Hi Everyone:

Just one quick point to echo Brian's. Fentanyl (AKA Duragesic) is dosed in micrograms. the general rule is to start low and go slow on the upswing and taper down slowly as well.

It's also important to remember that it can take 3-5 days to build up an adequate blood level of the drug to feel relief from pain. So, don't assume poor relief in the first few days means the dose is incorrect.

The issue about applying the patch is the one we medical providers hear about most often.The manufacturers don't make it easy and many caregivers get the medication on their hands while trying to apply the patch to their loved ones. Make sure you wash your hands before and after applying the patch.

The other tip to remember is that basic drugs, such as Tylenol and Motrin, is they can bee taken without side effects, work well in conjuction with the patches and often boost the effect of the narcotic.

Kim