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Prescribing Transdermal Patches

Transdermal Patches should be prescribed to assist patients who experience chronic pain. Here are some points to keep in mind when prescribing Transdermal Patches to patients:

  1. The initial dose should be given keeping in mind the medical history, dose, potency, and characteristics of the patient.
  2. Some patients may still require short-acting analgesics for “breakthrough” pain despite the Transdermal Patch. For such cases, the dose needs to be given keeping in mind potential overdose and then have the dosage titrated as majority of patients require a dose increase.
  3. Transdermal drug delivery system should be preferred for patients facing side effects from other medications who cannot take oral drugs. In situations such as constipation and gastrointestinal problems, an alternative method for drug delivery can be through a Transdermal patch.
  4. The patch is also ideal to prescribe for those patients who face issues with first-pass when taking oral medication.
  5. Transdermal patches can be prescribed for those medications that have an inconvenient dosing regimen.
  6. Transdermal patches can be given to those patients who are unconscious instead of through saline drips.
  7. The patches can be prescribed to those patients who cannot handle side effects/look for minimal side effects in their medication dosage because the transdermal patch produces a steady drug concentration serum.
  8. Transdermal patches alone should not be prescribed to those suffering from acute pain.
  9. These drugs should not be prescribed to expecting women.
  10. The patches should not be exposed to heat as it can lead to dangerously high levels of the drugs being released into the blood.
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