Fentanyl 50 Mcg/hour Transdermal Patch (Page 5)

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I WAS PRESCRIBED THE 50 MCG/HR FENTANYL PATCH FOR CHRONIC BACK PAIN & DEGENERATIVE DISC DISEASE. I WAS GIVEN THE PRESCRIPTION SEVERAL WEEKS AGO. I JUST GOT IT FILLED 2 DAYS AGO BECAUSE I'M AFRIAD TO USE IT. I HAVE READ ALL THE PATIENT INFO, RESEARCHED IT ON THE NET & TALKED TO SEVERAL PHARMACISTS AS WELL AS MY PRIMARY CARE PHYSICIAN. ALL OF THE PHYSICIANS & PHARMACISTS TELL ME THAT THE PATCH WILL HELP ME WITH THE DAILY PAIN. THEY SAY THAT THE PATCH SHOULD NOT CAUSE ME ANY HARM BUT THE ONE TING THAT'S STOPPING ME FROM USING IT IS THE RESPIRATORY SIDE EFFECTS & POSSIBLE OVERDOSE. I'M SEEKING SOME ADVISE FROM PEOPLE THAT HAVE USED THIS DRUG BEFORE WHETHER IT WAS A GOOD OR BAD OUTCOME.

I AM OPOID TOLERANT BECAUSE I'VE BEEN DEALING WITH THIS PAIN FOR THE LAST 5-6 YEARS. WHEN I HAVE A BREAKTHROUGH OF PAIN & HAVE TO SEEK EMERGENCY TREATMENT OTHER PAIN MEDS GIVEN (IV OR IM) DON'T WORK ANYMORE. ER'S HAVE GIVEN ME MORPHINE & IT DOESN'T EVEN TAKE THE EDGE OFF THE PAIN. DILAUDID DOESN'T WORK UNLESS I'M GIVEN MORE THAN 3MG'S & THAT WEARS OFF AFTER ABOUT AN HOUR IF IT LASTS THAT LONG. WHEN I'M IN SEVERE PAIN MY PRESSURE RISES. I'M AFRAID OF THE PATCH B/C I DON'T WANT TO FAINT OR PASS OUT FROM A DROP IN MY PRESSURE. I'M CURRENTLY TAKING VICODIN 7.5/500 EVERY 4 HOURS. I HAVE NOW BUILT A TOLERANCE FOR THE VICODIN AND IT HAS BEEN CHANGED TO PERCOCET 5/325 & SOMETIMES I CAN TAKE UP TO 3 OF THEM EVERY 4 HOURS.

I'M ALSO ON OTHER MEDS THAT I BELIEVE WILL INTERACT WITH THE FENTANYL. I TAKE LEXAPRO, ATIVAN, CLONIDINE DAILY. I NEED SERIOUS HELP!!!

319 Replies (16 Pages)

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81

I wonder if their is any nerve medicine that works well with Fentanyl? I have bulging discs in neck and back siatica permanent nerve damage n my left hand. Nerve damage is debilitating. Sometimes I cant walk. Does anyone take verve meds with fentanyl? I take fentanyl 100mcg/hr. I do have seizures as well.

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82

I take Lyrica with fentanyl. It works well.

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83

Avarita,
Thank you! I will see if I can take that with my seizures.
God bless you!

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84

I take Lyrica with fentanyl, helps my nerve pain most of the time or some of the time..and lessens it when it is. Just always check with your dr.

Blessingd

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85

In a perfect world, or pain world, I would hope to keep my fantanyl patch at 50mg for as long as possible...but its been over 3 years and I hope this is a good sign that I have never needed it upped, but its also wierd because I hear I should of built a tolerance and pain be worse but it’s the same, If I am forget to change my patch my pain is bad but I suppose my dosage is what they call a THERAPEUTIC DOSAGE? AND I HOPE TO KEEP IT AT 50 MG, ANYONE ELSE BEEN ON THE SAME DOSAGE FOR 3 YEARS OR MORE?

I am scared at times for fear after reading there are occasional mishaps with pain patches where they leak out more and people died, that is so SCARY! yet I need this and take this chance, i suppose with this level of pain we have to take the chance because the pain is not living at all

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86

I am currently in hospital on the patch.. Please call me if you want my opinion.. I also am on dilation as well as other meds.. 860-303-8224..

