You should NEVER downstep your fentanyl patches by CUTTING them. The way the drug is delivered, this will completely mess up how the medication is absorbed and metabolized into your system.
If you're going some 50 to 25, get a prescription for the patches at the lower dose. If you're already at the lowest dose and looking to gradually step it down, do so by only uncovering half of the sticker, apply the patch and then use tape to hold down the half that is not yet exposed. You can use the same principle to step down to a quarter of a 25 patch, but never use scissors to cut the patch itself.
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