Talk with your healthcare provider prior to using a buprenorphine patch if you have:
- A history of drug or alcohol dependence or abuse
- A history of breathing problems, asthma, chronic obstructive pulmonary disease (COPD), or any other lung disease
- Paralytic ileus (a condition in which food does not move through the intestines as normal, leading to intestinal obstruction or blockage)
- Heart disease of any kind
- An irregular heart rhythm (arrhythmia)
- A very slow heart rate (bradycardia)
- A family history of long QT syndrome
- Low potassium levels in the blood (hypokalemia)
- A head injury, brain tumor, or increased pressure around the brain
- A history of strokes
- A history of seizures
- Problems urinating
- Low blood pressure (hypotension)
- Gallbladder or pancreas disease
- Liver disease, such as cirrhosis, liver failure, or hepatitis
- Kidney disease, such as kidney failure (renal failure)
- Any allergies, including to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant (see Butrans and Pregnancy)
- Breastfeeding (see Butrans and Breastfeeding).
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
(Click Precautions and Warnings With Buprenorphine Patch to learn more, including information on who should not use the drug.)