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87

I've had spinal problems in my L-5 area for the last 10 years or so. Spent thousands of dollars on MRI's and Doctor visits. Wasted almost 2 years seeing a pain specialist giving me injections and keeping me addicted to oxycontin. I finally said enough is enough of him draining my bank account and not getting any better pain wise. Went back to my family Doctor and had him just put me on hydrocodone so I would'nt go through withdrawals from stopping oxycontin. Stayed on hydro's for a few years with still having pain in my lower lumbar area. Would go to work with pain, but was able to get through my days on the hydro's. Well, this year when I went outside to my truck for a break time back around Feb. or March, when I stepped out of my truck to the ground, I felt something wrong. By the time I walked back to my work area I had raging pain going down my leg and in my lower lumbar. I went home. My family doc sent me to a surgeon which had me do another MRI and he found that I had a ripped/torned disk and two small fractures in my spine. I had surgery back in June and had rods,screws, and fusion done on my L-5. I have ever since my surgery not been able to bend, squat, walk, climb stairs, get up out of a seat, drive far, or even sit back in a chair propped with thick pillows without severe pain. The surgeon sent me to a pain management doctor again for a nerve block injection on both sides of my pelvis area. Didn't do any good at all. Suprise, suprise. I've been down that route before without any success. Anyway He has had me on generic oxycodones for the last several Months. 10 mgs at 6 @ day max. And generic valuim for muscle spasms. My family doc has had me on xanax 2 mgs for the last year or so for anxsiaty and then also blood pressure pills. Well last week my surgeon put me out of commission to work until December and to do itensive physical therapy. He put me on Fentanyl 50 mcg/h patches for 72 hours. My problem is that I'm getting pain breaking through at times and not lasting 72 hours. seems to start to wear off the seond day on it also. Any suggestions on what I should ask my surgeon for extra relief without him thinking I'm just a junkie wanting more pain killers ? I hate this pain I have to go through. Its draining me mentally being at home. I can't even get myself to go outside and change the oil in my 4x4. I don't even have to jack it up. By the way, everyday after I get up, I have to lay down on my side after 3-4 hours to relieve the pressure pain in my pelvis area.

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88

oh dear, I have a similar story and sitation I have been on pain meds for 6 years due to a neck/spine cord injury, that caused my nerve roots to misfire and i wear: PAIN PATCH (50MG) TAKE VICODIN, LEXAPRO, FLEXEROL, AND MORE.
I HAVE TO REST DAILY TO GET MY PAIN DOWN I AM NOT WANTING TO RAISE MY PAIN MEDS DUE TO WHO WANTS TO BE DOSED UP..
IT’S very sad and hard to live this way but the edge off the pain for a few hoursa day is such a help.

How did you get CP??? just like me, 6b years, dont be hard on yourself, u are doing the best u can

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89

I just re-read my post. My surgeon actually stopped my oxycodones and only has me on the patches and the valuim. I need fast acting pain relievers to go along with the patches because they just aren't cutting it for my pain. I just need to go back to what I was on, because I don't see where the patches help for 72 hours. How do you tell your surgeon to put me back on the pills without getting the stink eye from him? Not only that I got Metlife that suppose to pay me disabilty for long term is dragging their asses on approving my LTD leave and pay me. Just so sick of this.
What is CP you are asking me ???

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90

That's what happens with the patches. After two days they give you a downward slide in relief . My pain management doc chanced mine to every two days. I try to still always keep to every three but if I can't I have the option of changing it in two. I don't like all the pain Meds in fact I'm so tired of taking them they have to also be taking a toll on my body. I always keep the old one on so they overlap . I'm sure it would be helpful pain wise if I did the every two days. But I don't want to keep going up in dose. Your body gets use to the Meds and you eventually need more. I don't want that to happen.

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91

Where do they find these people to do testing on pain reliever products ? I don't think they are using people that are currently going through extreme pain after having major surgery. Because like you said Joan the second day is a downward slide on pain relief. I see alot of people posting on this site that their doctors prescribe them pain pills along with the patches. Although I'd love to just wake up one day and my pain is totally gone, and get back to doing the things that normal people without pain do on a daily basis. But since thats not gonna happen, I need more pain relief. Its draining me mentally and physically. And Vie, I'm guessing you meant CP as being cronic pain ? I was diagosed with spondolious years ago where your disks start to wear away and also bulge out pressing againt nerves in a pain management doctors diagnosis. But I went through damn near 2 years of injections in my nerves without any pain relief.The oxycontin he had me on was just fooling my brain thinking that the shots are helping. Surgeon says its my lower back muscles so weak that my back can't handle the weight on my pelvis area. So intense therapy is what I have to go through. But till that day if I ever get better, I need pills to help mask the pain so I can aleast fill alittle bit better each day. Except for the drowsiness they cause. Its a catch 22.

