More trouble with Mylan 25s...

[waggz]

i just recently got scriptd the 25mcg fent patches like 10 days ago. my PD is an anti-oc guy which im ok with because my pain has been increasing and the oxys werent helping like they use to.

but the reason im posting is because the patches ive used have all fallen off. i was curious if anyone else has had this problem? if so what did you do to resolve this issue? they are the mylan brand, so at first i was thinking maybe its because they are a generic brand so they have less adhesive? also i can't tell if the patches are working correctly due to them not sticking well and because im still having a vast amount of pain. not only am i having pain in my leg/foot but also in other areas of my body. reason i mention this is because with all of the "pain control" (ha.. ya right) you would think i wouldn't have pain in other areas let alone none at all if the patches were working correctly right??

so i called walgreens yesterday and the pharmacist said that the adhesive is similar for all brands. also the reason they aren't sticking is due to the pH level of my skin. i told him at first i had used packing tape to keep it stuck on my shoulder. so he recommended to use tape that they use for ivs in the hospital. im not quite sure what its called but im talking about the paper like tape, aswell as the clear-gridlike tape. so i bought some of the tape and taped it onto my chest just above my heart. i figured the patches on my shoulders were falling off because i wasn't not using them.
sure enough.. about 4 hours later the tape was wearing/falling off.

so now im left with little or no pain relief besides a barely sticking patch that i don't know if its working correctly and my percs which barely do nething for BTP because my tolerance is so high. but hey.. its better than nothing right?? but i do get to see my PD next monday for a nerve block procedure. so hopefully he will either prescribe something else **fent related** or just prescribe a higher amount of oc.. but i highly doubt thatll happen
the first patch i used stuck for probly 5-6 hours.. but i couldnt really feel any pain relief from it. would it be stupid of me to ask him for a higher dose of fent so soon? aswell as asking for a higher dose of percs? i know all docs are different but if i dont ask now, ill be hurting myself in the long run because ill be in pain and have little or no pain control. im just asking evryone for their opinion from past or recent experiences. so please.. do share!

Also, what other fent medications are there??? i know of the fent medication named actiqs but what exactly is it? and would it be a good idea to ask my doc about them or other fent medication in general?

and umm.. are the 15 and 30 IR roxis still being made? reason i ask is because.. i asked my first pain doc aka family physician... if there were any higher IR oxycodone medications. * i didn't ask him in these words of course * aswell as 25 or 30 or 35mg OCs.. he said that the highest dose for the oxy-IR was 5mgs and the ocs only come in 20-40-80. so either he didn't know what he was talking about... or he didn't want to prescribe the medication. are the new OCS----red 30s brown 60s or wutever colors of the new ones... are they even being manufactured yet???

thanks for your time! :)


Waggz

[RxQueen]

yep, the new strengths of OC's are out. and oxy IR is also available in 15 and 30mg strengths (usually referred to here as roxies).

in addition to patches, fent is available as Actiq which are the fent lollipops. it also comes in an effervescent tab to be dissolved in the mouth called Fentora.

that's the only part of your questions that i can really answer. how to deal with the patches falling off and how to approach your doctor about trying something else, i'll leave to the capable hands of the other CP'ers here who have dealt with those things themselves. i know there are a few who've had problems with the patches sticking. and many who can better advise you on talking to your doctor.

best of luck, and i hope your leg is doing a lot better these days, waggz!

[irish]

The tape they use for iv's is called "tegaderm dressings" they are a rectangular piece of super thin plastic that adheres really well to skin. Inpektadek has used them and I think they worked for him. This stuff is really different from what you used and I have never seen it fall off.

[Dune]

The best solution I've found to keep them sticking is to:

1: shower first and apply as soon as the skin is dry
2: try to apply without touching the sticky side of the patch(pull one half of the backing, stick, then carefully remove the other half
3: apply pressure with your palm for about a minute to ensure good adhesion

I also found the best place to stick them is to the side of my hip.

I asked to have my dose raised after 2 weeks and found no resistance to that. They have to start low to make sure you can handle them. It is quite possible that you need more than the 25's, but they are just being careful. BTW i was up to the 100mcg's in less than 2 months.

Hope that helps!

