructions for use duragesic durahgeezik fentanyl transdermal system cii be sure that you read, understand, and follow these instructions for use before you apply duragesic transdermal system patch talk to your. The client s preoperative blood pressure was 12876 mm hg. If the patch accidentally sticks to the skin of another person, take the patch off immediately. Patient education is a key component of care in fentanyl administration. This page of the emedtv web site gives an indepth overview of this medication, describing how it works and offering information on how to use the skin patch properly.
Duragesic fentanyl transdermal dosing, indications. Similar instances occurred where improperly sealed patches could harm both patients and health care professionals applying the patch. On july 15, 2005 the fda issued a public health advisory concerning the use of duragesic patches fentanyl transdermal in response to reports of deaths in patients using the patch. The client has a prescription for morphine sulfate via iv every 3 hours as needed for pain. Instructions for use duragesic instructions for applying a. The pharmacist should document all patient education. Smith is now unable to swallow and so the morphine needs to be converted into a transdermal fentanyl patch.
Duragesic uses this medication in a transdermal patch form. Durogesic patches may be retrieved and abused or misused illegally. Is a fentanyl 100 mcg patch and a duragesic 100mcg patch. Ongoing, preventable fatal events with fentanyl transdermal patches are alarming. Misuse or abuse of fentanyl transdermal patch by placing it in the mouth or chewing, swallowing, injecting, or snorting it can lead to overdose and death. The patient was converted from a morphine pump to a fentanyl patch. Side effects of duragesic fentanyl transdermal, warnings, uses.
Do not use a duragesic patch if the pouch seal is broken or the patch is cut, damaged or changed in any way. Over the past few years there has been an increase in fentanyl overdose and diversion so we want to provide you with additional information to keep your residents and nurses safe. Nitroglycerin transdermal route proper use mayo clinic. Start studying fentanyl transdermal patch duragesic. In september 20, the fda required alza to alter the labeling on duragesic patches to minimize the risk of accidental. Find patient medical information for fentanyl transdermal on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Duragesic and other fentanyl patches release fentanyl dosages transdermally through the skin and into the bloodstream. The duragesic patch, also known as the fentanyl patch, has prompted safety concerns due to a number of deaths related to duragesic patch use. Fentanyl comes as a lozenge on a handle actiq, a sublingual underneath the tongue tablet abstral, a film onsolis, and a buccal between the gum and cheek tablet fentora to dissolve in the mouth.
Use this medicine exactly as directed by your doctor. Fentanyl skin patches are packaged in sealed pouches. Patient information this leaflet contains important information. The fentanyl skin patch is only used for opioidtolerant patients. This medicine should only be used on skin that is not irritated or injured. Duragesic is a prescription skin patch approved to treat moderate to severe pain.
Each duragesic patch is sealed in its own protective pouch. Fold used patches in half so edges adhere and then discard it immediately d. Fentanyl is considered to be 30 to 50 times more powerful than morphine at alleviating severe and chronic pain 1. 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. The duragesic fentanyl patch is used to treat chronic pain by supplying a steady dose of fentanyl a powerful opioid pain medication over an extended period of timeusually up to 72 hours. Do not remove a duragesic patch from the pouch until you are ready to use it.
Duragesic patch fentanyl patch rationale for inclusion in pa. Duragesic fentanyl transdermal side effects, images, uses. Fentanyl is in a class of medications called opiate narcotic analgesics. Fentanyl is sometimes sold on the black market in the form of transdermal fentanyl patches such as duragesic, diverted from legitimate medical supplies. A nurse is caring for a client who has paraplegia as a result of a spinal cord injury. Sandoz fentanyl patch page 1 of 48 product monograph n sandoz fentanyl patch fentanyl transdermal patches matrix 12 mcgh 25 mcgh 37 mcgh 50 mcgh 75 mcgh 100 mcgh opioid analgesic sandoz canada inc. The food and drug administration recently released a public health advisory for the fentanyl transdermal system patches duragesic in both brand and generic products. Do not put a fentanyl skin patch on any person who does not have a personal prescription for. Patient and family education regarding patch use, disposal and the risk of.
Pricara is advising patients with recalled 25 mcghr duragesic patches to call 8005476446, while patients with recalled 25 mcghr sandoz inc. The client asks whether an extra pill should be taken before exercise. The nurse is responsible for teaching the client about the use of the duragesic patch, including. Each product will have specific instructions for use. January 7, 2016 145 julesleger boucherville, quebec, canada j4b 7k8 submission control no. Spread it in a thin, even layer, and cover an area of. Because serious sometimes fatal breathing problems can occur, do not use this medication for shortterm pain, pain occurring after surgery, or for mild or infrequent pain onandoff pain relieved by less powerful pain medications. The recalled patches should be discarded immediately. Be sure to follow any specific instructions provided by your doctor or the product instructions as to site selection or rotation. The safety and effectiveness of duragesic patches in pediatric patients below the age of 2 years has not been established 1. Fentanyl transdermal patch duragesic flashcards quizlet.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. Excessive heat may increase absorption from patches so local heat should not. Aug 18, 2012 the duragesic fentanyl patch is used to treat chronic pain by supplying a steady dose of fentanyl a powerful opioid pain medication over an extended period of timeusually up to 72 hours. Fentanyl transdermal duragesic side effects, medical. Nov 29, 2016 duragesic patch side effects injury lawsuits. Is a fentanyl 100 mcg patch and a duragesic 100mcg patch the same dosage. Return unused patches to the pharmacy see disposal at the end of this leaflet. Production was recently suspended in 2011 due to some manufacturing issues, although the problem was quickly resolved. Dec 23, 2019 the potential for a drug overdose from a duragesic patch is very high.
