Pain Concern
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Brutans Patches

Hi everyone I am on Brutans patches for my pain I wondered if any one has suffered from the effects I am having, I went on to these patches about 12 months ago, I was fine untill s couple of months ago and now I find that when the patch has been on for a couple of hours I start to itch in the area where they are situated, when I change the patch after a week the place where the patch has been is very red and sore and itches like crazy, I have tried different places on my body but I am at the moment like a jigsaw puzzle, the reason I am asking this is why all of a sudden this has started to happen, any answers would be good

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Hi i use butrans patches and i also have suffered the same as you. Complete itching and blister like burns underneath when i removed the patch. It can be simply due to a change in the adhesive used on the patch.. This happened to me whilst using the NAPP manufacturer. I now use Hapoctasin brand. What strength are you using? I'm on 35mcg.. but there is different brands for the other strengths of patches. Look on the MHRA website and see other brands available for your strength. Then just ask your pharmasist to order you a different brand. That's what I did and have had no itching/soreness since. X

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Thanks for that, my pharmacist did change my brand but I am still getting the same trouble with the new ones, the ones I have just say either BuTrans or Butec both are Napp manufacturing, I will write the name of the manufacturer you have said in your reply and see how I go on them, thanks for that I will let you know how I get on X

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Glad to be off help. These patches are the only thing that helps with my pain so would be torture to find I had to find alternative pain relief. There are 8 different brands available. Type in MHRA buprenorphine patch in Google and that supplies you with a full list of what's available brand/strength wise... I'm the same with all NAPP patches no matter what strength x

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I also tried using a steroid cream before hand. Applied. Let it dry. Apply patch.. helped a little bit but still sore and itchy. X

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Hi just to let you know I saw my pharmacist earlier and he’s going to look into the brand Hapoctasin over the weekend and is going to get back to me when he knows more about them, he will then get in touch with my doctor and see if he will be allowed to change them, in the meantime I will have to carry on with the ones I have, I am not very happy about having to carry on with the Butec or Bu trans but I dare not go without anything, I also take co- codamol along side these patches and it does take the edge of the pain, I have been told that taking co-codamol along side the patches shouldn’t be done xx

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Yes my doctor took me off any codeine tablet when using these patches. I do however get tablets that are the same as the patch as top up medication. Tephine 200mg sublingual tablets.. Maybe you could ask about them? My patch is 35mcg which I change every 3 days. Hope you get sorted soon xx

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My doctor was a bit apprehensive about putting me on both but they help me so much, I am sometimes pain free for a lot of the time since being on both, I really hope it’s not the co-codamol that caused this as I am so much happier since hardly any pain, I cannot see the tablets causing this soreness and rash xx

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No I can't see it being the tablets. Hopefully a new brand will be good. I have also previously took codeine whilst on patches and your right they do help. My doctor doesn't want me on extra though due to my age and how the problem I have will be here long term. Unfortunately.. oh the joys of pain ;-) x

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Hi just an update on my new patches, I am now on the patches you told me about and my doctor decided to try me out on these new ones, the first one I put on gave me the same reaction as the Butec patches but I thought I would carry on and give the new ones a chance, I applied the second patch to my chest area, which the instructions said to do, so far so good I haven’t had a reaction, I have applied the second one today and so far no adverse effects (fingers crossed) with these new ones, I have to change them every 72 hours weather this makes a difference I have yet to find out, keep your fingers crossed that these are now going to work for me, thanks very much for your advice x

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That's good news. Hopefully they keep working for you.. And yeah i have to change mine every 72 hours.. x

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I

I so has this issue the g p were using a cheaper brand and turns one reaction to different glue used.

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Yeah the ones I'm using have got aloe Vera glue.

