Mallinckrodt Fentanyl Patch (Top voted first)

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Does anyone know how it is made? Does it have the medicine woven into the fabric of the patch or is it in a pouch form? Thank you.

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5

Hi...I am having trouble finding out how the Mallindchrad Patch is made. Is the fentanyl
"woven" into the patch like the Mylah Brand or is it in a "pouch" form. Seems the Mylan brand which is a woven material w/medicine in it works best for me but need another source of the "woven" brand as Mylan is shorting the drug stores , in network and out, close to a $100 bucks when reimbursement time comes around. Ma &Pa drug stores cannot afford this nor should they have to. I end up scrambling for Myland patches and it is stressful at best. Makes it look like I am "shopping" for the drug, which I am,l but not in that way. Do tell kids....any "woven" style patches out there??? Larger chains doh't seem to care but never have the quantity needed. I wish someone in Congress would do testifying on the hill about the patient made to feel like a criminal Getting really, really old. Again - thanks

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6

I absolutely agree, i have chronic bone pain from a rare disease i have had since childhood, that is getting worse than it used to be. When I say the patch does not work (now know that can be a fact) you are made to feel like an addict wanting more drugs for a buzz. I remeber a time when your doctor was allowed to decide according to your medical needs what and how much pain medicine to prescribe, now they are also made to jump through hoops to give their patients narcotic pain meds. Do the people who judge this even have a medical degree and in my case know how my disease actually affects my quality of life?

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49

I have been on a fentanyl patch of one strength or the other for some 15 years due to a tragic fall from a ladder some 20' high as well as diagnosed Fibromyalgia as a result from this accident and subsequent 4 spinal surgeries and in my very learned opinion there is NO FENTANYL PATCH THAT WILL MATCH THE MYLAN BRAND. It is basically half the size of say Watson Brand, very thin and the adhesive is non intrusive to my skin due to having problems with adhesive. So ABSOLUTELY I would recommend the Mylan Brand, PERIOD!

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8

The Mallinckrodt brand is made I believe of 3 layers, the bottom one against the skin has the glue on a "membrane" type plastic that regultes the drug flow, the next layer is the drug and the top is just a plastic strip. I saw a diagram of it somewhere on the web, cant remember where.

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13

No, and they don't care, politicians know whats best for us these days... Hate to bring politics into the discussion but that's the truth.

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3

I have been using Fentanyl patches for about 2 years, the 75 Mcg. I usually get the Mylan brand. Drug store was low on the Wty they had so I went elsewhere. This store had the Mallinckrodt brand patch. I changed the patch and about 18 hours later I started to feel bad and pain was getting worse. It was downhill from there. Seems like this brand does not work nearly as well. I have also tried Teva brand I think it was, no real problem with those. Has anyone one else heard about this "problem"? I don;t know what to do about this and I am NOT well now at all !!!

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4

I've only tried the fentanyl patch once for a week. It was the mallinckrodt and I had to take the rest back to my doctor and go back on methadone. I had high ope for the patch but not only did it not take the pain anyway, I actually felt like I was in early stage withdrawals. I am doing research on the net to find out if it was just the brand or the system in general.

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12

Since they changed all the good pain meds because of( drug addicts , they say) none of the gel or others worked for me ! They changed the drug I think. I was put on OxyContin 3 a day & I could function again ( I've dealt w chronic pain for many reasons for 15 yrs.then they changed OxyContin , I suffer everyday because of drug co. And new laws. I put on 66 pds.cAuse of having to sit , I can't do much my dr gives me daulidid & Valium & exalgo( that don't do Anything .i need help & I'm on nj Medicad they won't give me FENTYNOL in taffy or spray so I suffer & get fatter ! Someone please look out for real chronic pAin patients ? 15 yrs Ive been dealing w all this bull my chronic pain dr for 15 yrs said THERES nothing else he can give me thAts stronger? Really?

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14

i was also prescribed the mallinckodt fentanyl patches 50 mcg yesterday for the first time by my pain specialist because the morphine medication he had me on was not working to relive my pain i can honestly say the morphine worked better then these patches do i applied one yesterday exactly 24 hours ago and havnt been given not a single once of relief to be quite honest i cant even tell that i am wearing this patch. needless to say when i call back in 10 days to let him know how the medication is working im going to give him the BIG thumbs down and tell him i want something else because this name brand of patch is a complete joke.

