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Duragesic® (fentanyl)

The Duragesic fentanyl patch is an opioid (narcotic) medication used to treat moderate to severe long-lasting chronic pain. Manufactured by ALZA Corporation and distributed by Janssen Pharmaceutica Products, the patch delivers fentanyl (a pain relieving drug) into the bloodstream slowly through the skin, where it works to relieve pain for up to 3 days (72 hours).

Why is Duragesic prescribed?

The Duragesic fentanyl patch belongs to a group of medicines called narcotic analgesics or opioid analgesics, and is prescribed to provide a continuous delivery of pain medication to a patient with various types of cancer, or after injury.

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What are the FDA approved uses for Duragesic?

The Duragesic fentanyl patch was approved by the FDA in 1990 to treat around-the-clock pain (chronic pain) that is moderate to severe and expected to last for weeks or longer. Fentanyl is a narcotic, a member of the same group of drugs to which opium and morphine belong.

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What are the side effects of Duragesic?

Common side effects associated with the Duragesic fentanyl patch include nausea, vomiting, constipation, dry mouth, sleepiness, confusion, weakness, and sweating.

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Duragesic warnings and alerts

The FDA is investigating reports of death and other serious side effects from overdoses of fentanyl in patients using fentanyl transdermal (skin) patches for pain control. The directions for using the Duragesic fentanyl patch must be followed exactly to prevent death or other serious side effects from overdosing with fentanyl.

A recall has been issued by Johnson & Johnson and Novartis AG’s Sandoz on 25-microgram-per-hour patches with expiration dates on or before December 2009.

It was found that a manufacturing problem led to some of the patches having a cut in the internal reservoir lining. This cut may cause a leaking problem of the patch.

The danger is if anyone touches a defective pain patch they may be delivered a dose of the prescription painkiller fentanyl which may lead to breathing problems or even an accidental overdose.

In December of 2007, the FDA issued a safety warning on the Duragesic patch, citing improper use may cause breathing difficulties and death. The FDA continues to work with J&J on this voluntary recall and is investigating this latest issue.

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Duragesic drug contradictions

The Duragesic fentanyl patch is contraindicated in patients who are not opioid-tolerant, in the management of mild pain, in the management of intermittent pain (e.g., use on an as needed basis), in situations of significant respiratory depression–especially in unmonitored settings where there is a lack of resuscitative equipment, and in patients who have acute or severe bronchial asthma.

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Duragesic FAQs

Has the FDA issued a public health advisory for the Duragesic fentanyl patch?

Yes. In 2004, the FDA issued a public health advisory to alert patients and their caregivers and health care professionals about the following important safety information:

  • Fentanyl skin patches are very strong narcotic (opioid) painkillers that may cause death from overdose. The fentanyl skin patch should always be prescribed at the lowest dose needed for pain relief.
  • Fentanyl skin patches should not be used to treat short-term pain, pain that is not constant, or for pain after an operation. Fentanyl skin patches should only be used by patients who are already taking other narcotic painkillers (opioid tolerant), and who have chronic pain that is not well controlled with shorter-acting painkillers.
  • Patients who are using the fentanyl skin patch and their caregivers should be told about the directions for safe use of the patch and should follow the directions exactly.

What are signs of a fentanyl overdose?

Signs of a fentanyl overdose include trouble breathing or shallow breathing, tiredness, extreme sleepiness or sedation, inability to think, talk or walk normally, and feeling faint, dizzy or confused. If these signs occur, patients or their caregivers should seek medical attention immediately.

Who should not use the Duragesic fentanyl patch?

You should not use the Duragesic fentanyl patch if you are not already using other opioid narcotic medicines, if you need opioid pain medicines for only a short time, if you need treatment for pain from surgery, medical or dental procedures, if you have pain that can be taken care of by occasional use of other pain medicines, if you have acute (sudden) or severe asthma, or if you have a gastrointestinal problem called paralytic ileus.

What should I tell my healthcare professional before he or she prescribes the Duragesic fentanyl patch?

Before you use the Duragesic fentanyl patch, tell your healthcare professional about all your medical problems, especially if you have trouble breathing or lung problems such as asthma, wheezing, or shortness of breath, have a head injury or brain problems, have a heart problem called bradycardia (slow heart beat), have liver or kidney problems, have seizures, have low thyroid (hypothyroidism), have low blood pressure, are pregnant or planning to become pregnant, and/or use heating sources such as heating pads, electric blankets, heat lamps, saunas, hot tubs, or heated waterbeds, as these can increase the rate fentanyl enters the bloodstream.

Can I file a lawsuit if I have suffered damages from taking Duragesic?

Possibly. While all medications have certain, anticipated side effects, a drug manufacturer has a duty to inform physicians adequately regarding the known risks associated with its drugs. If a manufacturer fails to do so, it can be held responsible to patients who are injured as the result of inadequate warnings, under a legal theory known as “product liability.” Depending upon the particular circumstances of your case, damages may include recovery for any of the following:

  • Past and future medical expenses
  • Past and future pain and suffering
  • Lost wages
  • Loss of future earning capacity
  • Emotional distress

If you or a loved one has experienced any health problems while taking Duragesic, you should contact your doctor immediately. You may also wish to contact an experienced Duragesic lawyer to discuss your legal options. As all legal claims are subject to time limits, however, you may risk forfeiture of your right to financial compensation if you delay.

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