[waggz]

i called one of my docs due to the discomfort today but i missed his call back so hopefully tomorrow he will be in. Im praying to hear good news :)
thanks for mentioning the tegaderm dressings irish.. those would definitely do the trick! i almost wonder if the pharmacy would even have them in stock.
are the lollipops of fent just like a nice warm rush that lasts like 10mins? would they be scriptd for BT? 1 evry few hours x-many times a day? or how are they usually prescribed? in your opinion which of the fent products are most helpful for relieving pain and/or getting that lil feeling of :D:D:D ;)
is there even a prescribed drug out there that tops fent?

thanks for the positive thoughts rx

[LorTabitha]

You can get all sorts of medical tape, etc. at home health type stores (in my area they are located inside some drug stores in addition to having some free-standing locations).

[lolleedee]

If you wipe the area with alcohol first(rubbing alcohol, not vodka alcohol!!LOL), then let it dry(air dry) for about 5 minutes before applying it helps get rid of oils on the skin which can cause it not to stick. The IV tape is good too! Very sticky!!!

[Badly Drawn Girl]

I always just used band-aids to keep them in place.

[bigNasty]

are the lollipops of fent just like a nice warm rush that lasts like 10mins? would they be scriptd for BT? 1 evry few hours x-many times a day? or how are they usually prescribed? in your opinion which of the fent products are most helpful for relieving pain and/or getting that lil feeling of :D:D:D ;)
is there even a prescribed drug out there that tops fent?

thanks for the positive thoughts rx
Yeah actiqs and fentora's are rx'd for BT pain. I find they give you a good buzz for an hour or two but the pain relief lasts 3-4 hours. But thats not your only option for BT pain since you are only rx'd 25's. you could try roxi's or dilaudid or oxymorphone IR or MSIR. They might not "top fent" but it depends on the individual and how much you take

[Consumed.]

actually your not supposed to wipe with alcohol if you read the insert real carefully. The mylan patches really suck in terms of adheseveness. They really just dont stick correctly no matter what. i would use something to cover them up. Also I dont think you getting pain relief cause 25 mcg of fent is really with anyone who has any type of oxy tolerance. I feel like the doctors dont know or think differently of this. Used correctly I would expect the 25 mcg patches to give you ANY type of relief....

[lolleedee]

actually your not supposed to wipe with alcohol if you read the insert real carefully. The mylan patches really suck in terms of adheseveness. They really just dont stick correctly no matter what. i would use something to cover them up. Also I dont think you getting pain relief cause 25 mcg of fent is really with anyone who has any type of oxy tolerance. I feel like the doctors dont know or think differently of this. Used correctly I would expect the 25 mcg patches to give you ANY type of relief....

I read that when I use to have the patches too. I have no clue why it says not to do it, but I found it helped them to stick better. Do you know if it is suppose to interfere with the absorbtion rate???

[waggz]

todays just not a good day...

i call the pharmacy to see if i could swap my mylan patches for a different brand. what do you know.. they dont keep the duragesics in stock so they would have to order them. so i thought ok fine wutever i can wait another day. so than the pharmacist said well we can't exactly swap them because they are a controlled substance so you will have to wait til your next script to try a different brand. she also said that they usually dont have problems with the mylans sticking. well guess what.. they dont stick for me.
i tried contacting my pd but he was probly on lunch. its been almost 4 hours since i left a message. grrr!! :mad:
if the patches were working i dont think id be this upset about the whole thing. even with the patches taped on im not getting pain relief. would this be because ive moved the patch after its first stick? its probly just cuz 25mcgs doesnt get rid of the pain.. i wouldn't wish this pain upon neone but i truly wish drs could sum how feel the pain that we go through ddaily, than they would atleast be prescribing the right amounts of medication. i understand the patches being 25s for a first script.. but going from 100-130mg a day of oxy for more than 5months and 250-300mg a day for a month n a half.... would 25mcg of fent plus 30mg of oxy a day plus a nerve pain medication really help with that tolerance? i swear doctors dont understand the meaning of the word tolerance.

i guess ill be stuck on the couch til monday when i see my dr for a nerve block procedure. atleast then theyll knock me out with iv fent :D
im temptd to just suck/chew on the damn thing since they dont absorb through the skin. that way ill get sum relief.. hopefully.