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92

I understand where you are coming from "SICK OF IT" I am so frustrated. I went up the Fentanyl patch scale...25, 50, 75, 100. Now I'm on 100mcg/hr and Vicodin 10/325. Plus zanaflex muscle relaxer. Plus Ambien cr at night oh and let me not forget klonapin. Honestly I have very little pain relief. Like you all have said after 2 days my patch does not work. It seems after 24 hours the pain is nearly full blown again.

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93

KizAnn, When I was seeing the pain specialist he also put me on gabapentine which is actually used for people that have siezures, but its suppose to help with nerve pain. It didn't help me. I threw a whole bottle of them away. I think they were like 400 mgs@ pill.

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94

"Sick of it"I I need something for nerve pain. I have seizures and take Tegratol and Keppra for that but they arent nerve medicines...strictly anti-convulsants. If I could be placed on a nerve med that worked I would be a lot...a whole lot better off! It seems hard to find doc whole will listen to you and your specific needs. I have finally found one and he sincerely cares about his patients and he wants to pain free and productive in life.

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95

I am sorry for our pain, I too live with neuropathy, and it comes in levels, in and out, and the first 5 yrs(after accident) i had it 24/7, now I have pain for about 1/2 of the day, and that is due to meds and REST! nerve pain is due to nervous system misfiring...but they DO USE ANTI CONVULSANTS for nerve pain that is what Lyrica is, and Keppra. I was on Keppra for more than 5 yrs til I lost my medical insur, now it’s Lyrica and Fentanyl as the pain has spread to my lower body; muscles too.
And another thing, Ive studied nerve pain quite a bit and there is no real cure for the pain, 100%, it’s so hard to accept and live with, daily.It does take a toll.
have u tried some opiates with the keprra or lyrica?
hope brighter days ahead, V

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96

I have been on fentanyl 50 for 4 years and have not wanted to raise it, it seems it only works part of the day and then use rest too. I also take Vicodin for break through pain. I too am uneasy about upping my dosage as I know it can go up up up! I find that with the patch now at 50 mg, I am still in pain but i can also use: Muscle relaxers, Vicodin, Lyrica and rest. CP IS A BUMMER! I forgot who I was before CP : (
6 years plus now

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97

I didn't know Keppra works for nerve pain. I've been on Keppra for almost 7 yrs. Nerve pain keeps me up at night. For some reason the nerve pain is worse at night. I have not tried Lyrica before. Will it help with the nerve root pain that I have from all of the ruptured discs in my low back? (Car wreck).

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98

The drugs do work, the problem is all back patients will always have pain the rest of your life. There is the pain that reminds you yes you have a bad back then there is the pain oh God help me.If you are looking for 100% relief you are taking too much medications.You must feel some type of pain..There are clinics to wing you off the drugs then start over MS Contin time release 30 mg and Durogesic 50 micrograms. You will not feel HIGH if you are looking for the HIGH>>> you are not in pain.Also Pineapple Juice is suppose to help and taking aspirin iburpren with marcotics also. Us back Pain people will always have pain..sorry that is life.. Once we do our backs in as we get older it should get better.. or worse. Everyone is different.That horrific pain that can drive you crazy no.. no one should live like that.. Stick to one doctor and try different drugs, you must switch your drugs every 6 months and go off the drug for at least 3 days, then start again..When you first start taking Durogesic you will feel a little druggy, yet it does work, yes you will have some pain, But if you can function, drive or walk that is an improvement.
Emergency rooms will stablise your, PAIN and Emergency rooms are abused for narcotics..I am taking 20 mg oxynorm 6 times daily and 1 durogesic patch and I can drive, work in the garden and still have leg pain.. nerve damage is irreverisble.... Management is the key a good doctor who believes you are not abusing the drug and Xray films to verify your conditions. or pallative doctors treat you for a life time.
Australia does not allow lortab or vicodin.. there are over 1000 narcotics one will work... There is a morphine pump also.. that can be implanted inside. Again pain doctor or pain management clinic I would start there. Once a year I go to a pain specialist and get MRI, Cat Scans etc.. evaluates my drugs for the year and make changes. You must change your drug in order for the medication to work and do not take 2 instead of one, or three, then the medication will never work. My script is suppose to last 30 days I make it last 6-8 weeks... Bad bad bad days yes I might take 6-8 tablets other days 2-4 tablets.. My heart goes out to anyone in pain...broken back and neck...bone fragments on the nerves... I think is the worse.. I would do anything for a buldging disc.. eveyone is different.. Do not use the internet go to a Doctor the internet can really confuse you... and all these statements and self diagnosis can cause a mental nightmare...a real doctor at a real clinic..Doctos can be sued if you become addicted... and start mixing and matching the best cure for pain is marjunanna.. The nerve pain goes away within 1 hour, I can stand up... my spasms are a level 2... I feel human... Oh yes Pot I never thought I would ever say this. Used about 3-4 times daily as medication can improve your life and reduce your narcotic intake. Now taking 8 tablets and smoking 10 joints is not a good idea. THE USA should make it available for pain control it does work... My partner tells me every day if it was not so expenise she would go out and buy me a bag... and to go to jail for 5 years for a bag of pot is crazy... The USA has gone bonkers... Australia is what America should be...My script for 140 tablets cost $32.00 for oxynorm 20 mg at 160 tablets. and Durogesic patches at $12 for 5 patches.and if you get stopped for pot you get a ticket and have to go to drud council. I am suggesting for anyone to take drugs or use pot. Please speak to your doctor and be honest on exactly what you are taking, drinking and using... In order to get good treatment you must be honest with your doctor.. ZGood luck to every one

