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Fentanyl patch should not be used if you have not already been taking and are tolerant to narcotic pain medicine, right after surgery if you have not already been using narcotic pain medicines, if only occasional or as- needed pain relief is needed, or if the pain is mild or is not expected to last for a long time. The risk of fentanyl patch's side effects, including breathing problems, may be increased if you also take or have recently stopped certain other medicines (eg, amiodarone, amprenavir, aprepitant, carbamazepine, clarithromycin, diltiazem, erythromycin, fluconazole, fosamprenavir, itraconazole, ketoconazole, nefazodone, nelfinavir, phenytoin, rifampin, ritonavir, troleandomycin, verapamil) or if you eat grapefruit or drink grapefruit juice. Ask your doctor or pharmacist if you have questions about which medicines may increase the risk of breathing problems. Contact your doctor right away if you experience slow, shallow, or difficult breathing. 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What causes skin discoloration in the middle of chest below the breast line? Suggest treatment for itchy red patch on middle of chest area until now. Avoid sunbathing; long, hot baths; or other sources of heat to the body. Avoid activities that can increase body temperature. Tell your doctor if you develop increased body temperature (eg, due to exercise) or a fever. The heat may cause more medicine to be released into your skin and could cause serious, even fatal, side effects. Long- term use of fentanyl patch during pregnancy may cause dependence in the unborn baby. A 60-year-old man is brought to A&E with central crushing chest pain. The patient presents with fever, chills, arthralgia, and a purplish discoloration on the face. Communities; Expert Forums; Health Tools. I get these red blotches all over my face and chest and sometimes on my shoulders/arms, and. Red patches after a shower on upper chest and back.This can lead to withdrawal in the newborn, which can be life- threatening. Discuss any questions or concerns with your doctor. Fentanyl patch is used for: Managing severe chronic pain. Fentanyl patch is only for use when continuous, around- the- clock treatment is needed for a long time. It is only for use when other pain treatments do not treat your pain well enough or you cannot take them. Fentanyl patch should only be used by patients who have already been taking other narcotic pain medicine on a regular schedule and are tolerant to its effects. Fentanyl patch is a narcotic (opioid) pain medicine. It works in the brain and nervous system to decrease pain. Do NOT use fentanyl patch if: you are allergic to any ingredient in fentanyl patchyou have not already been taking other narcotic pain medicine on a regular scheduleyou have just had surgery and you have not already been using narcotic pain medicines, you only need occasional or as- needed pain relief, or you have pain that is mild or is not expected to last for an extended period of timeyou have difficult, shallow, or slowed breathingyou have severe lung problems (eg, severe asthma) or you are having an asthma attackyou have severe liver or kidney problemsyou have narrowing of the stomach or bowels or known or suspected stomach or bowel blockage (eg, paralytic ileus)you have increased pressure in the brainyou are taking buprenorphine, mifepristone, a mixed agonist/antagonist pain medicine (eg, butorphanol, nalbuphine, pentazocine), sibutramine, or sodium oxybate (GHB)you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or have taken one within the past 1. Contact your doctor or health care provider right away if any of these apply to you. Before using fentanyl patch: Some medical conditions may interact with fentanyl patch. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are pregnant, planning to become pregnant, or are breast- feedingif you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplementif you have allergies to medicines, foods, or other substances (eg, adhesives used on bandages)if you have had an allergic reaction to any other narcotic pain medicine (eg, codeine, morphine)if you or a member of your family has a history of mental or mood problems (eg, depression), or alcohol or other substance abuse or dependenceif you have severe drowsiness, growths in the brain (eg, lesions, tumors), a recent head injury, or a history of seizures (eg, epilepsy)if you have a history of chronic obstructive pulmonary disease (COPD) or other lung or breathing problems (eg, asthma, emphysema, bronchitis), sleep