Duragesic

• Storage instructions...
  Store below 77 degrees Fahrenheit. Keep out of reach of children. Unused patches should be removed from their package and flushed down the toilet.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe to continue using Duragesic.

• Side effects may include:
  Abdominal pain, anxiety, confusion, constipation, depression, decreased libido, diarrhea, dizziness, dry mouth, exaggerated high spirits, fatigue, hallucinations, headache, impaired or interrupted breathing, indigestion, insomnia, itching, loss of appetite, nausea, nervousness, shortness of breath, sleepiness, sweating, urinary retention, vomiting, weakness

Why should Duragesic not be prescribed?

Duragesic should never be used in situations where the right dosage hasn't been established in advance—for instance, after an operation or an accident. It should not be used for mild or intermittent pain that responds to other painkillers.

Duragesic should not be used in individuals who have a paralyzed bowel wall. The drug should also be avoided if it causes an allergic reaction.

Duragesic should not be given to children under 2 years old or children who are not tolerant to narcotic painkillers.

Special warnings about Duragesic

Heat can increase the release of fentanyl from the Duragesic patch, thereby increasing the risk of impaired breathing and other side effects. Do not expose the patch to heating pads, electric blankets, heated water beds, heat lamps, saunas, hot tubs, or other external sources of heat. Alert your doctor if you develop a high fever (104 degrees Fahrenheit or more).

If the Duragesic patch is cut or damaged, do not use it. This may result in a quick release of fentanyl, which could cause death.

Duragesic patches should only be used if you have already had a form of opioid therapy.

Like other narcotic painkillers, Duragesic can impair your reactions. Do not drive or operate dangerous machinery until you are certain you can tolerate the drug.