[Consumed.]

todays just not a good day...

i call the pharmacy to see if i could swap my mylan patches for a different brand. what do you know.. they dont keep the duragesics in stock so they would have to order them. so i thought ok fine wutever i can wait another day. so than the pharmacist said well we can't exactly swap them because they are a controlled substance so you will have to wait til your next script to try a different brand. she also said that they usually dont have problems with the mylans sticking. well guess what.. they dont stick for me.
i tried contacting my pd but he was probly on lunch. its been almost 4 hours since i left a message. grrr!! :mad:
if the patches were working i dont think id be this upset about the whole thing. even with the patches taped on im not getting pain relief. would this be because ive moved the patch after its first stick? its probly just cuz 25mcgs doesnt get rid of the pain.. i wouldn't wish this pain upon neone but i truly wish drs could sum how feel the pain that we go through ddaily, than they would atleast be prescribing the right amounts of medication. i understand the patches being 25s for a first script.. but going from 100-130mg a day of oxy for more than 5months and 250-300mg a day for a month n a half.... would 25mcg of fent plus 30mg of oxy a day plus a nerve pain medication really help with that tolerance? i swear doctors dont understand the meaning of the word tolerance.

i guess ill be stuck on the couch til monday when i see my dr for a nerve block procedure. atleast then theyll knock me out with iv fent :D
im temptd to just suck/chew on the damn thing since they dont absorb through the skin. that way ill get sum relief.. hopefully.

That sucks, youd probably still have trouble with 100 mcg patches without cheating with that tolerance. Like it says fent patches are not for acute pain, and they dont do shit without breath through meds. I wish you the best of luck....

[LorTabitha]

if the patches were working i dont think id be this upset about the whole thing. even with the patches taped on im not getting pain relief. would this be because ive moved the patch after its first stick?

You need to leave the patch in place for at least two days. When I had them, I would leave them on for 3 days, adding a new patch in another location after the first 2 days. That way I would have one day of overlap for each patch.

Day 1, attach Patch 1 on left hip (or anywhere you prefer)
Late in Day 2, attach Patch 2 on right hip (or anywhere...)
Day 3, remove Patch 1 and attach Patch 3 on left hip
Save Patch 1 for further use (see below) and so on.

I wouldn't get any pain control/relief until at least 24 hours after sticking on the first patch. Warming up the patch via bath or heating pad seems to help get the fent into your system.

After you've worn your patch for 3 days and are ready to take it off, you can then use any gel inside in the different manners described in other threads. Just go slowly - you can always add more, but it's pretty tough to take some back when you've already ingested it one way or another. ;)

[Consumed.]

You need to leave the patch in place for at least two days. When I had them, I would leave them on for 3 days, adding a new patch in another location after the first 2 days. That way I would have one day of overlap for each patch.

Day 1, attach Patch 1 on left hip (or anywhere you prefer)
Late in Day 2, attach Patch 2 on right hip (or anywhere...)
Day 3, remove Patch 1 and attach Patch 3 on left hip
Save Patch 1 for further use (see below) and so on.

I wouldn't get any pain control/relief until at least 24 hours after sticking on the first patch. Warming up the patch via bath or heating pad seems to help get the fent into your system.

After you've worn your patch for 3 days and are ready to take it off, you can then use any gel inside in the different manners described in other threads. Just go slowly - you can always add more, but it's pretty tough to take some back when you've already ingested it one way or another. ;)

theres no gel in the mylans. the rest of the patches seem to stick much better also. The big drug chains love to carry mylans cause they suck so much i swear. At CVS the only brand i could get where mylans.

[red26]

have you tried an iron?

Id be smokin the hell outta that stuff if I was you. Its toxic as hell, but to me(been spraying wood finishe and airbrushing for years) toxicity is a way of life, not a choice. So I would'nt reccomend it. forget I said anything at all actually. not a peep

[waggz]

Consumed.
That sucks, youd probably still have trouble with 100 mcg patches without cheating with that tolerance. Like it says fent patches are not for acute pain, and they dont do shit without breath through meds. I wish you the best of luck....thanks man.. i sure hope the 100 would atleast give me some relief. im just glad i got insurance to pay for 100% of the patches. cuz i would be super pissed if i had to pay for shit that doesn't help me. and thank you for bringing tha to my attention again.. about the bt meds. im going to have to remember to ask my doc if i could try something else that is stronger because the 10mg percs dont do shit nemore. reason im still taking them is because its better than nothing and i think its got something to do with my brain.. the lil reward system that doctors talk about with addicts. you kno what im talkn about?? ive even taken 7 of them plus a few muscle relaxers and i was still in pain, without a buzz, and still restless. i thought maybe.. just maybe that the muscle relaxers would be soothing enough to get a few hours of sleep.