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I had the exact same. My gp prescribed me a brown inhaler (clenil modulite) few sprays then let it dry the apply the patch to the sprayed area no more itching! It worked for me, it’s because the brown inhaler is a steroid apparently. Hope you find some relief soon xx

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Hello Annieja thank you for your reply, I have just been prescribed an inhaler for COPD that I am suffering from, it’s called seebri breezhaler, I have to use this just once a day, what I don’t understand is how using this inhaler can have an effect on the Brutec patches that I use, I cannot spray this directly on to my skin I can only breathe it in, x

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The inhaler I was prescribed is clenil modulite, I believe it’s main use is for asthma. I think it’s only this inhaler that works, you spray 4-5 times where you are going to apply your patch, let it dry then put the patch over the area that’s been sprayed, you don’t inhale it, hope that makes a little more sense. I don’t think the inhaler you currently have would work, probably worth a chat with your gp x

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Oh I see now your medication isn’t what I thought, it’s not like mine, the only way to get mine is to inhale it, wish I could spray on to the site where my patch goes if it meant I get some relief from the irritation I am getting thanks for you input x

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I took pictures of my skin when removing my patch and every 24 hours after for a few days. Then when i showed my pain management doctor he stopped my butrans before i left his office and put me back on oxycodone.

I have read many times that if you apply a little antihistamine to your next chosen site a few hours before putting it on does reduce the itching substantially.

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Thanks for that Min- Pain , I will try anything because this soreness and itching is driving me crazy, I will see my pharmacist today and see what he recommends x

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What is oxycodone is it used for pain relief

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Yes its a 12hour pain relief tablet. It works but i have to take a lot of it. You could try asking for Fentanyl its a lot stronger but its changed every three days instead of your normal week. Fentanyl does not leave any rashes or itchyness but it works if ( Big IF) you can make it stick for the 72 hours its supposed to.

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I am allergic to the glue on the patch. Sounds like you are too. Stinks because the medicine was helpful.

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Hi I've had them for years and occasionally they itch but no sores or anything. Maybe your skin is getting sensitive?

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Hi there, I have used these patches for the last 12 months, it’s only over the last 2 months that I have had this awful reaction to them I don’t know what has happened, I wondered if since I was put on co-codamol along side these patches that the reaction occurred, my patches are 30mg which have to be changed every 7 days, I dread putting on the new one because I know what is going to happen after it’s been in place for a couple of days x

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Hi

I used to be on butrans patches and always got an allergic reaction to them. My Dr prescribed a nasal inhaler used for hay fever to spray on before applying the patch and it worked no more rash or sore skin.

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Hi I've used them only for a few months but I've always had a reaction to them so I have no clue why it's just started for u now. My pain doc said to me a couple of days before u renew the patch use a small amount of hydrocortisone cream 1% on the skin u want to apply the new patch to. This should prevent any reactions. Always get advice from ur own gp tho . Hope this is helpful

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Thanks for that I will give anything a try x

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Exactly the same happened with me,they were great for 6 months ,then they started itching and burning I tried several makes of Brutans patches,but they still did the same,my body kept rejecting then ,I am currently on Tramadol 4or 5 times daily .

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How have you got on Nin123

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Hi Victoriapain

I went and saw a different doctor today and he saw the places where the patches had been and was quite shocked, he changed the manufacturer and I am to use these patches instead of the Butec or Bu trans, he said if I get lightheadedness or feel unwell at all then I am to take it off and cleanse the area throughly, I am keeping my fingers crossed that these new ones work x

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Oh good. Let me know how you get on. Is the dose been increased? I always get some side effects when dose has been upped xx

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I will let you know I am keeping my fingers crossed that they work xx

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Hi Victoriapain, I have had my new patch on now for the last 2 days, (due to change tomorrow after 3 days) they have just started to itch and I will I think have the same reaction as I had on the Butec, I am so annoyed because I really thought it was due to the manufacturer, I am afraid that isn’t the case, the only side effect I am getting with these new ones is excessive sweating, I could have put up with that but the new patch is having the same effect as the Butec (burning and itching)

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I had a skin reaction when I started on butrans. I used oral antihistamine for 1 week and found that was the best solution, after that I was fine. I tried to change to Fentynl patches, but the side effects to them were so dire, I went back to Butrans and use antihistamine .

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Try taking an antihistamine ask GP for fexofenadine .

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I'm allergic to almost all medical adhesives - most plasters, medical tape, patches, etc. It is a bugger! I tell people that when I'm having anything done, and they use hypo-allergenic products instead, but nicotine patches weren't available with any hypo-allergenic adhesives. Had to stop using them. At least I've switched to vaping, now

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