Download Butrans Patch

Chronic Pain Management Department
Butrans (Buprenorphine) Patches
Introduction
Any information provided in this leaflet should be read together with any patient information
leaflets provided by the manufacturer. For further information please refer to the suggested
contacts, listed at the end of this information sheet.
What is the medication for / what are the benefits?
This medication is used to try and manage chronic intractable pain.
How is it applied?
Apply one self-adhesive Butrans patch to a dry, clean area of skin on either the upper arm or
somewhere on the upper body. Avoid any irritated, irradiated, broken areas of skin, scars or
hairy areas.
Press the patch firmly in place with the palm of the hand for approximately 30 seconds, to
ensure full contact is achieved, especially around the edges. This patch provides a continuous
dose of Buprenorphine for 7 days. On the 7 th day remove the patch. Apply a new patch to a
different area of skin – avoid using the same area of skin for a week or so. You can bathe,
shower and swim with the patch on.
How often should it be taken/applied?
The Butrans patch stays in place for 7 days. The patches come in three different strengths:
 ‘5’ Patch
 ‘10’ Patch
 ‘20’ Patch
You will need to see your GP to adjust the strength of the patch.
Do Not exceed the maximum dose – discuss this with your Doctor
It is likely to take 24 hours before you notice any pain control. During this time do not stop
taking your current pain relief medication unless told to do so.
If you need this information in another format or language 01536 492510
Further information about the Trust is available on the following websites:
KGH - www.kgh.nhs.uk | NHS Choices - www.nhs.uk
Ref: PI 903 May 2016
Next review: February 2018
When should this medication NOT be taken?



If you are experiencing side effects that outweigh the benefits/pain management effects,
discuss this with your GP
Please ensure you inform your Doctor about any other medication you are currently taking,
including any herbal products
Never give/ lend this drug to anyone else
Patch Disposal
The used patch should be folded firmly in half, adhesive side inwards, so that the adhesive is
not exposed. Discard safely out of reach of children. Used patches may still contain significant
residue of the drug.
Potential Risks/Side effects?
Everyone is different so may react differently to medication. If any unexpected symptoms do
occur please seek medical advice.
Do not apply heat to the area you have put the Butrans patch – it may increase the absorption
of the drug.
What are the most common side effects?
Rash, itching, unsettled stomach, sleepiness, constipation, lowered blood pressure, muscle
stiffness, sweating (anti-sickness medication may be needed initially).
What are the less common side effects?
Dry mouth, headache, facial flushing, hallucinations, mood changes, confusion, dependence,
euphoria.
What to do if medication is not given/taken properly?


If you forget to replace your patch, do so as soon as you remember – do NOT use more
than one patch.
If you overdose – remove the patch and seek medical advice straight away.
Storing Medication


Always keep your medication in a safe place and keep it out of reach and sight of children
Please follow manufacturer’s recommendations
Where to get repeat prescriptions
If you find this medication has been helpful please contact your GP to arrange a repeat
prescription. Your GP should have received a letter from the Pain consultant informing them of
any medications/treatments started or suggested.
Further information regarding your medicine, please contact:



Your GP
Your local Pharmacist (Chemist)
KGH Pharmacy Help Line  01536 492587