Some are available over the counter (OTC) and some require a prescription.
This article discusses pain patches, how they work, and what they are used to treat.
It also explains how to use a pain patch, doses, and side effects.

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Benefits
Pain patches are used to treat various types of pain.
The patch has an adhesive back that sticks to the skin.
It slowly releases the medication into the bloodstream.
Some types are available over the counter (OTC) while others are only available by prescription.
Your healthcare provider can recommend an OTC pain patch or prescribe something stronger if it’s needed.
Capsaicin patches are also available in prescription strength.
These may be recommended to treat nerve pain such as the pain from diabetic neuropathy.
Lidocaine is a local anesthetic that works by stopping nerves from sending pain signals.
The topical lidocaine 5% patch is generally well-tolerated, other than mild skin reactions at the utility site.
It is fast-acting; some people start to feel relief in as little as 30 minutes.
Diclofenac Epolamine
Diclofenac epolamine is a prescription pain patch containing a non-steroidal anti-inflammatory medication (NSAID).
It is in the same group of medicines as aspirin and ibuprofen.
Studies have found that diclofenac patches are as effective as oral diclofenac in controlling pain.
Fentanyl
Healthcare providers may prescribe fentanyl patches for severe, chronic pain.
Fentanyl patches were previously sold under the brand name Duragesic, but generic versions are available.
Also, tell your healthcare provider if youre pregnant, plan to become pregnant, or are breastfeeding.
Because fentanyl is a strong opioid, it can be addictive.
Fentanyl patches should only be used by patients who have previously taken and tolerated opioid medications.
Common Side Effects
Pain patches may have side effects depending on the bang out used.
Check with your healthcare provider or pharmacist about what symptoms should warrant discontinuing the medication or seeking medical attention.
Check with your healthcare provider if symptoms are severe or dont go away.
Severe Side Effects
Severe side effects are associated with the different types of patches.
When an opioid overdose is suspected, naloxone hydrochloride should be administered as soon as possible.
Naloxone hydrochloride nasal spray is currently available both over-the-counter and by prescription, under different brand names.
Narcan (4 mg/spray) and ReVive (3 mg/spray) are brand names available OTC.
Heat can increase the dose of fentanyl delivered by the patch, which can have the same consequences.
While the patch can be worn while bathing, avoid long, hot showers and baths.
Likewise, avoid hot tubs, electric blankets, and heating pads.
Tell your healthcare provider about any other medications youre using to avoid life-threatening interactions.
Drugs that can cause a serious interaction include benzodiazepines such as:
Not all drug interactions are listed here.
Fentanyl patches can be dangerous in the wrong hands or if applied improperly.
In 2013, the FDA required color changes on the writing of Duragesic (fentanyl) patches.
All listed dosages are according to the drug manufacturers.
Check your prescription and talk to your healthcare provider to confirm youre taking the right dose for you.
Pain-relief patches should only be used on skin that is not broken, cut, or scraped.
Store all pain patches at room temperature and away from excess heat.
Like all medicines, pain-relief patches should also be stored away from children and pets.
Fentanyl patches are dangerous even after being used because they still contain high amounts of opioids.
A used patch should be flushed down the toilet.
Summary
Pain patches are patches that contain pain reliving medication and are applied to the skin.
They are available over the counter or as prescribed by your healthcare provider.
Capsaicin and lidocaine patches are available without a prescription.
Stronger versions containing these medications are also available.
Other prescription products contain NSAIDs or fentanyl.
These drugs may interact with other medications or cause severe side effects.
Always tell your healthcare provider about other medications you may be taking before using a pain patch.
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