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Doctor insights on: Where To Place Butrans Patch

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Butrans patch 5 more effective the longer you're on it?

Butrans patch 5 more effective the longer you're on it?

Butrans: Butrans takes 3 days to reach adequate plasma levels. I would say if you are not getting any relief by one week then the dose has to be adjusted. ...Read more

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What are the health problems from using butrans pain patches for many years?

What are the health problems from using butrans pain patches for many years?

Butrans: Butrans is an opioid medication...in the same family as OxyContin, morphine, Percocet, etc. you can build up a tolerance to these, which means that with time you will need more for the same effect. You can also build up a dependence on them. If you are under the care of a pain clinic/doctor, they should monitor this for you. ...Read more

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Am i able to place butrans patches in places other than the advised ones? Many thanks

Am i able to place butrans patches in places other than the advised ones?  Many thanks

Butrans patch: Placement of the patches in places other than recommended may result in problems with absorption — either increased absorption and thus increased side effect possibility or on the contrary — decreased absorption and thus decreased efficacy. If you have any specific place on your body in mind, you should talk to the prescribing doc about that and explain why you would want to do so. ...Read more

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How can I get my butrans patch to stay on longer? The patch is so thin when it wears down it starts to fall off

How can I get my butrans patch to stay on longer? The patch is so thin when it wears down it starts to fall off

Butrans patch: This is designed to stay on for 7 days. If its falling off then you can use tape to keep it on. It would make no sense to keep it on longer than 7 days — the design provide for steady drug for 7 days only — therafter it may not deliver the same amount. ...Read more

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Hi there, butrans 20mg patch 1 a week for the past 10 months. I was wondering how long it takes to come out your system completely. TY?

Hi there, butrans 20mg patch 1 a week for the past 10 months. I was wondering how long it takes to come out your system completely. TY?

Potentially a month: Or even more. Buprenorphine is a very long-acting drug, and its major metabolite is also very long-acting. It is bound to serum proteins and both the parent drug and its metabolites can be detected for weeks after chronic use. Eventually only the metabolites are detected, but depending on the sensitivity of the method used for testing, it can be detected for more than a month out. ...Read more

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Can I take Oramorph while using Butrans patch 10mg?

Careful: There are some adverse interactions using this combination of medications. This can be allowed for by adjusting doses. Talk to your prescribing doctor about the potential risks and benefits. ...Read more

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Will 20 mcg per butrans patch totally negate other pain meds?

Not Totally: Probably need to talk to your dr. About your concerns regarding the antagonism of buprenorphrine with standard opioids like hydrocodone. Probably should use one approach or the other but you need to talk with your dr. And follow their advice. ...Read more

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What to do if I'm on the butrans patch and was wondering if i wld get busted for taking Suboxone along with the patch?

What is the point?: Why are you getting care for pain with a Buprenorphine patch and then adding to it? The amount of Buprenorphine in the patch is extremely small, relative to what is in a Suboxone tablet (2 to 8 mg). If you aren't honest with your physicians, how are they supposed to be helping you? If they do quantitative urine testing, they will see that the amount of Buprenorphine is higher than it should be. ...Read more

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My husband has arachnoiditis. The butrans patch didn't work. It is now being treated with 10 mg oxy and 30 mg oxy. Barely livable. What else will help?

Non-opioids: For the burning pain associated with arachnoiditis, non-opioid pain meds may work better like membrane stabilizers (gabapentin) or some anti-depressents. Patients also improve with spinal cord stimulation. I hope he does better soon. Talk to you doctor about the above options. ...Read more

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First 24 hrs of taking the butrans 10 patch and no pain relief can I take something on top of this until it kicks it for instance hydro 5 until it sta?

First 24 hrs of taking the butrans 10 patch and no pain relief can I take something on top of this until it kicks it for instance hydro 5 until it sta?

Talk to MD, RPh: Prescribers SHOULD know that pain patches may take 24-36 hours to get to levels that may relieve pain, and they also should advise you as to what you can take while the medication is kicking in. Usually, a low dose of a short-acting rapidly absorbed opiate like hydrocodone is reasonable for that short period, but I do not know your history, what other meds you are on etc., so can't advise. ...Read more

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Can you tell me how butrans (buprenorphine) patches affect you?

Can you tell me how butrans (buprenorphine) patches affect you?

Butrans: It is used a pain medication. IT has all the cautions and side effects as other opioids — nausea, constipation, respiratory depression, abuse potential etc... ...Read more

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What level Butrans patch should I be on if I was taking approx 350mg of tramadol per day?

What level Butrans patch should I be on if I was taking approx 350mg of tramadol per day?

Suggestions: Would start Butrans at a level of 10 mcg patch weekly, but could gradually titrate upwards slowly over 2-3 weeks. But not clear to me from your question, as to etiology of your "nerve pain", and can help to treat underlying cause. ...Read more

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Butrans 5mcG/hr, is delivering 0.84mg for the WEEK, the patch claims 5mg per patch, not 0.84mg, is this because 15% dermal bio-availability?

