FREQUENTLY ASKED QUESTIONS
Q1. What is the problem with DURAGESIC patches?
A1. Medication may leak from a small percentage of DURAGESIC 75 mcg per hour
patches, control number 0327192 , due to the improper sealing of one of the patch
edges.
Q2. How can patients determine if they have an affected patch?
A2. The control number for the affected patches - control 0327192 - appears on
both the outer carton and on each foil pouch that contains a patch. Only one
lot of DURAGESIC 75 mcg per hour (control number 0327192) patches is affected.
Q3. What should a patient or caregiver do if the patient is wearing a patch from
this lot number?
A3. The patch must be removed and replaced with a new, unaffected patch as soon
as possible. Whoever is removing the patch should:
- Remove the patch, wearing rubber gloves if possible, or using a tissue.
- Rinse their hands and the area where the patch was applied gently with
a soft cloth and plain water. Do not use soap. Do not rub excessively.
- Fold the patch in half and flush it down the toilet immediately upon
removal.
- A patch from a new carton needs to be applied as soon as possible, so
the patient or caregiver should contact their physician immediately to
get a new prescription, which is needed to obtain a new supply of patches
from their pharmacist.
Q4. Will refunds be provided for returned patches?
A4. When the patient presents a new prescription and unused patches with control
number 0327192 , pharmacists will exchange new patches for returned unused patches.
Details are being finalized to ensure that pharmacists and patients are reimbursed
for any expenses associated with a new prescription. Details will be communicated
to pharmacists and posted on our Web site.
Q5. What can happen to patients if they use a patch that has a leak?
A5. Exposure of the patient's or caregiver's skin to any leaked medication from
a DURAGESIC patch may cause nausea, sedation, drowsiness, or potentially life-threatening
complications. If the medication leaks from the patch, patients can get either
too little or too much medication:
- If medication leaks from the patch, there is no longer adequate medicine
in the patch, and this can lead to withdrawal symptoms and inadequate pain
relief. Symptoms include sweating, sleeplessness, and abdominal discomfort.
- If the medication leaks directly onto the skin, a higher than intended
amount can be absorbed through the skin into the body, causing nausea,
sedation, drowsiness, or potentially life-threatening complications.
Q6. What if the patient has a rash from the leaked medication?
A6. They should contact their physician as soon as possible.
Q7. What happens if a patient has already used a patch from this lot?
A7. If a patient has worn a patch in the past, and has already discarded it,
they don't need to do anything. If they have any remaining patches from control
number 0327192 , the patient or their caregiver should consult their physician
or pharmacist to obtain a new supply immediately.
Q8. What should patients do if they have remaining patches or a carton from the
affected lot?
A8. Patients must contact their physician or pharmacist immediately to obtain
a new supply of product. Unused, unopened patches from control number 0327192
should be immediately returned to the pharmacist who will return the product
in accordance with instructions from Janssen.
Q9. What if a patient is wearing a DURAGESIC patch with another control number?
A9. Only 75 mcg per hour DURAGESIC patches with control number 0327192 are affected.
Patients wearing 75 mcg per hour patches with different control numbers are not
affected. Patients wearing 25 mcg per hour, 50 mcg per hour or 100 mcg per hour
patches are also not affected. Patients wearing these patches can continue to
wear them with confidence. Sudden discontinuation of DURAGESIC can cause health
problems.
Q10. Where were the patches distributed?
A10. In the United States only.
Q11. Has the manufacturing problem been corrected?
A11. The company has taken steps to ensure that the problem doesn't occur again.
Q12. Are you notifying healthcare professionals? When? How?
A12. Yes. We are immediately sending letters to health care professionals and
pharmacists, making calls to chain pharmacies and issuing a press release to
the news media in order to reach patients and caregivers. We also are notifying
all DURAGESIC distributors and posting information on both the
www.janssen.com and
www.duragesic.com .