Lortabitha
Day 1, attach Patch 1 on left hip (or anywhere you prefer)
Late in Day 2, attach Patch 2 on right hip (or anywhere...)
Day 3, remove Patch 1 and attach Patch 3 on left hip
Save Patch 1 for further use (see below) and so on. i wish i could do this.. cuz its a great idea!! :) but my mom decided it would be in my best interest to not have access to my fent patches because she would be devastated if i for some reason came up with the idea to use a bunch and OD. which ya i understand where shes coming from but it jus sucks being 19 and feeling like a lil kid because im not responsible or trustworthy to use my own medication. but i mean.. i understand becasue in the past i overdosed 2 times to xanax n valium with my rx'd meds and some of her xanax aswell.

and yes i agree with you Consumed. about the Mylans being the worst fent patch available!!!!!!! hence the title of the thread haha ;)

have you tried an iron?

Id be smokin the hell outta that stuff if I was you. Its toxic as hell, but to me(been spraying wood finishe and airbrushing for years) toxicity is a way of life, not a choice. So I would'nt reccomend it. forget I said anything at all actually. not a peep what do u mean tried an iron?? an iron would melt the silicone in the matrix... woudln't it?

[red26]

its a joke you dippy.;) I visualize thing really easy and it was a funny image to me.

[waggz]

its a joke you dippy.;) I visualize thing really easy and it was a funny image to me.

haha aight bro.. i figured so but hey.. you just never kno these days

[HMMM...]

yep, the new strengths of OC's are out. and oxy IR is also available in 15 and 30mg strengths (usually referred to here as roxies).

in addition to patches, fent is available as Actiq which are the fent lollipops. it also comes in an effervescent tab to be dissolved in the mouth called Fentora.

that's the only part of your questions that i can really answer. how to deal with the patches falling off and how to approach your doctor about trying something else, i'll leave to the capable hands of the other CP'ers here who have dealt with those things themselves. i know there are a few who've had problems with the patches sticking. and many who can better advise you on talking to your doctor.

best of luck, and i hope your leg is doing a lot better these days, waggz!

I was interested in fentora. I saw a buddy with one...comes in a small paper packet....and if it's a fent

pill it has to be pretty damn good. Esp. if it's dissolved under the tounge then you get the whole

mcg at once, right? So are these things badass or what?

[waggz]

I was interested in fentora. I saw a buddy with one...comes in a small paper packet....and if it's a fent

pill it has to be pretty damn good. Esp. if it's dissolved under the tounge then you get the whole

mcg at once, right? So are these things badass or what?

is this the small paper packet you mentioned?? http://www.fentora.com/images/hcp/charts/236.jpg

sure sounds like it to me.. i wonder which is better though. the actiq or fentora.
edit::: heres the answer to this question ladies n gents.. also do not swallow fentora!! you will be sorry if you do! http://www.fentora.com/images/hcp/charts/240e2.jpg
http://www.fentora.com/2400-frequently-asked-questions.aspx
The greater buccal absorption results in higher bioavailability for FENTORA. Absolute bioavailability is 65%, compared with 47% for Actiq and 31% for a swallowed fentanyl tablet.11 (http://www.fentora.com/2980-references.aspx#ref11),12 (http://www.fentora.com/2980-references.aspx#ref12)
Greater buccal absorption allows FENTORA to achieve greater early systemic exposure — nearly 3 times that of Actiq, and nearly 7 times that of a swallowed fentanyl tablet.11 (http://www.fentora.com/2980-references.aspx#ref11),12 (http://www.fentora.com/2980-references.aspx#ref12)
if you want to learn more info about these 2 btp medications go to the FAQ link above.. it is what im currently reading and there's quite a bit of valuable info.



