A patch preparation having a backing layer and a drug layer laminated on the backing layer; wherein the drug layer contains an adhesive containing at least one compound selected from the group consisting of fentanyl and pharmaceutically acceptable salts thereof, polyisobutylene, and a silicon-containing polymer; and a mass ratio of the polyisobutylene and the silicon-containing polymer in the adhesive is 20:1 to 7:3.具備支持體、及該支持體上所層合之藥物層,藥物層係含有至少1種選自芬太尼(fentanyl)及該藥學上可容許的鹽所成群之化合物、及聚異丁烯、及含矽聚合物之黏著劑所成,黏著劑中之聚異丁烯及含矽聚合物之質量比為20:1~7:3之貼布劑。