Transdermal Patch Application Information
| Generic Name: | Buprenorphine |
|---|---|
| Application | • Apply to upper outer arm, upper chest or back, or side of chest • Remove hair at application site if needed • Press in place for 15 seconds • Replace weekly • Avoid same application site for at least 21 days |
| If Patch Falls Off | • Dispose of patch and replace new patch in a different site • If patch doesn’t stick well, tape sides with medical tape • See through adhesive dressings (e.g. Bioclusive or Tegaderm) can be used to keep patch in place |
| Notes | • Avoid direct exposure to heat |
| Generic Name: | Capsaicin |
|---|---|
| Application | • Apply 1-4 patches to painful area for 60 mins• Remove hair at application site if needed • Remove hair at application site if needed • Repeat application every 3 months if needed |
| If Patch Falls Off | • Use rolled gauze to keep the patch(es) in place |
| Notes | • Patch may be cut to fit the area |
| Generic Name: | Diclofenac |
|---|---|
| Application | • Apply to painful area two times a day • Press firmly in place- especially around edges |
| If Patch Falls Off | • If not sticking well, tape sides with medical tape • Mesh netting that allows air to pass can be used to keep patch in place (e.g. Curad Hold Tite, Surgilast) |
| Notes | • Do not wear in shower/bath • Remove patch before MRI and reapply old patch if no more than 2 hours have passed since removal, if longer than 2 hours has passed, apply a new patch |
| Generic Name: | Estradiol |
|---|---|
| Application | • Apply to lower abdomen (see specific site on brand packaging) • DO NOT apply to breasts • Press firmly in place for 10 sec • Replace weekly and rotate site weekly |
| If Patch Falls Off | • Reapply same patch (only brands that don’t need a new site are Estraderm and Vivelle- Dot) • Mesh netting that allows air to pass can be used to keep patch in place (e.g. Curad Hold Tite, Surgilast) • If same patch doesn’t fit, apply new patch |
| Notes | • Remove before MRI: Alora, Estradiol Transdermal System • Bathing may loosen patch: Climara, Menostar, Climara Pro |
| Generic Name: | Fentanyl |
|---|---|
| Application | • Apply to flat surface (back, flank, chest, upper arm) • Remove hair at application site if needed • Place firmly in place for 30 sec • Replace patch and rotate site every 72 hours |
| If Patch Falls Off | • If not sticking well, tape sides with medical tape • If patch detaches, replace with new patch • If same patch doesn’t fit, apply new patch • Adhesive dressings (e.g. Bioclusive or Tegaderm) can be used to cover patch completely if needed. Double check product labeling before selecting an adhesive |
| Notes | • Avoid direct exposure to heat • Remove before MRI. After procedure, apply new patch at a new site |
| Generic Name: | Lidocaine |
|---|---|
| Application | • Apply 1-3 patches to painful area • Apply patches for up to 12 hours in a 24-hour period (12˚ on, 12˚ off) |
| If Patch Falls Off | • May apply medical tape to hole in place • May use ACE bandages to hold in place, do not apply too tightly |
| Notes | • May cut patches to fit the area • Remove if irritation occurs and do not reapply until irritation subsides |
| Generic Name: | Nicotine |
|---|---|
| Application | • Apply to non-hairy skin • Press firmly in place for 10 sec • Replace once daily • Can be worn 16 or 24 hours |
| If Patch Falls Off | • If not sticking well or gets loose, tape sides with medical tape • If patch detaches, apply new patch to a new site |
| Notes | • Remove patch before MRI and reapply same patch after the procedure • Remove patch before bed if vivid dreams or other sleep disturbances occur |
| Generic Name: | Nitroglycerin |
|---|---|
| Application | • AVOID application to extremities below knee or elbow • Rotate application site daily (Nitro-Dur, and Minitran) • Ensure patch free period of 10- 12 hours a day • Do not apply immediately after bathing (Nitroglycerin TD System) |
| If Patch Falls Off | • Replace with a new patch at an alternate site (alternate site not needed for Nitro-Dur) |
| Notes | • None |
| Generic Name: | Scopolamine |
|---|---|
| Application | • Apply to hairless area behind the ear • For motion sickness: apply 4˚ before needed and remove in 3 days, apply new patch if needed • Prior to surgery: apply evening before and remove 24˚ after |
| If Patch Falls Off | • Apply new patch behind other ear |
| Notes | • Remove before MRI, apply new patch behind other ear after procedure |
Disposal: Refer to federal and state regulations for disposal recommendations.