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99

The drugs do work, the problem is all back patients will always have pain the rest of your life. There is the pain that reminds you yes you have a bad back then there is the pain oh God help me.If you are looking for 100% relief you are taking too much medications.You must feel some type of pain..There are clinics to wing you off the drugs then start over MS Contin time release 30 mg and Durogesic 50 micrograms. You will not feel HIGH if you are looking for the HIGH>>> you are not in pain.Also Pineapple Juice is suppose to help and taking aspirin iburpren with marcotics also. Us back Pain people will always have pain..sorry that is life.. Once we do our backs in as we get older it should get better.. or worse. Everyone is different.That horrific pain that can drive you crazy no.. no one should live like that.. Stick to one doctor and try different drugs, you must switch your drugs every 6 months and go off the drug for at least 3 days, then start again..When you first start taking Durogesic you will feel a little druggy, yet it does work, yes you will have some pain, But if you can function, drive or walk that is an improvement.
Emergency rooms will stablise your, PAIN and Emergency rooms are abused for narcotics..I am taking 20 mg oxynorm 6 times daily and 1 durogesic patch and I can drive, work in the garden and still have leg pain.. nerve damage is irreverisble.... Management is the key a good doctor who believes you are not abusing the drug and Xray films to verify your conditions. or pallative doctors treat you for a life time.
Australia does not allow lortab or vicodin.. there are over 1000 narcotics one will work... There is a morphine pump also.. that can be implanted inside. Again pain doctor or pain management clinic I would start there. Once a year I go to a pain specialist and get MRI, Cat Scans etc.. evaluates my drugs for the year and make changes. You must change your drug in order for the medication to work and do not take 2 instead of one, or three, then the medication will never work. My script is suppose to last 30 days I make it last 6-8 weeks... Bad bad bad days yes I might take 6-8 tablets other days 2-4 tablets.. My heart goes out to anyone in pain...broken back and neck...bone fragments on the nerves... I think is the worse.. I would do anything for a buldging disc.. eveyone is different.. Do not use the internet go to a Doctor the internet can really confuse you... and all these statements and self diagnosis can cause a mental nightmare...a real doctor at a real clinic..Doctos can be sued if you become addicted... and start mixing and matching the best cure for pain is marjunanna.. The nerve pain goes away within 1 hour, I can stand up... my spasms are a level 2... I feel human... Oh yes Pot I never thought I would ever say this. iF Used about 3-4 times daily as medication IT can improve your life and reduce your narcotic intake. Now taking 8 tablets and smoking 10 joints is"NOT" a good idea. THE USA should make it available for pain control it does work... My partner tells me every day if it was not so expenise she would go out and buy me a bag... and to go to jail for 5 years for a bag of pot is crazy... The USA has gone bonkers... Australia is what America should be...My script for 140 tablets cost $32.00 for oxynorm 20 mg at 160 tablets. and Durogesic patches at $12 for 5 patches.and if you get stopped for pot IN aUSTRALIA you get a ticket and have to go to druG CLASSES . I am NOT suggesting for anyone to take drugs or use pot. Please speak to your doctor and be honest TO exactly what you are taking, drinking and using... In order to get good treatment you must be honest with your doctor.. Good luck to every i HAVE STENOSIS

Cauda equina,NERVE COMPRESSION, 10 SCREWS, LUMBAR, 4 SCREWS NECK..END PLATE, ETC...YOU CANT KEEP THIS CAT OFF THE ROOF

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100

I use the 50 mcg hr patch. Fetenyal is a great pain reliever but you will have break through pain. I have built up a tolerence and now 50 is not enough. You cant just stop taking Fetenyal you will go through withdrawl. I would use it if I were you. Get epidural steroid injections also.

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