How do I open the patch visible stuff inside ??

Hi mangooner. DO NOT put the medicine inside the patch on your skin. It should have a clear plastic layer you peel off. Place the patch medicine side on your skin. Do not puncture the part that has the med inside. It should be sticky around the edges. Press that part to your skin.

Read the instructions in the pamphlet. And do as do as it says.  It has to be stuck onto you skin that has been cleaned with a tissue and water. Once dry, fold the patch gently and the plastic will begin to lift on the one side. Peel off one half, Handle carefully at this stage and Stick to you skin then fold again and peel off the remaining plastic away from the patch and press it firmly onto your skin, especially around the edges.  Use a part like your upper chest or back, where the skin does not move too much. It should then stick for the three days. Each three days move to a new area and then take off the old patch.  Voila!!

I used to live in Africa in the sub-tropical East Coast area and had no problems. Just clean the skin very well with some moist tissue paper and the rub dry, before putting on.  I was using the Duragesic matrix type made by Jannsen-Cilag.  Later in the UK I was given another make that were useless and only stuck on for two days if I was lucky.  The Duragesic are softer and more pliable. After much protest I got them to change me back. (They cost more, but not cost efficient/effective) I knew other people who had no problems with the Duragesic.  I think putting them on the less moving skin like upper chest or outer upper arm, or on back, if you have someone to help.  I have been cycling them around my upper chest.  Fortunately not too hairy!!  With the second type I tried overlaying them with a Medpore patch, but di not work and pulled my skin off as well with the patch floating inside.  Good Luck!

Thank you for your fast response. I will try to see if it works on me . if not i will try Ductape. lol. have a nice weekend.

mangooner I had he same problem! Just remember it is the easiest thing to do! Snip open the envelope. Inside in the small plastic area. IN ITS CENTRE IT FLIPS UP with your fingernail just lift it gently. You will see it is dead easy to open. Just flip your nail under the CENTRE of the little patch and it pops up enough for you to gently pull it up and then to press onto your skin. DO NOT PLACE IT WHERE THE PAIN IT! That's the ridiculous thing about this as if you don't read all those darned instructions you will not read:  PLACE THE PATCH ON THE UPPER PART OF YOUR BODY! ON THE UPPER ARM, THE CHEST OR ON YOUR BACK!! I have problem with a knee so I put it there! It did nothing for the pain SO I READ THOSE NOTES FOR PATIENT and there it states these patches must be on upper part of your body no matter where the pain is! I guess THIS IS NEAREST TO THE BRAIN AS THIS IS HOW THE PATCH FUNCTIONS - BY PASSING MESSAGE TO THE BRAIN. So unless you have your brain in your backside near the KNEE WHERE I PLACED MY PATCH---- you must put it nearest to the brain. I have now taken mine off the knee and put it on to my upper arm. It didnt want to stick a second time so I covered it with surgical tape. It does seem to have some effect but think I need stronger than the 12mg.  I hope this helps you.  

Does anybody know if the 12mg sticker is not strong enough, whether we can then put on another next to id?

I dont think you should split the little patch and squeeze it out! Are you serious? Care must be taken with that tiny patch and if you open it correctly it is fine. Its split in its centre and comes off in two parts making it easy to handle. Try again. It's good we have this forum where we can discuss such difficulties.