Transdermal fentanyl provides analgesia in dogs for up to 72 hours after patch application, with effective plasma concentrations typically achieved around 24 hours post-application. However, there is a critical exception: the immediate 0- to 6-hour postoperative period, where the patch may not yet provide sufficient pain relief. This delay necessitates supplemental analgesia during this initial window to ensure adequate pain management.
Key Points Explained:
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Duration of Analgesia
- The Fentanyl Transdermal Patch delivers consistent pain relief for up to 72 hours in dogs.
- This prolonged effect is due to the slow release of fentanyl through the skin into systemic circulation.
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Onset of Effective Plasma Concentrations
- Dogs typically reach therapeutic plasma levels ~24 hours after patch application.
- This lag underscores the importance of planning ahead for procedures where immediate pain relief is required.
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Critical Exception: Postoperative Period (0–6 Hours)
- The patch does not provide adequate analgesia during the first 6 hours post-surgery.
- Clinicians must use alternative analgesics (e.g., opioids or NSAIDs) during this gap to bridge the delay in fentanyl absorption.
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Practical Considerations for Purchasers
- Timing: Apply patches 24 hours preoperatively to ensure therapeutic levels align with postoperative needs.
- Monitoring: Observe for signs of inadequate pain control (e.g., restlessness, vocalization) in the first 6 hours.
- Backup Plans: Stock supplemental analgesics to address the initial gap in coverage.
By understanding these nuances, veterinary teams can optimize the use of transdermal fentanyl while mitigating risks of undertreatment in critical periods.
Summary Table:
| Key Aspect | Details |
|---|---|
| Duration of Analgesia | Up to 72 hours post-application. |
| Onset of Effect | Therapeutic plasma levels achieved ~24 hours after application. |
| Critical Gap (0–6 Hours) | Inadequate analgesia post-surgery; requires supplemental pain relief. |
| Best Practices | Apply 24 hours pre-op, monitor early signs, and stock backup analgesics. |
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