Is It Okay To Chew A Fentanyl 50mg Pain Patch
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Comments Submitted Says:
 
I've been prescribed fentanyl 50mg pain patches and i was just wondering if it's okay to cut one in half an chew on it?

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672
Joey Poem Says:
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I've been taking Hydrocodone 7.5 mg for 5 years now. I don't ever take more than 15-20 mg a day. Some days, I forget most of my doses. I definitely need the pills for a broken neck but I use the pills 'as directed'. I don't abuse them.

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671
Jazzy2014 Says:
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Dude just dont do it. I thought it would be a good idea and chewed about 1/2 of a patch and within five mintues i was shaking really bad. I thought for sure "ive done it now. This is going to kill me." Ive never been so scared. Its not worth losing your life over. I just stick with my tramadol now.

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670
MD Says:
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That's cause your a junky plain and simple you all have excuses or lie saying it helps more to chew them for pain relief.you keep telling yourself that.

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669
Medikar Says:
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I find it very difficult to believe and even more depressing if it is true that this post was written by someone in the medical profession. Does anyone else ever wonder how in the world people that ignorant are the very ones who are supposed to guide us through our various ailments yet cannot spell even the simplest words? Geeze, no wonder there are so many problems for true chronic pain sufferers. In the immortal words of the wicked witch of the west, "what a world, what a world!" Haha.

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668
Kj Says:
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Wow, no disrespect but your wrong about several things. One being Effexor is not a benzo. It is a mood stabilizer and more than likely it's gonna keep your mom in a mood that's not good. Ativan is lorazepam - its a benzo for anxiety / stress. I was a pill addict for many years. From 21 yrs old till I was 42. Things are different now. If you tell ur Dr u want off the pain meds, they will take u off of them or wean u down to something not as strong. And if u say u still have withdrawal, that's bull, because if it's in the same drug class u shouldn't have withdrawal. I lived on oxycodone 30's for yrs. But I could still take Percocet 10s and they helped. I was well off also, but it will end like everything else. Why go to rehab if u know ur coming out with meds? I know why, cuz your Dr cut you off. Opiates do not cause seizures either and i don't believe u have never been high. The first few times people get that warm fuzzy feeling inside. People get hooked because we didn't take the meds as prescribed and I blame a lot of this on the drs also. But they don't get a kickback for all narcotics they write. Depends on which narcotic company is telling him to write this pill more than this one. Like methadone vs percs. Methadone pills are prescribed for pain, different than the liquid.

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667
Ameralia Says:
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Use the patch as directed. If they don't work tell your doctor maybe you need a stronger dose or something for break through pain. Best of luck to you

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666
Ameralia Says:
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I am sorry. I think doctors have become drug dealers. If they cared we would NOT be on this but we are and it's numerous doctors gp's to pain mgmt doctors. A rubber stamp for drugs. I'm going away for 3 months, you see 3 months of drugs that I'll consume. it's awful but the doctor's did it to me. They don't want you off drugs as every time I've brought it up I come home with more drugs??? Please explain. It's a mental and physical addiction. Anyone on these longer than 3 months is addicted. I am and there's no euphoria at all. I'm unhappy, have family issues and don't care if I never wake up. I felt this way for years, long before I was on pain killers. Those talking about feeling high I think it's in your head or your doing other things your NOT sharing, I've NEVER been high??? Eventually your body can't do it ANYMORE. Ask PRINCE, ELVIS, MICHAEL JACKSON, ETC. Nobody wants to die but you can't live without them either. PRINCE KNEW HE HAD TO STOP SO HE THOUGHT I'LL HAVE ONE MORE TIME AND IF I DIE SO WHAT. I'm rich I'm aging I'm lonely and I'm so miserable. So you start to need and not to care. It's general unhappiness and drugs don't help but they make me tired so I escape via sleep. Like trying a patch I knew your not to do it but I didn't care. Maybe that sums up an addict you know but don't care. I've No desire to stop. I just don't care. Ask WHITNEY HOUSTON DID SHE CARE? I've No kids or partner, my parents are getting old, my family started this, well chronic headaches started it but all the other issues fuel my need and I don't care. Tried therapy, didn't work. Been to many therapists and it's pointless. I think without a reason or purpose in life it becomes far easier. I'm not on here to judge but saying they make you aroused, intercourse is the last thing you care about. I think you're in the wrong forum. ALL YOU SAYING STOP, SOME DON'T CARE AND WITH THE HEALTHCARE SYSTEM WHERE MIGHT ONE GO TO A GOOD NICE REHAB FACILITY? NOT every addict is poor or a loser or rich enough to pay $50,000 a month. Plus it takes 8 attempts before you get off this, are you kidding me???? There's very little I want to do 8 times and withdrawal is not one of them. Until you know you are an adult you can never understand. PLUS OXY IS AWFUL. IT HAS BEEN AROUND SINCE THE 1930'S. GERMANS MADE IT. We had pain, it was treated differently and no opiate epidemic? Is this deliberate? The same doctors that got you hooked don't want you to get addicted yet they knew and gave us our first pill??? It's a money maker and all the rules in the USA about filling scripts a day early that's insane? We live in sad times. Ask GEORGE MICHAEL? This is everywhere and it's too late. My mum IS a recovering alcoholic for 21 months but now her doctor has her on Effexor and Lorazepam - is this better? To live with yes but they simply changed booze for antidepressants and a benzodiazepine? The circle of insanity. My dad may or may not have early dementia. He's now on klonopin to sleep. My mother's medicated with alcohol and my father NEVER took ANYTHING so this is what they are doing, talk about wrong. You eat them or drink them or pop pills prescribed or illegal. Stuff those feelings down, anything not to feel. How many have back surgery and take meds for a short time frame and then others get addicted, anything not to feel pain. NUMB IS MY FEELING OF CHOICE.

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665
CPayne Says:
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This is the dumbest thing I've ever heard. I chew on half of a 100mcg patch every morning and I don't even nod out or feel high. It just takes my back pain away when I wake up and can't move. If I stuck the patch on my arm it would be 4-6 hours before I felt good enough to get up.

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664
Swim Says:
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U really need to get a life - WTF to your post..Did u really take time to write that.. Maybe u should take the stick out of somewhere & not judge ppl or perhaps go to jail yourself before advising others too! What a ridiculous unhelpful & useless post u wrote.. & just lame as well FYI!

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663
Caligurl99 Says:
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Not be sarcastic at all but after reading your lengthy post 2x - I didn't see/get where u listed any ways to make your patch work more quickly/more effectively. Any real suggestions - for pain relief only.. Not to get .. Which would last at least 48hrs if not the whole 72hrs/3 days.. Thanx..

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662
Mizzle Fizzle Says:
 
I just cut 25mg fentanyl patch in half and put inside my cheek.. ive taking opiods before, oxys, & have a high tolerance to drugs... hope this is a good experience. any way to boost the high?

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661
HONZIE Says:
 
I have a c-2 fracture of the neck that has calcified into c-3..very painful. Also have degenerative thoracic spine in my mid back.. plus rheumatoid arthritis in my elbows, wrists and shoulder. I cant move in the morning unless I have 35mg/2 patches, aa12 and q25... They don't work for hours...I also have OxyContin 5mg for breakthrough pain. I find I need the oxy to get going..wish I didn't..If I use a 25mg patch it goes away...I see no problem.. Do you think I need a stronger patch so I could avoid the oxycodone?

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660
Just sayin Says:
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If you know who sold the medication then it is your responsibility to report it and report them to the state or the county who can build a case against them and they can go to jail for what they have done. You should know that that is murder and they should be punished.

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659
Thomas Says:
 
I have been using these patches for about 5 years now for chronic pain. I have honestly learned about everything that there is to know about Fentanyl and one thing that I have somewhat playfully/seriously said was "when these are no longer enough then I wil eat one or two". Chewing one would be a spot on way to control pain forever!! There would be no more pain, no more sunshine as well as no more hugs, kisses nor love. It would be the final thing that you may do. Should you find that the prescribed amount is not enough for effective pain relief then consult your Dr. About increasing the Fentanyl strength. I use 150 mcg. Or take a breakthrough medication such as what I am using Oxycodone. Work the issue until you get it solved and it does take time.

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658
anna Says:
 
When I was younger, I smoked. I quit because it made me paranoid. I knew this guy that use to get THC pills I'm assuming from a Dr. I am now a whole lot older & have serious medical problems with one being unbearable pain due to a broken vertebrae a few years ago. My Dr. just started me on 15mg fentanyl patches. He says I have to change the patch every three days but I only get some relief for about a day and a half. What's your opinion on this? Thanks


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657
Lostdesertgirl Says:
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SWIM can take a small piece and put it against SWIYour cheek, sticky side to cheek. DO NOT SWALLOW SALIVA. Let it sit in SWIYour mouth for as long as possible because stomach acids break the drug down quickly and SWIYou may actually vomit it up.
SWIM would start with less than 1/10 of a 50mcg patch.
SWITch can chew it after its been In the mouth for a good while.

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656
JOCO Says:
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Good Morning Everyone-

I want to comment on a few important subjects to dispel some misinformation. I also want to give real advice if anyone wants to listen.

So, I will start by saying I am a CPP that has bracchial plexus neuropathy, complex regional pain syndrome, herniated discs and many other issues that come from 20 years of playing football. I started receiving pain management medications in an effort to stay on the field. Those medications were different from opiates or opioids and generally were aimed at numbing or desensitizing through anti inflammatory properties. After my years of being a big strong man that could handle pain (lol),a very great doctor finally convinced me that gaining back quality of life and living with somewhat mitigated pain was not something for me to prove I was strong enough to not need, but rather I was unfortunate enough that it was obvious I did. After that time (June of 2010) I have been on medication that are of the opiate/opioid class as well as neuropathic medications, heavy combination of PT, active release therapy, many inj's. and so on. I won't go through the details of how I finally got my diagnosis, but I will tell you that it can be a really... Well, a really unnerving process. I lived with no desire to take any meds, was convinced to finally try, but as my diagnosis was hard to actually find, I found myself being treated like a seeker. I had one doctor straight up say it and I just laughed and left. If you find yourself in that situation, please don't give up. The glory of my story comes after and would have never happened if I quit.

So skipping ahead to when I had my diagnosis, it is important to know that bracchial plexus neuropathy is my main issue and accounts for 80-90% of my pain. Nerves in the bracchial complex do not grow back well at all, even in infants or in adult trials using stem cells. Be your issue pre ganglion or post ganglion, if we are dealing with the nerves to your arm through the thoracic outlet/bracchial complex, real recovery is extremely unlikely (more likely in pre ganglion issues though.)

Due to the status of my issue in the face of current medicinal practice and technology, the only way I have effectively found relief has been through a multi-modal approach to pain mitigation. I would like to tell you the different regiments I have been on, but note that in every case I have done physical therapy, nerve glides, active release therapy (type of chiropractic approach), and I have gotten any inj. you can think of,from stellate ganglion blocks to facet joint inj's. to steroids and even a bracchial plexus block (worst idea ever.) Now, knowing that I have done these things consistently through the duration of my treatment, I will now detail the medications I have been given:

-i started by getting hydromorohone 2mg alone as a prn along with neurotryptiline.
-this lasted only a few months before I switched to MSContin 30mg ER and the same prn script.
-ms contain didn't agree with my stomach so I switched to oxycontin and oxycodone as my pen (20 ER and 15 IR)
-unlike most, I despised oxycontin. I didn't even take the whole month before I switched. I then went to hydromorphone ER (exalgo) and hydromorphone IR (dillaudid)
-after a while I switched to the fentanyl patch and still used the hydromorphone as my prn.
-i got up to where I used 15 100mcg patches per month and I was prescribed 4 4 mg dillaudid a day. (this was the exact prescription I was on when we finally got my real diagnosis and I stayed in this for 4 years with no increase)
-i had insurance troubles and found myself going on my 5th month of paying full price out of pocket for these meds (2k+) and all of a sudden I couldn't make the money work. As a result I went to a methadone clinic because I needed something to avoid the wd and help with the pain enough to work. (this was the single biggest mistake I ever made)
-my mistake wasn't in going to a clinic or some lame social stigma people complain about. Come on, if you have verified, documented, serious issues there is no doctor that won't work to help you. If you don't show respect, dress wrll, clean up, and present yourself as a respectable and honest person, well then your issues with social stigmas are on you.
-methadone was an issue for me because I stabilized at 70mg but the doctor there wanted to help my pain more so he gave me more and more and more. I ended up at 135mg per day. This was my issue because that was just way too much. I got side effects like weight gain and libido suppression and even crazy sleep cycles. Things I never had on any other medication.
***hey,I went from 135 mg of methadone for 2 years to back on my fentanyl and prn script over night. Never had a doctor act like it wasn't the right move or like I shouldn't do it. I have never experienced a real informed doctor actually doubting my issue. I don't think it's that common when you have countless diagnostics and documented procedures.
-the fentanyl was not working for me as well as before, which honestly sucked. However, me and my doc switched me to oxymorphone ER 3x40mg a day and oxymorphone IR 3x10mg a day.
-quick note... I stopped listing anything but the opioid.. However, I started with neurotryptiline and moved to gabapentin and then to lyrica with cymbalta as an off label neuropathic med (of those the cymbalta being least effective.)

That is my current prescription and it works like a boss. 3 oxymorphone er and 3 ir along with lyrica and cymvalra. Without meds my pain will sit between a 7 and an 8 on the real scale. I will breakthrough around 9 and rarely up to a 10. This isn't said lightly... A 9 is crying and a 10 is crying nonstop and the inability to move. With my meds working at the absolute best I can get down to a 5 and almost a 4.

Now, hopefully people can tell I have experience with fentanyl and can see my issue wasn't ever taken lightly. With that said, I need to state some things about the patch. Depending on brand, the patch is either a gel-matrix (ie the newer duragesic or the my lab or reformulated sandoz) or it is a gel pouch (Watson or the original duragesic). In either case, the medicine can never be guaranteed to be distributed perfectly uniformly. If you cut a gel-matrix patch, no matter how precise you are, it could be a very different dose than expected. Cutting the gel pouch patch makes even less sense since the only option post slicing is abuse and misuse. HOWEVER, while I would personally argue that if you need to cut a patch, well you are going about things the wrong way. I won't judge you, people are so little when it comes to trying to judge others. It makes me laugh. I would strongly recommend you keep communication with your doctor open instead. Tell him or her your issue and why you feel you need to misuse the med. In my experience the doctors want you to be ok. If you aren't getting relief they will work with you (ie my change to oxymorphone from fentanyl.) if you have documentation and many years of proof that you have battled for quality of life, I haven't met a doctor that won't work with you ( DEA be damned.) if you don't have time or documented proof then I could see a doctor being far more suspicious.

So say you tried and your doc is suspicious and there will be no chance your meds get changed. Ok, you feel you have to misuse the patch. Well I feel awful for you. However, you can do buccal absorption of fentanyl relatively safely. That's why they make subsys and actiq and even sublimaze. Don't ever do this fast or without being opioid tolerant, but you can do it. I personally never did but I have researched it more than I care to admit. This was to satisfy personal curiosity but it still sounds iffy. Never take any thing like this if you are not tolerant and always feel your own limits. Just don't by in to the shame society puts on you, that's on them.

Quick aside, no, it isn't my fault your loved one used a drug and overdosed. I never misused meds and would never recommend someone should. However, if this is going to happen then mitigating danger is far more useful than hate bashing a judging. I am sorry, but when a person chooses to abuse a med, that is only on them. Not the supplier, not some ten times removed pharmacist or doctor. It is squarely on them. They were either desperate for pain releif, for which I sympathize, or they wanted to be high, with which I couldn't sympathize with less. Dealers she'll drugs because people will misuse them or at least use them off script. That is a fact. It isn't their fault someone uses the drug. I mean look at the state of the war on drugs (laughable) or even worse look at prohibition. Did that stop or even curb use? Hell no, it actually just made transactions and the abused product many times more dangerous.

Emotions tend to make people think very weird. I feel the pain of loss and I hope it never happens to anyone again. It will though. While I feel that pain and sympathize just try to be smart about real fixes. Eliminating the meds makes everything far more dangerous. It is just reality.

So, my last point is two fold. First, I am a great cause study in how meds can work really well when used appropriately. I have never been ashamed and I never will be. by he fact I use my multi-modal approach to maintaining an (albeit limited) quality of life. Secondly, I know many things about all the meds and techniques I listed. I am a resource to anyone who wants to learn or needs advice. PLEASE use me. Ask questions and express concerns. I am a man without judgement and with experience. I could help a lot...

All of my best.

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655
MikeGz0 Says:
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Everyone says how dangerous it is. But I chew the 50mcg and nothing. I'd probably try 2 if I had any left. And can't anyone just answer the asked questions on these things.

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654
Real talk Says:
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Sorry for the loss.. but she made the choice all addicts are trying to escape some type of pain and the symptoms are always there but no one sees them or are to busy with there life to notice.. I know so many beautiful young woman on drugs to escape themselves then something happens to them and everyone wants to blame someone else when most of the time it's the family's fault and the way they were brought up parents don't realize the mental stress they put on a child not strong enough to handle it and it never can be fixed once done stop blaming others it's her fault for one and behind the scenes the parents fault even though they had good intentions..

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653
Leroy Says:
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I chewed a 100. I weigh 225 and a lot tab 10 got me just as much pain relief.

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