Butrans 5mcG/hr, is delivering 0.84mg for the WEEK, the patch claims 5mg per patch, not 0.84mg, is this because 15% dermal bio-availability?

Transdermal Butrans: Yes. The approximate 15% bioavailability (which is a very complex set of biochem issues) is the main reason. It actually takes about 18 hours for the serum concentations to rise to 25 PICOgrams per mL!! ...Read more

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My doctor put me on the butrans 5 patch on a friday morning I was sick, dizy and couldn't eat, I gave it till monday and im still not better...

My doctor put me on the butrans 5 patch on a friday morning I was sick, dizy and couldn't eat, I gave it till monday and im still not better...

Butrans side effects: Most likely due to too much buprenophine (bup) in the system, seen more commonly during initiation in the opiate naive. Nausea, vomiting, dizziness are common side effects shared by all opiates including bup.
There is a potential for bup to precipitate withdrawal in patients already receiving long acting opiates, but less likley in this case. ...Read more

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Can the Butrans patch be worn in the groin area and be as effective as in the recommended area of the upper body? Trying to hide patch wo shirt on.

Can the Butrans patch be worn in the groin area and be as effective as in the recommended area of the upper body? Trying to hide patch wo shirt on.

Perhaps, but: The location over the upper arm, upper chest, or upper back is based on vascularity, and resultant absorption, where the medicine is better absorbed higher up. Theoretically, it still will cross transdermally, but effect may be blunted if placed in groin area. ...Read more

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Can butrans patches cause blood clots?

Can butrans patches cause blood clots?

Shouldn't: Butrans is an opioid, which are not known to cause blood clots. In addition, the package insert for Butrans does not include clots as a potential side effect. ...Read more

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I take butrans for chronic pain, can any additional medication help if flareups still go beyond the level my patch? I already see a pain specialist.

I take butrans for chronic pain, can any additional medication help if flareups still go beyond the level my patch? I already see a pain specialist.

Talk to your Doc: Assuming you are not having chronic pain related to cancer, the research related to the use of "as needed" pain meds (breakthrough meds) does not support it. Flare ups would need to last for an hour or more for additional medication to be effective. Most flare-ups are short. Too often patients who are given breakthrough meds just take them on a routine basis. ...Read more

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I was on suboxone 8mg TID and my doc has put me on a butrans patch 20mcg Q 7 days. I have been on this X1 week. When will I level out? I'm withdrawl

I was on suboxone 8mg TID and my doc has put me on a butrans patch 20mcg Q 7 days.  I have been on this X1 week.  When will I level out? I'm withdrawl

Try Gabapentine: Gabapentine is very helpful for withdrawing from other drugs. Take 600-800 mg at bedtime, and lower doses (100-300 mg) several times during the day. Dosage should be high enough to help you sleep at night, but low enough during the day to not make you sleepy. Gabapentine is very safe, and does not interact adversely with other drugs. Adjust dosage up or down to what works. ...Read more

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Can MS Contin (morphine) be used alongside Butrans patch?

Can MS Contin (morphine) be used alongside Butrans patch?

Not good idea usually: Choose either one but not both unless you require a rescue drug. If that is case, might select a Fentanyl patch as the best approach. ...Read more

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Does a butrans patch slow gastric emptying like taking a narcotic pain Med would?

Yes: All opioids can cause constipation and slow down the digestive tract. Some people more sensitive and some opioids more likely than others. Simple measures can often be used to overcome this side effect. Talk to your prescriber. ...Read more

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I want to now if there any else on the English market to help chronic back pain. As I take butrans patches and pregabalin do not work.

See details: It is impossible to offer advice without access to MRI results and the ability to perform a physical exam. Relying on narcotics at age 47 is never a good idea. Have you seen an interventional pain specialist yet? ...Read more

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Is the butrans patch good for fibro and what can I take for upper resp/sinus infec. That will not interact with cymbalta (duloxetine)...

Beware: I would strongly encourage you to consider an alternative form of pain medication besides Butrans as opioid medications should be a last resort due to all the adverse effects that come along with using them. Some basic things that really don't interact with anything would be steam treatments and saline nasal irrigations. Otherwise, to suggest meds, it helps to know your most bothersome symptoms. ...Read more

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Can I drink alcohol while on butrans patch. I have a special occasion over the weekend. Or can I take it off a couple days and be safe?

Can I drink alcohol while on butrans patch. I have a special occasion over the weekend.  Or can I take it off a couple days and be safe?

No, you can't safely: These are serious medications and it is generally not safe to start and stop them for convenience. It is also not safe to drink while on it — If this is for 3/7 or 3/8, talk to the Dr. Don't just remove the patch. Even if it was OK this time, the future may not be. Be careful w/ yourself — that's part of what you need for recovery! ...Read more