Transdermal patches are NOT suitable for acute pain, or where rapid dose titration is required because of the time taken for the drug to reach the systemic circulation (hours) and steady state (days).
When removing the patch, significant plasma concentrations may exist for ≤24h because of the reservoir of drug within the skin.
Use the links below for further information about Transdermal Opioids:
This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.
Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.
While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.