apnea, curvature of the spine (scoliosis), heart problems (eg, cor pulmonale, slow or irregular heartbeat), high levels of carbon dioxide in the blood (hypercapnia or hypercarbia), or low levels of oxygen in the blood (hypoxia)if you have a history of liver or kidney problems, gallbladder problems, pancreas problems (eg, pancreatitis), urinary blockage or trouble urinating, stomach or bowel problems (eg, blockage, inflammation), or thyroid problemsif you have low blood pressure, dehydration, low blood volume, constipation, stomach pain, or poor healthif you drink alcohol, have symptoms of alcohol withdrawal, or have a history of suicidal thoughts or attemptsif you have been very ill, have a fever, are very overweight, or have recently had or will be having surgery (eg, stomach or bowel surgery)Some MEDICINES MAY INTERACT with fentanyl patch. Tell your health care provider if you are taking any other medicines, especially any of the following: Phenothiazines (eg, chlorpromazine) because the risk of low blood pressure may be increased. Sodium oxybate (GHB ) because the risk of severe drowsiness, coma, confusion, or slowed or difficult breathing may be increased. Anticholinergics (eg, benztropine, scopolamine) because the risk of constipation and trouble urinating may be increased. Amiodarone, aprepitant, azole antifungals (eg, fluconazole, ketoconazole, voriconazole), benzodiazepines (eg, alprazolam), crizotinib, diltiazem, fosaprepitant, macrolide antibiotics (eg, erythromycin, clarithromycin, troleandomycin), mifepristone, other narcotic pain medicines (eg, oxycodone), nefazodone, protease inhibitors (eg, boceprevir, ritonavir), telithromycin, or verapamil because they may increase the risk of fentanyl patch's side effects, including serious breathing problems, severe light- headedness or dizziness, or severe drowsiness. MAOIs (eg, phenelzine), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), serotonin- norepinephrine reuptake inhibitors (SNRIs) (eg, venlafaxine), sibutramine, or vilazodone because the risk of serotonin syndrome (a severe reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma) may be increased. Buprenorphine, mixed agonist/antagonist pain medicines (eg, butorphanol, nalbuphine, pentazocine), or naltrexone because they may decrease fentanyl patch's effectiveness and withdrawal symptoms may occur. Rifamycins (eg, rifampin) because they may decrease fentanyl patch's effectiveness. This may not be a complete list of all interactions that may occur. Ask your health care provider if fentanyl patch may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. How to use fentanyl patch: Use fentanyl patch as directed by your doctor. Check the label on the medicine for exact dosing instructions. Fentanyl patch comes with an extra patient information sheet called a Medication Guide. It also comes with an additional patient leaflet with detailed instructions for use. Read them again each time you get fentanyl patch refilled. Apply fentanyl patch to the skin only. Do not chew, swallow, or put fentanyl patch in your mouth. Apply fentanyl patch right away after removing it from the sealed package. Do not use a patch if the package is not sealed. Do not apply a patch that has been cut or damaged in any way. The patch should be applied to a dry, smooth, undamaged, nonirradiated section of skin on a flat surface (eg, chest, back, flank, upper arm). In young children or patients with mental impairment, place the patch on their upper back to decrease the chance that they will remove the patch and put it in their mouths. Before applying the patch, clip (do not shave) any hair at the application site, clean the area with clear water only, and then dry the area. Do not use soaps, oils, lotions, alcohol, or any other liquid that could irritate or otherwise affect the skin. Press the patch firmly in place with the palm of your hand for 3. Make sure the contact is complete, especially around the edges. Wash your hands after applying or removing the patch. If the patch does not stick, you may tape only the edges with first- aid tape or cover the patch with a special type of clear adhesive film dressing (eg, Bioclusive, Tegaderm ). Do not cover the patch with any other bandage or tape. Ask your doctor if you are unsure of what type of dressing you can use. A patch may be worn continuously for 7. If pain relief for more than 7. Do not wear more than 1 patch at a time unless your doctor tells you otherwise. If the patch falls off before 7. |
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