It will work only if it has been applied correctly. Duragesic patches are a strong prescription pain medicine. An average dose of 200 mg or more morphine or equivalent was associated with a nearly ninefold increase. Transdermal fentanyl, or the fentanyl patch, is commonly prescribed for. Fentanyl skin patch is used to treat severe pain, including acute pain following surgery. The risks associated with the cumulative effects of multiple doses of oral. A nurse applied a prescribed fentanyl patch, at a dose of 75 mcghour, to the patients skin before. This medicine comes with papers to help measure the dose. Fentanyl transdermal route description and brand names. Ionsys is applied by your healthcare provider in a hospital setting after surgery for the shortterm management of acute pain. The amount of medication you need to take is not related to exercising. Peel off both parts of the protective liner from the patch.
Do not use a fentanyl patch if you have taken a monoamine oxidase mao inhibitor in the past 2 weeks. Duragesic fentanyl transdermal system is available in generic form. Food and drug administration fda is requiring color changes to the writing on duragesic fentanyl pain patches so they can be seen more easily. This article provides stepbystep instructions and graphics on how to apply and use a. Converting from oral morphine to fentanyl transdermal patch. Available in 25 mcg, 50 mcg, 75 mcg, and 100 mcg patches applied once every three days, duragesic is administered for baseline maintenance pain control management. The gel from inside the patches is sometimes ingested or injected. Store fentanyl transdermal patch in a safe place where children cannot see or reach it, and where other people cannot get to it. Your doctor may decrease your dose if you have sleep apnea stop breathing for short periods during sleep while using this medicine. Available in 25 mcg, 50 mcg, 75 mcg, and 100 mcg patches applied once every three days, duragesic is administered for baseline maintenance pain. Another form of fentanyl that has appeared on the streets is the actiq lollipop formulation. Take special precautions to avoid accidental contact when holding or caring for children.
Duragesic patch has been linked to a number of deaths from overdoses of fentanyl, which can suppress the respiratory system. Although the drug can be injected or taken orally via a lollipop or lozenge, a common ingestion method is to take the drug transdermally through patches. This includes the pain that happens with surgery such as tonsillectomies, medical, or dental procedures. What teaching related to this drug should the nurse include. Follow the information that comes with fentanyl transdermal patch for throwing out doses that are not needed. Side effects may include profuse sweating, coughing, nausea, diarrhea, and tearing. In february 2004, a leading fentanyl supplier, janssen pharmaceutica products, l. Assess the therapeutic response and in breakthrough cancer pain consider adjustment of background analgesia where this is appropriate.
They are used to treat persistent, moderate to severe pain in patients who are opioid tolerant. Duragesic is used for pain severe enough to require aroundtheclock pain relief for a long period of time. In cases involving faulty patches the manufacturers are almost always at fault and subject to civil liability. Multiple risks for patients using the transdermal fentanyl patch.
Keep used and unused patches where children cannot reach them. Duragesic fentanyl transdermal system for transdermal administration is an opioid analgesic indicated for the management of pain in opioidtolerant patients, severe enough to require daily, aroundtheclock, longterm opioid treatment and for which alternative treatment options are inadequate. The dosage is regulated by body heat, which is why immersing the patch in. This medicine may cause sleep related breathing problems eg, sleep apnea, sleep related hypoxemia. Spread it in a thin, even layer, and cover an area of skin that is the same size each time it is applied. Fentanyl transdermal patch duragesic is a prescription medication used to treat severe chronic pain such as cancer. The patches are used to treat moderate to severe chronic pain in opioidtolerant patients, severe enough to require daily, aroundtheclock, longterm opioid treatment.
Duragesic patch fentanyl patch duragesic patches fep clinical criteria pre pa allowance quantity 30 patches every 90 days patients will not be eligible for a prepa allowance for extended release er if patients have not been on a previous immediaterelease opioid therapy for at. Duragesic patches for pain have been recalled various times due to possible manufacturing errors andor evidence of tampering. What patients need to know recent media reports of adverse events and deaths in young children as a result of accidental exposures to the fentanyl patch highlight the need for patient education when clinicians prescribe these products. Each duragesic patch has a clear plastic protective liner that can be peeled off in two pieces. These patches are not for patients who have never taken oral opioid medications these patches usually contain high doses of fentanyl and can be too strong for patients who have never taken fentanyl, which can lead to severe side effects, acute pain such as postop or surgical related etc. Side effects of duragesic fentanyl transdermal, warnings. Dec 23, 2019 the rapid release of opioids led to at least one fatality from faulty duragesic patches. An extra pill will help your body use glucose when exercising. Older adults may be more sensitive to the side effects of this drug, especially confusion.
785 1042 175 124 480 1089 1349 1319 930 1529 960 645 806 1129 606 143 815 283 1255 1317 312 839 389 965 1172 554 332 295 738 412 558 152 1144 477 1189 49 1586 1470 188 779 954 953 980 1283 946 91 796 1306 796