Can You Cut The Fentanyl Patch In Half

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I asked my doctor the same question yesterday, she said "no", because once it hits the air, the strength starts to dissipate, or weaken. So she put me on the lowest dose, as I hope to get off them and all meds eventually.

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Verwon Says:
No, you can't cut it in half and the reason for it is because it is time released and cutting the patch could cause you to get too much of the medication at once, which may result in a dangerous overdose.

Learn more Fentanyl details here.

Are there any other questions or comments?

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mcmac74 Says:
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What about the new style without the gel. You know like the nicotine patches
Can you cut those ones half?
and just cut your dose.. thanks.. Dave

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Latelisa Says:
I have been using the Mylan matrix (non-gel) patches for some time now and have had no problems with cutting them. I remove 1/6 to 1/5 of a patch before I put it on if my pain level has been reasonable for the preceding few days. I will use this method to detox if I ever get to the point where my pain level allows it. FYI what makes the patches "time release" is that only a certain amount of fentanyl passes thru the layer at a time and the amount is regulated by the area, so 1/2 of a 100mcg patch will release at exactly the same rate as a 50mcg patch. Hope this helps. All this information comes off the packaging insert and the manufacturers' website.

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Tom Dempsey Says:
Yes you can cut the Mylan brand patches into smaller pieces. I know as I have just successfully weaned myself off of Fentanyl by doing just that. 100 to 75 to 50 to 25 then finally to 12.5.....then I just left the very last 12.5 on and never put another on after it petered out! I am already feeling so much better! I huge chunk of the fog and gloom has lifted! My fifth day since the patch died and things already look and feel better. I'm in pain once but at least I FEEL again. I still take Dilaudid 4mg 4 or 5 times a day but that's an improvement over the Fentanyl. I feel like I got my life back...never again shall a patch be attached to this 52 year old guys back. Hope this help just even one person to quit. Reading all the many related anti-Fentanyl post right here in this Fent-Forum is what got me thinking....then reading...and then weaning and now clean of Fentanyl. I do not even crave it at all. I thank the people of this forum and give credit to the many who barred all so as to help others. Thank you people so much for your honesty. Reading your stories got my brain in gear knowing others have had success. Tom in Idaho.

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Granny Says:
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Tom I too want to get off these crazy patches. I'm 48 year old female and I'm scared to death . I've been on them at least 6 years. I'm on a 100 and a 25. How long were you on the patch ? What all can you tell me that will help me. I also take nurontin metynx morphin and I don't take all prescribed of the morphin . Also take other meds too and have phenagren for nausea. Plaqunil and zanaflex blood thinner etc. But I have COPD and afraid I'll stop breathing if I go I to bad dt's. I smoke too. Should I stop before or after stopping fentanyl? Anything you can tell me will help please. Thanks so much

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Mac Says:
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I had one fall off in the shower didn't even know. Well anvhour later I was so sick I mean SICK...want to grab the anchor and jump overboard thought I was going to need a trip to hospital. Was on them about three years so happy to be off them......

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Tom Dempsey Says:
Hello Granny, I'll try and answer your questions to me.
1) I'm on a 100 and a 25. How long were you on the patch ? I started on the 25 mcg, after one month I started on a 50mcg. After a year I needed more to get the same relief. Another year I asked for and received the big daddy the 100mcg fentanyl patch. Unlike a lot of patch wearers I actually liked the Mylan Brand. With a swipe of alcohol (I know they tell you not to) to remove any skin oil it stuck very well and in 5 plus years of patch wearing I can think of only maybe three times it came off but other circumstances were at play (swimming pool). I did wear the 100mcg patch nearly three years. Throughout this time I noticed that I no longer wanted to do much. Didn't feel like exercising, movies? I think I'll stay home, you go on without me. Wife's work Xmas party? Aahhh, I'm not feeling real good honey, go on without me. Barely made it to my daughters college graduation. Pushed myself just to mow the lawn then swallowed four 4mg Dilaliud for my breakthrough pain. After years on this drug I slowly began to realize I no longer had interest in friends, work, pleasure ect. I did though always remember to change my 100 mcg fent patch every 48 hours right on schedule. I had become physically dependent on the drug. I even thought about ending it all but that would be so cruel to my wife and daughters.

