Buprenorphine Withdrawal Patch The active substance is buprenorphine The buprenorphine drug withdrawal patch is used to relieve severe pain in people who would be expected to need pain relievers from around-the-clock drug use and who cannot be treated with other drugs. It works by changing the way they respond. Brain and nervous system for pain.
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How should the withdrawal symptom patch be used?
Buprenorphine transdermal comes in the form of a patch that you apply to the skin. The patch is usually applied to the skin once every 7 days. Change the patch around the same time of day each 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 buprenorphine patches exactly as directed.
Your doctor may start you on a low dose of the buprenorphine patch and gradually increase your dose, not more than once every 3 days. If this increase involves the use of two patches, remove the existing patch and at the same time, place the two new patches next to each other in a new location. If your doctor tells you to use two patches, you should always change them and apply them at the same time. Your doctor may reduce your dose if you experience side effects. Call your doctor if the dose you are taking does not control your pain. Talk to your doctor about how you feel during your treatment with buprenorphine patches.
Do not stop using buprenorphine patches without first talking to your doctor. Your doctor will probably reduce your dose gradually. If you suddenly stop using buprenorphine patches, you may have withdrawal symptoms. Call your doctor if you experience any of these withdrawal symptoms: restlessness, watery eyes, runny nose, yawning, sweating, chills, hair standing on end, muscle aches, large pupils (black circles in the center of the eye), irritability, diarrhea, nausea, and vomiting anxiety, joint pain, weakness, fast heartbeat or rapid breathing;
Continue How to use the patch for withdrawal symptoms
Do not use a buprenorphine patch that is broken, damaged, or changed in any way. If you are using broken or damaged patches, you may receive most or all of the medication at once, rather than slowly receiving over 7 days. This may cause serious problems, including overdose and death.
If your buprenorphine 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 the patch or the surrounding skin to direct heat such as heating pads, electric blankets, heat lamps, saunas, hot tubs, and hot water beds. Do not take a long or hot shower or sunbathe while wearing the patch.
You may shower or bathe while wearing the buprenorphine 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 7 days after applying it.
You may place a buprenorphine patch on your upper outer arm, upper chest, upper back, or side of your chest. Choose an area of skin that is flat and hair-free. Do not apply the patch to parts of the body that are irritated, broken, cut, damaged, or altered in any way. If there is hair on the skin, use scissors to cut the hair as close to the skin as possible. Do not shave the area. Wait at least 3 weeks before applying a new patch to the same site.
To apply the patch, follow these steps:
Clean the area where you plan to apply the patch with clear water and allow it to dry completely. Do not use any soap, lotion, alcohol, or oils.
Use scissors to open the pouch containing the buprenorphine patch along the dotted line. Remove the patch from the bag and peel off 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 selected area of skin with the palm of your hand.
Press the patch firmly for at least 15 seconds. Make sure the patch adheres well to your skin, especially around the edges. Do not rub the patch.
If the patch doesn’t stick well or becomes loose after applying it, just tape the edges to your skin with band-aid tape. If the patch does not stick well, you can cover it with a transparent bandage from the brand Bioclusive or Tegaderm. Do not cover the patch with any other type of bandage or tape. Talk to your doctor or pharmacist if your patch continues to have problems sticking to your skin.
If the patch falls off before it is time to remove it, dispose of the patch properly and apply a new patch to a different area of skin. Leave the new patch in place for 7 days.
When you have finished applying the patch, wash your hands with clear water only right away.
Type the date and time the patch was applied.
When it’s time to change the patch, peel off the old patch and place a new patch on a different skin area.
After you remove your patch, use the patch disposal unit provided by the manufacturer to safely dispose of the used patch in the trash. Close the patch disposal unit by bending the adhesive sides together, then press firmly and smooth over the entire unit until the patch is sealed inside. Do not put used patches in the trash without first sealing them in the patch disposal unit. Alternatively, you can also fold the sticky sides of the used patch together and flush it down the toilet. The patches used may still contain some medicine and may be dangerous to children, pets, or adults who have not been prescribed buprenorphine patches.
Other uses for the withdrawal symptoms patch
Buprenorphine should not be used to treat mild or moderate pain, short-term pain, or pain that can be controlled with medicines taken as needed.
This medication may be prescribed for other uses; Ask your doctor or pharmacist for more information.00What special precautions should I take?
00 BEFORE USING THE WITHDRAWAL SYMPTOMS PAD
tell your doctor and pharmacist if you are allergic to buprenorphine, any other medications, or any of the ingredients in the buprenorphine patch. Ask your doctor or pharmacist or check the Medication Guide for a list of ingredients.
Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking, plan to take, or use. Be sure to mention the medications listed in an IMPORTANT WARNING and any of the following: anticholinergics (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, and scopolamine); cyclobenzaprine (Amrix); dextromethorphan (found in many cough medicines; in Nuedexta); diuretics (water pills); certain medications for arrhythmias including amiodarone (Cordarone, Nextron, Pacerone), disopyramide (Norpace), dofetilide (Ticocin), procainamide (Procanabide), quinidine (in Nodexta), and sotalol (Betapase, Betapase AF, Sorin, Sotellis). , and others); lithium (Lithobid); migraine headache medications such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); certain seizure medications such as carbamazepine (Tegretol, Teryl, and others), phenobarbital, phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, in Rifamate, in Rifater); 5HT3 serotonin blockers such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin reuptake inhibitors such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbiax), fluvoxamine (Luvox), paroxetine (Brisdil, Prozac, Pexeva), and sertraline (Zoloft); serotonin and norepinephrine reuptake inhibitors such as duloxetine (Cymbalta), desvenlafaxine (Kedezla, Pristiq), milnacipran (Savella), venlafaxine (Effexor); trazodone; or tricyclic antidepressants (“mood elevators”) such as amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silinor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and surelypramine (Vivactil). Also tell your doctor or pharmacist if you are taking or receiving the following monoamine oxidase (MAO) inhibitors or if you have stopped taking them within the past 2 weeks: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). Many other medications may also interact with buprenorphine, 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. or tranylcypromine (Parnate). Many other medications may also interact with buprenorphine, 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. or tranylcypromine (Parnate). Many other medications may also interact with buprenorphine, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. may need
Your doctor may change the doses of your medications or monitor you carefully for side effects.
Tell your doctor what herbal products you take, especially St. John’s wort and tryptophan.
Tell your doctor if you have or have ever had any of the conditions listed in the IMPORTANT WARNING section or paralytic ileus (a condition in which digested food does not move through the intestines). Your doctor may tell you not to use buprenorphine patches.
tell your doctor if you or an immediate family member has prolonged QT syndrome (a condition that increases the risk of an irregular heartbeat that may cause unconsciousness or sudden death) or if you have ever had atrial fibrillation; Heart failure; seizures; a head injury, brain tumor, stroke, or other condition that has caused high pressure inside your skull; Bile duct disease. slow heartbeat; low blood pressure; Low levels of potassium in the blood. Problems with urination, pancreas, thyroid, heart, kidney, or liver disease.
Tell your doctor if you are breast-feeding.
you should know that this medicine may reduce fertility in both men and women. Talk to your doctor about the risks of using buprenorphine patches.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are using a buprenorphine patch.
you should know that this medicine may make you drowsy. Do not drive, operate machinery, or do other potentially dangerous activities until you know how this medicine affects you.
you should know that buprenorphine 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 the buprenorphine patch. To avoid this problem, get out of bed slowly with your feet resting on the floor for a few minutes before standing up.
you should know that buprenorphine patches can cause constipation. Talk to your doctor about changing your diet or using other medications to prevent or treat constipation while you are using buprenorphine patches.
you should know that if you have a fever or if you feel very hot after physical activity, the amount of buprenorphine you receive from the patch may increase and may cause an overdose of the medicine. Avoid physical activity that may cause your temperature to rise. Call your doctor at once if you develop a fever. Your doctor may need to adjust your dose.
What are the special dietary instructions that I must follow?
Also unless your doctor tells you otherwise, continue with your regular diet.
What side effects can this drug cause?
00Buprenorphine patches may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
Difficulty falling asleep or staying asleep
Skin irritation, itching, swelling, or redness in the area where you applied the patch
00Some side effects can be serious. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately or get emergency medical treatment:
Difficulty breathing or swallowing
shortness of breath
changes in heart rate
agitation, hallucinations (seeing things or hearing voices that are not there), fever, sweating, confusion, fast heartbeats, shivering, severe muscle stiffness or shivering, loss of coordination, nausea, vomiting, or diarrhea
Nausea, vomiting, loss of appetite, weakness or dizziness
Inability to get or maintain an erection
Swelling of your face, tongue, or throat
Buprenorphine patches may cause other side effects. Call your doctor if you have any unusual problems while using this medicine.
What should I know about storing a withdrawal symptom patch?
Withdrawal symptom patch Keep this medicine out of the reach of children. Store at room temperature and away from excessive heat and moisture (not in the bathroom).
Discard any stains that are old or as soon as they are no longer needed. Use the patch disposal unit provided to you by the manufacturer to safely dispose of unnecessary or old patch(s) in the trash. Do not put unnecessary or outdated buprenorphine patches in the trash without sealing them first in the patch disposal unit. Alternatively, you can get rid of the patches by carefully removing the adhesive backing, folding the sticky sides of each patch together so that they stick to themselves, and flushing the patches down the toilet. Talk to your pharmacist about the appropriate disposal of your medication.
It is important to keep all medicines out of the sight and reach of children because many containers (such as weekly medicine for drops, creams, patches and inhalers) are not child-resistant and young children can open them easily To protect young children from poisoning, always close the safety caps and immediately place the medicine in a safe place A place that is high and out of their sight and reach.
in case of emergency / overdose
While using the buprenorphine patch you should talk to your doctor about getting a rescue medicine called naloxone (eg, home, office). Naloxone is used to reverse the life-threatening effects of an overdose. It works by blocking the effects of opioids to relieve dangerous symptoms caused by high levels of opioids in the blood. Your doctor may also prescribe naloxone if you live in a household with young children or someone who has abused street or prescription drugs. You should make sure that you and your family members, caregivers, or 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 medicine. Ask your pharmacist for instructions or visit the manufacturer’s website for instructions. If symptoms of an overdose develop, a friend or family member should give the first dose of naloxone, call 911 immediately, and stay with you and closely monitor you until emergency medical help arrives. Your symptoms may return within a few minutes after you receive naloxone. If 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.
Your symptoms may return within a few minutes after you receive naloxone. If 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. Your symptoms may return within a few minutes after you receive naloxone. If 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.
Symptoms of an overdose may include:
Extreme drowsiness or drowsiness
slowed or difficult breathing
Unable to respond or wake up