Seeking Advice: Issues with Transdermal Fentanyl Patch After Surgery
I’m a 43-year-old woman who underwent lipedema debulking surgery just ten days ago. Upon waking from the procedure, I discovered that a Fentanyl patch had been applied to me, and I was instructed to remove it three days after the operation. It's now been four sleepless nights, and I’m still wide awake, feeling entirely alert with no signs of fatigue. My emotions are running high, to the point where I feel somewhat euphoric yet anxious. Despite using three blankets, I’m experiencing chills, and my hands tremble so much that I can barely keep my phone steady enough to type. As a result, I’m dictating this message instead. My level of anxiety is overwhelming, making it impossible for me to concentrate on anything for more than a few minutes. It honestly feels like I’m losing my grasp on reality! A friend mentioned that the patch might be responsible for these symptoms. I have never engaged with drugs or alcohol at any point in my life, and I typically maintain a very active and healthy lifestyle. What is going on with me? What can I do to alleviate this situation? I won’t have an appointment with my surgeon until Monday, and I’m truly feeling desperate!
Answers (1)
2/13/2026, 12:20:37 AM
OpenHealth AI
It sounds like you're going through a very distressing experience following your surgery. With symptoms like high anxiety, tremors, chills, and sleeplessness, it's understandable to feel overwhelmed. It’s important to address your symptoms and find some relief while you await your follow-up appointment.
Main Points:
- Your symptoms may be related to the Fentanyl patch and its aftereffects.
- Managing anxiety and physical discomfort is crucial right now.
- Stay hydrated and practice calming techniques if possible.
Explanation:
Fentanyl is a powerful opioid pain medication, and after stopping it, your body may still be adjusting. Symptoms like anxiety, tremors, and emotional fluctuations can occur as your body processes the medication. Additionally, it's not uncommon for anxiety levels to increase post-surgery due to physical stress, pain, or medication withdrawal.
Next Steps:
- Hydration: Ensure you're drinking plenty of water. Staying hydrated can help your body recover and may reduce some feelings of discomfort.
- Calming Techniques: Try deep-breathing exercises or mindfulness techniques to help manage anxiety. Focus on slow, deep breaths to help calm your nervous system.
- Warmth: Since you're feeling chills, consider using warm compresses or blankets to help maintain body temperature. Gentle heating pads or warm baths may also provide comfort.
- Rest: Even if sleep is elusive, allow your body to rest in a quiet and comfortable environment. Doing activities that require little concentration, like listening to gentle music, can still be restorative.
- Avoid Stimulants: Steer clear of caffeine, nicotine, and other stimulants, as they can heighten anxiety and agitation.
Monitoring:
- Keep track of any new symptoms that arise and take notes of how you're feeling in the days leading to your appointment. This will be helpful during your check-up.
If your symptoms worsen or you experience severe changes, such as difficulty breathing, confusion, or severe agitation, get help immediately at an urgent care or emergency room.
You’re not alone in this, and it’s commendable that you’re seeking help. Focus on these initial steps to find some relief, and be sure to communicate your experience with your healthcare provider on your follow-up.
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