2) What all can you tell me that will help me? Well here's what helped me. First off you REALLY have to want to be done with the drug. I never told my PM doc that I wanted off. Afraid he'd try and talk me out of it or suggest another drug to replace goes. Right after seeing my PM doc and filling my Rx of three 5 packs of 100 mcg patches rather than apply one whole patch I cut that sucker in HALF! Stuck the 50 on and waited....well the step down to 50 was not really bad at all. I stayed there for 5 patches or ten days. Then I started cutting the 100's into quarters. I went with 25 mcg for another ten days then dropped down to 1/8th ot 12.5mcg then after 10 days I just left that last patch on and left it on for about a week as it just started coming off. Why? Because in the deepest reaches of my mind I could still say to myself that "I have my patch on". Yes,I got sick to my stomach, my back, shoulders, elbows, knees and neck all hurt BUT I stii had my breakthrough pain meds Dilaliud to help me through, plus regular old Tylenol but what really helped me through and I don't believe I could have done it otherwise was the little yellow 5mg Valium pills the doc Rx'ed for chronic anxiety. I am here to tell you I do not believe I could have come off Fentanly without Valium. I started taking them more and more toward the last because it's impossible to SLEEP when you are kicking the fent habit.

I had to come clean. 30 days later I attended my regular scheduled appointment with my PM doctor...and I told him " I quit the patch". He was PISSED! He wanted to know why I didn't tell him. All I could say in my defense was the truth. I explained that if I went it alone and failed I would not have to report back that I failed. But should I succeed I could come to him with good news to report! I think he was surprised as as he explained most patients want more drugs not less. Then he told me that my body was still reacting to not having the fent. I explained that indeed I was consuming more Valium and breakthrough pain meds than ever before. He told me he'd rather see me take a few more Hydromorphone and Valium while staying off the fentanyl. I am lucky to have a caring PM. He rx'ed double the Valium and kept me at the same Dilaudid.

I feel very lucky and I'm much happier now that I'm off the fent for good. It's been 15 days now since I have removed the patch. I'm a greatful man. Granny I have never been a smoker but from all I've heard throughout my life smoking rates harder to quit than most opioids. Plus as you mentioned you have several issues to work out. If I were in your shoes I would have a very candid conversation with a sympathetic pain mgt doctor.

I hope things take a turn for the better,

My heart and hope go out to you,


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Sara Says:
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Hi there...I have a quick question...I hope you'll see it even though you posted a few months ago. When you went from 75 to 50 to 25, etc. did you have withdrawls symptoms? Thanks for your help!

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Allizon Says:
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Exalgo is an Extended release form of dilaudid. it's a fairly new drug, 7 yrs old or so. They just began selling the generic for it so it has to be at least 7 yr old.... I used fentanyl (have an allergy to adhesive so didn't help me) but, the exalgo helps me along side of short acting dilaudid 4 to 6 times a day....

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Allizon Says:
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Anyone who has been on any type of long termed pain management will have symptoms of some kind.... The easiest way to "detox" is to keep cutting the non gel patch down ( for example 12mcg patch) can be cut in 1/2 at first (6mcg each=2 pieces), then into 1/4 (3 mcg each=4pieces) and then into 1/6 (2mcg each = 6 pieces, and 1/8 (1.5mcg each=8 pieces) and if you are desperate to avoid harsh DT's you can cut the 12mcg patch 1/12 (1mcg each =12 pieces and last but not least 1/24 (.5mcg {1/2mcg} each=24 pieces... They will be very small pieces but you can use medical tape to keep them attached or in place.. How ever once you are done with the last patch you may still get I'll, but if that should if at all happen you can use break threw meds, also one of the symptoms when your detoxing (or at least for me it did) is these tedious muscle aches & cramps it didn't hurt but it didn't help me while I was detoxing, to I used a mat for your car seat that you can plug into the cig lighter that heats up or gives your back a massage ( you can't get hem at walgreens or walmart) I would lay on top of that to ease the muscle aches which helped me... But you can tell your pain Dr you want off, they will give you scripts of various dosages lowest being 12mcg, that's what my Dr did.... I ended up on exalgo ( extended release dilaudid) and I don't feel drugged, but it wasn't like I felt drugged on fentanyl either...i got off it cause I was constantly forgetting how long I had the patch on & was suffering in massive amounts of pain because of my lack of focus on my patches and when they needed to be replaced along side of and allergy I had to the adhesive on the patches as well...

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Butler Says:
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You can cut them. Kind of pointless. Just don't peel the cut half from its backing. And it will begin to lose strength. Butler

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Grndado11 Says:
I'm going to try to get my life back too, I'm a retired Army Airborne Infantryman and was injured in Iraq. I had a total of them operations on my right shoulder ending in a replacement. I have had surgery on my back also due to damage to the lumbar from a parachute jump in high winds.

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Lisa Says:
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I'm doing the exact same process. I'm cutting my 12's to make '10' '8' '6' '4' '2' off! Started at 75! I can't tell you how much better I feel either! It's amazing! I take no other narcotics!

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