It takes up to 24 hours for the fentayl patch to kick in. Ive noticed that when I had forgotten to make the switch, it only took about 12 hours for the new patch to kick in. Hopefully this is the same for your husband and he will see some relief very soon.

Make charts for meds, water, calories, etc. Keep it some place where its visible and you have to physically check things off thru out the day. This will help you to remember when to change the patch. You could put reminders on your cell phone to alert you when its time to change the patch.

Best wishes with everything!


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile