Fentanyl Sweating (Page 4)

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I am a 33 yr old woman being treated by Pain Mgmt Dr. for chronic pain as a result of 3 failed elbow surgeries and nerve damage. My current dosage is 50mcg/hr every 48 hrs with up to 4 oxycodone per day for break through pain. I know the patch is suppose to be a good medication for pain control, but I am really considering asking to change to a different medication because of the sweating problems I have on the Fentanyl and I was wondering if anyone else has had this problem. I am constantly drenched sinced I have been on the patch. Dr tried hytrin to control sweating, but all that did was cause me to bloat. I tried HRT for a year to see if that would help...no luck, still sweating. I sleep with only a sheet over me and window open at night and still wake up soaked from sweat. If I do any physical activity at all I am drenched. The patch does seem to control the pain well, but I can't deal with beads of sweat rolling down my head all the time and my family is always freezing because I get so warm. Am I doing something wrong? I wear the patch on my upper chest, I use a tegaderm patch over it. I've tried the Mylan brand and now use the SanDoz brand. Has anyone else experienced this issue? I don't want to live my life in pain, but I can't take the sweating issue anymore!!! Is there a different medication that is time released like the Fentanyl Patch? My DR is a nice man, but doesn't always explain things too well and I don't have anyone to talk to about this. Thanks for listening.

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61

Being on morphine is like adding double trouble when using Fentanyl. No one truly tells you how these drugs truly work together. I took morphine and went through horrible withdrawal when the physicians told me to stop taking the morphine. They told me to take two tablets for 2 days then drop to 1 tablet for 2 days and then stop the morphine. Worst medical advice I ever received. I went through major withdrawal on a small dose of morphine. I have learned to pay close attention to what goes into generic drugs as this can truly alter the effects of the Fentanyl. I realize that much of the sweating is replated to the anxiety. The waiting g for the perspiration to begin. This is why when I shower I run the cool water for awhile to cool down, thrn dry extremely well, a fan helps as well, thrn laying down until I'm relaxed before I get dressed. Like everyone who has responded these sweat periods can come on with activities from walking to driving on a hot day. I too take hydrocodone. Rather then increase any other of these drugs my doctor put me on Nortriptyline which helps the pain but causes another issue of dry mouth. This increases dental problems but does help decrease pain. I was wondering if anyone has tried a lower dose of Fentanyl with Nortriptyline? I will ask my specialist but wanted to ask others if they had experienced pain control with the Nortriptyline and less to no Fentanyl? Like all the sweating is a horrible side effect. I'm a MRSA survivor as well as history of spinsl tumor removed forty years ago. I was able to control the pain with anxiety medication as anxiety is a huge problem for me based on the tumor being imbedded in the middle of the spinal cord wrapped around they nerve endings. So I truly need the pain management afs my doctors implanted a Nero-stimulator. This implant worked but was the area where I came in contact with the MRSA. I almost died from that implant of that Nero-stimulator. If u r a candidate for this implant It works but make sure the environment is totally free of the MRSA toxin which is almost impossible since MRSA is everywhere. I think my doctor left my trial stimulator in too long which caused the infection to spread quickly.
I would love to hear of other havevused the neru- Stinulator with success as if they could do this it does work and you do go through a trial but do not let a doctor do the trial for more then four days. Lovevyovgear from others.

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Hi everyone. I'm so relieved to find I'm not the only one suffering! I live in Ireland and I've been on Fentanyl patches for relief of endo/adhesion pain from all the surgery for 12 years. 5 days out of 7 honestly it feels like I'm standing under a shower-the sweat is just rolling off my face & body but the face is the worst-you can't cover it up, and because of the sweating my skin is now just horrible and spotty, it's really getting me down. I rarely go out because my self confidence (with the sweating plus now dreadful skin) has hit rock bottom. I asked the doctor to test me for the menopause because I heard that causes severe sweating too, but it wasn't the menopause. As I write this I literally feel beads of sweat on my head, making my hair greasy, but if I keep going for showers the patches will come off. You can buy the patch covers but they're expensive, so not an option. Would Botox help? Does anyone know? That's supposed to help against sweat I believe. Has anybody had Botox to help combat sweating, and if so, did it work? When I do go out I have to make sure I'm loaded up with tissues and I always keep my head down. It's really getting me down. Any advice would be enormously appreciated.

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63

Its been 7 years since you wrote this and stated that you want to stop your pain patch and im just wondering if you stopped and if you're taking something else. I am on patch and can't take the sweating and intolerance to heat but i don't know what to do. Just wondering if you got your solution. Thanks, God Bless

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64

2 years ago I was introduced to accupuncture at the pain association's office. It was offered by a local school, part of the training for students with an instuctor's supervision. This alternative stopped the persperation for longer and longer periods after a few treatments. Also, in some cases complete and partial pain relief. They do have alternatives to needle treatments. It's amazing what problems a good accupunturist can solve. I still need the patches and Percocet for breakthrough, but I now have no side effects. I've been able to tolerate the reduction in mcgs and quantity that the pain MD has decided to initiate on his patients. (That's a separate topic though)

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65

The brand called Mylan Fentanyl patch will also provide free covers to help keep on the patch.

Just wanted to alert others as well that this helps control cost and something that helps keep patches on.

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Re: Tammy (# 14) Expand Referenced Message

Take pictures. That's when the doctors started to see how severe the sweating is bc I wasn't sweating in their office. But I had pictures, my head looked like I was standing in a shower. Was a big help for me.

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Re: cyndibl (# 1) Expand Referenced Message

I take fentanyl 100 mcg every 3 days. I feel no pain relief and I have hot and cold sweats many times a day and I sweat terribly at night. I'm going to ask my doctor for a different med as I can't stand the side effects and it doesn't work anyway. Fentanyl may be strong but not the patch.

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68

I was on 200 mg patch for a year. I have been "weaning" off. (Under Docs supervision) After many months, I'm down to 25ml. I wake up soaking wet! But only my back, buttocks and head. I mean soaking, the sheets are like I poured a pitcher of water on them. Reduction of Fentenol? Past menopause. Actually, menopause was easier! Lol help!?

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Re: Karelai (# 67) Expand Referenced Message

Wait till you try to come off of this stuff it a living hell..u sweat so bad and hurt so bad you cant take it..please get off of it if you can. Its not worth it..

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