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Can A Second Sinele Patch Be Administered For Breakthrough Pain While On Butran, Menthol And Casaicin?

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Posted on Fri, 15 Nov 2019
Question: I am currently on the Butran 20 mg Patch as well as Tramodol 50mg every 6 hours for breakthrough pain. The doctors are still working on what the problem actually is. I also have the Sinelle Patch 5%Menthol, 0.05% Capsaicin. Is it okay to add the 2nd Patch while using the other medications.
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Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
ah ! which patch!

Detailed Answer:

Hi,

The Simelle patch contains very safe ingredients. There is little problem on doubling up and it does not interact with the other medications except they all lower pain.

I might mention that
Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment.

Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain.

Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve

What hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.

``     Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's.

And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external.

Hope I have answered your query. Let me know if I can assist you further.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Can A Second Sinele Patch Be Administered For Breakthrough Pain While On Butran, Menthol And Casaicin?

Brief Answer: ah ! which patch! Detailed Answer: Hi, The Simelle patch contains very safe ingredients. There is little problem on doubling up and it does not interact with the other medications except they all lower pain. I might mention that Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve What hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves. `` Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's. And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external. Hope I have answered your query. Let me know if I can assist you further. Regards