Precautions and Warnings With Buprenorphine Patch

If you have a history of drug or alcohol abuse, make sure to discuss this with your healthcare provider before starting treatment with the buprenorphine patch. Other warnings with this skin patch include safety precautions concerning potential drug interactions. Also, you may not be able to use this medicated patch if you have certain medical conditions or if you are pregnant or breastfeeding.

What Should I Tell My Healthcare Provider?

Talk with your healthcare provider prior to using a
 buprenorphine patch (Butrans®) 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:
 
  • Breastfeeding
  • Pregnant or thinking of becoming pregnant.
 
Make sure to tell your healthcare provider about any medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
 
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Written by/reviewed by: Kristi Monson, PharmD
Last reviewed by: Kristi Monson, PharmD
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