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? for people that have used sandoz, watson, mylan, duragesic transdermal fent patch any size (25 - 1

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:25 AM in Pain Medications
if you would like to take part in a very informal poll on the Fent transdermal patch's that are out on the market; please keep reading.
i think it would be easy for people to rate on a scale from 1 - 10 on how they think these brands of the same med worked for them. everyone seems to like one over another, and seeing how they all are the same, except for the mylan brand, there shouldn't be that much discrepancy.

i know that generics have a +/- 20%, so that makes it hard for any real relevant data to be analyzied from this; its very informal, input what you can, and see what can be interpreted.
who knows, maybe this information might help some people out in the long run, some not at all, and maybe help a few of us that experience weird issues with patches.

you don't have to have taken all of these patches, but at least 2 so we have some data to compare against.

1 - 10 (1 = WD's, 10 = best pain care)

watson: 8. these are the ones i like to use, and try to always get.

mylan: 2 (it just kept me from full blown WD). these are deadly, i refuse to get them. i was in full WD from them.

sandoz: not tried

duragesic(brand): 10. to expensive to get with no insurance but this is the best hands down.

write any experience you had on said patches, example 'it made me feel better in 2 hours', to 'i felt euphoric', or 'the damn things just don't work and im in pain and in WD's'

thanks, thad jones


  • i was started on SANDOZ at 50 mcg/hr and they at first worked well for pain then they uped it to one patch 50 mcg/hr every other day that helped for a while too now they have increased the dose to 75mcg/hr and i feel better than i used to can even sleep thru the night now last night all night with out waking up at all first time in 5 yrs that i didnt wake up. this morning i feel like im stoned? kind of foggy minded but pain is there but in controll,,, with the sandoz 75 and the oxycodone 15mg x2 3 times a day i can do things like get out of bed off the couch and even drive short distances to store etc but i dont push it any i am very carefull of what this stuff can do after seeing /hearing about the how it can kill ya if it leaks any or gets hot sorta scared to wear it in the sun so i allways were a shirt even in hot weather its the dampness that hurts
  • Just curious, what is the purpose of this quest for info? I don't mean to sound rude; we all know that not all of the patches are equal, some people need them every two days instead of 3, etc, but, do you have a bigger plan in mind that I am not seeing, or are you just trying to find the best patch?

  • nah you dont sound rude at all. i should have made my post a bit more easier to understand.
    basically where i live there are just a few places you can get the brand name, the watson, or the sandoz... the rest is mylan.
    i wrote about my amazingly awful time on mylan already, so i just posted this so i could get an idea for myself what other types of this medicine should i try.
    i have to pay out of pocket, and its too damn expensive to have to tryout a patch i never used to find out it doesnt work (ie like the mylan patch).

    that's all... i just wanted to know what works for the majority, and what seems to be the best for the amount of money spent..

  • well i figgured as much -- got a letter today from my HMO that tells me that fentanyl is being taking off the formulary totally just when my dr found somthing that really helps it will no longer be available for me to use , as it is very very few drs will write the rx for it i have to drive 70 miles round trip in my pickup truck to get the dr to write me the prescription thats not good when gas was WAS 4.00 + a gallon cost me 25 bucks to get the prescription and out of my social security disability that was is a big dent , insureance co tells me that drs will write that for you just ask well i did and nobody will shows ya what the hmo knows nothing i rate it at a 9 cause they will and have fallen off ,in hot weather sweat will take them right off , and the glue left behind when time to change is very difficult to get off instructions say to USE ONLY WATER AND MILD SOAP not i use alcohol rubbing kind and let my skin air dry for several minutes could eat thru the patch and overdose me hasnt happened yet and i sure do like being pain free at the moment when yseing the fentanyl 75mcg/hr patch wouldnt on my own trade them for anything ive ever had no to find a replacement it no going to be easy to relieve the pain like the patch does best thing since sliced bread
  • I have tried mylan and watson brands...

    I think the watson worked better (although bigger and bulkier) and the pharmacy would order them for me. BUT they said that their other patients said they prefered mylan better...so who knows? I never felt I got as much pain releif from the mylan brand for some reason.

    And there is NO euphoria with the patches b/c they deliver medicine 24 hours a day. Thats something I would think doctors would like? Obviously you go thru WD coming off, but you aren't taking it to get high...just for pain relief. It's great for pain relief.
  • I have used the patches for about 15 months now. I have used a few of the different brands. My preference is Mylan. They stick better, dispense the med more evenly, and seem to be stronger than the other brands. I change the patch every 48 hours as they don't last 72 hours (none of the brands).