The proven response of FENTORA

FENTORA matches the sudden onset of breakthrough pain (BTP) in some opioid tolerant patients with cancer


Onset of pain relief within 15 minutes (first time point measured)1 (http://www.fentora.com/2980-references.aspx#ref1),2 (http://www.fentora.com/2980-references.aspx#ref2)
Duration of relief up to 60 minutes (last time point measured)1 (http://www.fentora.com/2980-references.aspx#ref1),2 (http://www.fentora.com/2980-references.aspx#ref2)

Optimized rate of absorption across the buccal mucosa


Employs unique OraVescent Technology (http://www.fentora.com/2200-oravescent-technology.aspx)
Fentanyl is readily absorbed, achieving an absolute bioavailability of 65%2 (http://www.fentora.com/2980-references.aspx#ref2)

The right start, the right dose


Use only in patients considered opioid tolerant (≥60 mg of oral morphine daily or an equianalgesic dose of another opioid daily for a week or longer)
Initial dose is 100 mcg, titrate to effect*

Convenient administration


Sugar-free buccal tablet

Generally well tolerated when used in accordance with prescribing information


Most side effects were mild to moderate


Absorption:
Following buccal administration of FENTORA, fentanyl is readily absorbed with an absolute bioavailability of 65%. The absorption
profile of FENTORA is largely the result of an initial absorption from the buccal mucosa, with peak plasma concentrations
following venous sampling generally attained within an hour after buccal administration. Approximately 50% of the total dose
administered is absorbed transmucosally and becomes systemically available. The remaining half of the total dose is swallowed
and undergoes more prolonged absorption from the gastrointestinal tract.
In a study that compared the absolute and relative bioavailability of FENTORA and Actiq (oral transmucosal fentanyl citrate), the
rate and extent of fentanyl absorption were considerably different (approximately 30% greater exposure with FENTORA)


since i can't copy the tables from the pdf files directly... :( for those who are interested --> ill provide the links of the pdf's :) gotta love google!!
Actiq:
http://www.actiq.com/pdf/actiq_med_guide_4_5_07.pdf
Fentora:
http://www.fentora.com/download/download.ashx?download=pi

also... someone who actually has access to these meds, can you give us dreamers some insight please!? :D imo.. personal experiences from patients are more reliable resources than the pdf files. of course depends on the patient.... also regarding the files..unless you have a degree in pharmys than the pdf files probly aren't confusing.

[Dune]

The biggest problem I've had with the fent is that it raises your tolerance so dramatically that your BT meds quit working. I would ask the dr. if you can use 2 of the 25mcg's at once to get you thru till monday. Then on Mon. I would ask to get a new script for the 50's. Be sure to save your used patches too. They work great to help with BT pain if you need something stronger than normal. My Dr. thought it was odd when I told him the fent is working great(after I got to the 100mcg's), but when I do need a BT med the Norco just doesn't cut it. He said I was contradicting myself in one sentence. It made perfect sense to me. BTW I would also tell him about the sticking problem and try to get him to write it for 48hrs instead of 72hrs. Then if you do get some to stick for 3 days you can have some extras. Good luck!

[bigNasty]

also... someone who actually has access to these meds, can you give us dreamers some insight please!? :D imo.. personal experiences from patients are more reliable resources than the pdf files. of course depends on the patient.... also regarding the files..unless you have a degree in pharmys than the pdf files probly aren't confusing.
they are both nice but I like fentora's better. IMO 400mcg fentora=800mcg actiq, and I just like how the fentora's feel in your mouth. It numbs the spot on your gums where you let it dissolve and they seem to kick in faster than actiq's

[red26]

they are both nice but I like fentora's better. IMO 400mcg fentora=800mcg actiq, and I just like how the fentora's feel in your mouth. It numbs the spot on your gums where you let it dissolve and they seem to kick in faster than actiq's Has anyone ever melted the actiq and drank the liquid for a faster and bigger bang?

[bigNasty]

Has anyone ever melted the actiq and drank the liquid for a faster and bigger bang?
It doesn't work like that or they would just make a fent pill to swallow. It absorbs in your mouth

[waggz]

this is quoted from a different post/thread but i thought it would fit best in this thread