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19

Is mallinckrodt 50mcg fentanyl patches equivilant to Duragesic brand name 50mcg patch? I was told by the pharmacy (mom &pop--only ones who had the fentanyl patches when I was put on them a few weeks ago) that I was given the wrong brand in beginning so now I have the 'malli' brand and I put it on next tues. I see that it has way less fentanyl in it (don't understand how that can be??) so I'm scared that it won't work near as well and I'll go through w/d's. Any experience/advice on if it'll be the same, would be greatly appreciated!! Thanks!

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68

You are absolutely correct - they do not work. My pharmacist knows I won't waste my $ on anything other than the Mylan brand and I remind them every month. In my post in Sept I listed the contact info to report them to the FDA. The time I was given them I even sent the unused patches to them.

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76

I know this is an old thread, but I have tried them all. Since I have a high co-pay, I must use a generic fentanyl patch. I am currently on 100 mcg/hr every 2 days. The Mylan brand does have the drug mixed in the adhesive. However, the Mallincrodt has the adhesive, a rate controlling membrane, the drug, then the plastic backing, so there is a difference. It is in the literature that comes with the medication.I find the the Actavis gel reservoir patch works best for me, it all depends on your body and how well you absorb the medication. It is best to put it on an area that has some body fat, as that is how best the medication is absorbed and dispersed throughout your system. I have been on pain meds for a long time, with the patch it's easier than the highs and lows of taking a bunch of pills.

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11

I had the same problem with the Mallinckrodt, they just did NOT work with me for some reason. Skin Chemistry? Call your Doctor NOW and tell them so you can get them switched. You are NOT going crazy.

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16

You have adhesive then the drug release membrane then the drug then the film
Backing.

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29

I have the same problem with that type of patch, the ones that are single layer with the medicine on it, they are very ineffective, they let the medicine release too fast and run out long before it is time to change to a new one. I have found that the Watson brand work the best for me, but have been told by my pharmacy that they are on hold and can't be ordered. Bet they are being forced to change to the single layer now. I hate it when junkies ruin pain management for those of us that truly need it!

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50

Okay, well i have good news and bad news, the only generic closest to the brand duragesic is Watson, next activas than mylan, teva and last being the worst is apotex & mallinkrodt. I have been using DURAGESIC brand name for 6 years and know from experience in the first few months in the beginning of my treatment from using every brand of fentanyl that the absolutely worst was apotex & mallinkrodt. The reason why there is less medication in most generic patches is because of they way there made and priced some have 20%-30% less than brand. Ex; 100 mcg brand content 16.8mg per patch. Generics 100 mcg. Is anywhere from 10mg-11.09mg content.

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55

To have the patches stay on it is best to cover them with a Tegaderm patch. Also, I have found the Mylan patch to be best. I have never found them as effective on the third day. When I finally called Mylan about it they said it is in their literature that some people need 48 hour dosing. I then spoke to the spine center working with me and they agreed. Then I googled 'can Fentanyl be replaced sooner', coming across an article which I printed for my local doctor who prescribes for me. I now change the patch every 2 days.

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56

i agree, not me but my wife was put on that brand because the pharmacy wasnt getting enough profit since shes on medicare. we went to a national chain pharmay and got her the mylan brand and she feels much better!

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65

Mallinkroft is absolute crap. I have tried them in different strengths and it doesn't matter. You will feel like your going through withdrawal plus be in the worst pain for whatever your ailment is. To get any rèlief what so ever I had to goto the er daily and get a shot that lasted only a few hours anyways til I could get in to see my pain doc.IF THAT IS THE ONLY BRAND THE PHARMACY CARRIES GO ELSEWHERE.

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66

If you want to report your experience with Mallinckrodt to the FDA here is their contact info. If enough of us do, someday perhaps they will take action against their expensive and useless product:

301-443-0572
1-800-741-8138

OC-Advisory Committee Oversight and Management Staff
Food and Drug Administration
10903 New Hampshire Avenue
WO32 - 5129
Silver Spring, MD 20993-0002

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