  • Ditto what paulga said. Plus the mylan patches are safer, in my opinion, because there's no gel to leak.
  • I've used both the Mylan and Sandoz brand Fentanyl patches. I'll take the Mylan every time. It seems to actually last three days, doesn't irritate my skin, and stays stuck. I don't like anything about the Sandoz-I believe (judging from the hallucinations) I over dosed one evening while wearing the Sandoz patch. Scary.

    Best of Luck

    "Experience is what you get when you don't get what you want."

    11/29/07 L4-S1 PLIF w/rods & screws
  • I have only used Duragesic. My Pain Dr would only use them as he said they were the best. I just had surgery Dec 11 and mu surgeon upped them from 25 pre surgery to 75 post surgery. They are expensive as my co pay with a 50 dollar coupon was 203.00. But hopefully after the next month I wont have to use them. I had 2 level fusion discetomey and biopsy of sacrum. I am also taking 30 mg oxycodone every 4 hours and have vallium for muscle spasms. but I have been on oxy for a long time, so my pain post surgery is hard to manage. I will pay the 200, but not happily.
  • I responded to this when my patch dosage was 25 and my dr upped it to 75, so i used 3 patches.Now I have had to buy the 75 and they are costing me 400 out of pocket because the insurance only allows 333 for patches. So I am wondering if you got additional informnation I can use in trying to find an alternative that works well and is cheaper, so I ight talk to my Dr about it, The Duragesic was perscibed by pain Dr and Surgeeon. My Surgeon has took over managing my meds. So when I go to see hime next week I would like to have alternatives in mind to discuss with him. Anyone wo]ho is currently or has used in the past, any information woulod be extrmrly helpful.
  • I've used fentanyl patches for over a year now, and the generic brand I usually get is Watson. It sticks well and I haven't had problems with it. I'm on 75 mcg every 2 days and it works better than 50 mcg. I think that after a few months you get used to a dose and then it's not effective as it once was. Does anyone know what the highest dose the doctor will do before switching you over to something else? I'm just curious.
    I have tried the Sandoz and Mylan brands and they were okay. I found that the Sandoz didn't stick so well. My first copays were $50.00 on generics and I found it outrageous. I switched insurance companies and now the copay is $10.00 for my 15 patches. Always ask what the copay is and what tier your medicine belongs to so that you get the best deal.
  • I use Fent patches, 100mcg, with 40-80 mg of hydrocodone compound when needed. Have tried morphine, dilaudid, Oxycodone, Oxycotin, Methadone, et-cetera, for some reason the Hydro works the best for me.

    I also take valium when needed and 60mg of restoril for sleep, plus Testosterone injections and jell.

    My question to you is, with your pre-existing condition, how are you able to switch plans or providers without the payments going through the roof?

    Just curious. Please email me. Would love to discuss this further as now that I have the right doctor (it took me since November to find someone that really got it), the plan will be to see if any of those facet blockers, or other procedures will help or do I just deal with it. This doctor has also been on the cover or in National Geographic and at one time worked for the state health department - real great find, oh, and the appointment was on a Saterday, they encourage me to bring in my spouse, had her fill out all this stuff about Opiod treatment, I mean, this guy was real througrough and treated me like I really am, someone who can't get out of bed in the AM, sit to long or walk to long, and not just another number - prayers always appreciated, just got married a year last May, want to have a great large family, work, normal life. Thanks.

    Feel free to write me, have an excellent doctor now who also prescribes or gives rather, Copper cream, Soma Cream and has this whole HEALTH food regimen that makes you and the medicine work better. My first visit was a few hours, wow, he really got it and when I told him what i have tried and what works for me, he said that I was on a great plan. Have also seen and heard about Fent. lollipos but forget it, you think the Fent is pricey, the lollies are very, very pricey.

    Take care everyone.

    Talk to you soon.
  • I think for best pain management was Duragesic. But the gel filled patches always knock me off my feet and I sleep for like 8-12 or even 16 hours. But I do think they work better. I was just upped to 125, when I was in hospital for pain. I dropped back to 100. With break through, it helps. My neighbors mother was on 250 Micros of fentanyl. But she had been on them for yeats. I cant imagine that much. I want to get off them because even though they keep a level in your body, I am taking what I feel is too many oxycodones for break trough. I take 30 mg every 3-4 hours. I think maybe the oxycotin might be better. I am gonna wait and see when surgery to remove hardware is. I dont want to have to taper down on two things. Hope this helps answer any ?. I think the gel work better, but I had one break, and almost OD'd so I am kind of scared of them now, :jawdrop:
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