Fentanyl is an extremely strong opioid pain medication that is 100 times stronger than morphine. Fentanyl is used during surgery for anesthesia, and to treat chronic pain patients. One way of delivering fentanyl for treatment of chronic pain patients is through use of a patch containing fentanyl. This method of delivering fentanyl was approved by the Food & Drug Administration (FDA) in 1990. Its approval is limited to treatment of persistent moderate to severe pain that cannot be treated through the use of other, less powerful, medications. Initially, the fentanyl patch was most commonly prescribed for people with cancer. More recently, use of the patch for other types of pain patients has become widespread.
Watson Pharmaceuticals manufactures a generic version of the fentanyl pain patch. In March, 2008, Watson Pharmaceuticals recalled one lot, or about 28,000 units of its fentanyl pain patch because ingredient levels deviated from specifications. This recall resulted from a six-month stability test on products while on wholesaler and retailer shelves.
Transdermal pain patches have a reservoir containing a 3-day dose of fentanyl gel. The FDA has received hundreds of reports of fatalities linked to the use of fentanyl transdermal pain patches. The cause of these deaths can be due to seal breaches allowing fentanyl gel to leak from the patch, known as the “fold-over defect,” malfunction of the rate control membrane or other defects.
Patients and caregivers who come in contact with a leaking patch may experience severe side effects, or potentially be victims of a fatal overdose. In addition to reports of leaking patches, the FDA has investigated deaths and life-threatening side effects in patients who never should have been prescribed the patch. In December, 2007, reports of improper prescribing of the patch prompted the FDA to issue its second Public Health Advisory regarding fentanyl pain patches, which stated that "reports indicate that doctors have inappropriately prescribed the fentanyl patch to patients for acute pain following surgery, for headaches, occasional or mild pain, and other indications for which a fentanyl patch should not be prescribed."
The FDA’s warning to doctors and patients on the symptoms of fentanyl overdose included the following:
• Trouble with breathing, or slow or shallow breathing
• Slow heartbeat
• Severe sleepiness
• Cold, clammy skin
• Trouble with walking or talking
• Feeling faint, dizzy, or confused
According to the FDA, patients using the fentanyl patch who experience those symptoms should get medical attention right away. Additionally, patients or caregivers should call the patient's doctor immediately if the patient's temperature exceeds 102 degrees while wearing a fentanyl patch.
On June 19, 2007,we participated in and helped achieve a $5.5 million jury
verdict that was awarded in a case against Johnson & Johnson and its subsidiary,
Alza Corporation, the manufacturers of the Duragesic fentanyl transdermal
pain patch. This case, the first Federal trial involving the Duragesic fentanyl
patch, was tried in the Federal District Court for the Southern District
of Florida, West Palm Beach Division. The verdict was achieved for the family
of a 28-year-old Florida man (Adam Hendelson) who died while wearing a Duragesic
fentanyl drug patch.
On November 17, 2008, a $16,560,000
verdict was handed down for the family of a Cicero, Illinois woman who died while wearing a Duragesic fentanyl transdermal pain patch. After a 3 week trial, a Chicago jury found two Johnson & Johnson subsidiaries liable for the death of 38-year-old Janice DiCosolo, a mother of three. On February 15, 2004, Mrs. DiCosolo died as a result of using a defective Duragesic patch that her doctor had prescribed to alleviate the intense pain she experienced from a neurological condition called "reflex sympathetic dystrophy."
If you or a loved one has suffered injury, or a family member has died as a result of using any brand of fentanyl transdermal pain patch, please fill out our questionnaire to the right of this page for a free consultation.
$16.5 Million Award in First Federal Fentanyl Patch Trial
Jury Verdict Awarded
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the article...
J&J Units Should Pay $25 Million for Death,
Jury Told
11/14/08 - Bloomberg
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the article...
Jury awards $13.3M to family in fentanyl
pain-patch death
10/30/08 - Orlando Sentinel
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the article...
J&J Fentanyl Pain Patch Gave Woman
Fatal Dose, Lawyer Jim Orr Tells Chicago Jury
10/30/08 - Bloomberg
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the article...
Actavis Recalls Certain Fentanyl Patches
in the US as Precaution
2/17/08 - Actavis, Inc. Press Release
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PRICARA™ Recalls 25 mcg/hr Duragesic® (fentanyl
transdermal system) CII Pain Patches
2/12/08 - Johnson & Johnson Press Release
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Second Safety Warning on Fentanyl Skin Patch
12/21/07 - FDA
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$5.5 Million Award in First Federal Fentanyl Patch Trial
6/19/07 - PRNewsWire
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Jury Deciding if Pain Patch Leaked, Killing
Man, 28
6/19/07 - Palm Beach Post
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