Moral of the story: being honest with your doc is about the last thing you should do..
sad but true


this is very true! before having a nerve block procedure last monday, i had mentioned something needs to be done about my pain medication. i said my btp meds aren't doing their job like they use to. i also mentioned that the 25mcg fent patches weren't working aswell as the oxys i was rxd. he said it makes me wonder why these medications aren't working for you. your last nerve block procedure showed me just how your body reacts to these medications. i gave you enough iv fent to knock someone out for a month and you still were moving around n talking during the procedure. and even after we were done your body wanted more. im not going to treat you nemore so you can just take tylenol for pain.
basiclly what i took it as is your just going to have to suck it up and deal with your pain without medications because i wont prescribe you anything from here on out. you can take tylenol or aspirin for your pain and go talk to a counselor to deal with it. i was so f'in pissed off after he said this shit.. i was about to go off on him until i realised if i do this he probly would ask me to leave n not get the nervebock done.
all i was doing was telling him that my pain is still increasing even with these meds. can you up the dosage so im not in agony n stuck on the couch for 3days straight because it hurts to much to frickn *walk* (im still useing crutches) if he would have talkd to me after the procedure he would of had a mouth full and a big fuck you!
i had called a pain clinic closer to home only to find out after waiting 2days that the doctor wasn't accepting patients. but luckily i had an appointment with my ortho dr on friday and she said she would do the paperwork and sign me up at the pain clinic there at the hospital. i duno what it was but it was a good vibe with a smile and i think a halfwink or sumthing after she said this. i duno if it was her way in saying ill find you a good dr who will rx you meds so your not rotting on the couch. or wut?? haha i wasn't in that bad of a mood afterwards. so im praying each day until i hear back from the clinic or my dr.
so ya.. thats just an update on how shitty things are going for me. and these worthless mylan patches still aren't sticking even with the TEGADERM tape stuff. all it does is eliminate the adhesive from the patch..thus creating the patches to not work i think.. and even with suckn chewing on the new slightly cut patch or worn patches dnt give me a buzz whatsoever nemore. i hate not having meds that do their job aswell as having a dr manage my pain like his job description says. im hopeing ill beable to call my gp tuesday and work something out with him until i see my new PD hopefully!

sorry that this really isn't put together to well but just needed to vent all my frustration to someone/something.. so those who read/reply thx for your time! :)

[Boxcar]

i didnt read all the posts, so someone prolly already said this. but i have no trouble at all, even with 4 days ifn i wanna. BTW, I USE MYLANS NOT GELL SANDOZ OR DUR. but this is my routine, and itll work for you too.

i wash, shave, dry and wipe with alcohol towelette. like at least a half hour b4 i apply
patch. so i put patchES on. i then take the two pieces of plastic that are inside the pack with the patch. i cover patches with the plastic, then i tape over plastic, i use a fat thick rool of tape, also, id like to add that i wear mine on the front or side of my thigh a lil below the hip, about the same area the balls hang to on a hot summer day. after tapin really well i wrap an ace bandage around as tightly as possible. 2, 3, 4 days later. WALAAAH! patch is still there


hope ot helps im sure others gave you same advice.

[resorcinol]

Nexcare Tegaderm clear adhesives. Put one over the fent patch. It'll never come off with those!

You want the ones without the white pad in the middle... they're just a clear thin adhesive.

[waggz]

Nexcare Tegaderm clear adhesives. Put one over the fent patch. It'll never come off with those!

You want the ones without the white pad in the middle... they're just a clear thin adhesive.

have already tried this.. its almost as if the tegaderm stops the patch from working. i pulled it off after a day or 2 to see how it was working. the patch itself had no adhesive on it... it just wouldn't stick back on. i duno what happnd or what caused this but ya. i had put a new tegaderm on and on day 3 its as if none of the fent had been going into my body. tuesday im goin to call my family dr and see if hed beable to switch my meds back to when the pain was more tolerable with the ocs. im just frustrated and fed up w these mylans.

[Princess]

Well Waggz, you sound like me. The Mylans actually sent me into W/Ds. They didn't stick, didn't help and just suck all the way around. If you've tried all the methods mentioned, see if you can get up to the 50s and fill at a pharmacy that carries another generic, NOT Mylan. Call another pharmacy and ask what they carry before you take it to be filled.

Funny the pharmacist says that no one complains of them not sticking.... MY pharmacist says he hears it all the time...

I would be chewing on those fuckers until I could get something else (like the 50s or 100s in a different brand).

As far as the other fent products, none are for long term pain, only for BT. The fentora works best between the two (fentora & actiq). Fent is the BEST drug out there for pain relief, you've just got to get what works for you. And once you stick a patch on, DON'T take it off and try to reapply it.

Good luck. I feel your pain :(

[born2lose]

swim usually smokes his fent (which you can't do w mylans anyways) but the few times i tried wearing em n had trouble getting em to stick i just used medical tape around the borders