Fentanyl Patch Withdrawal

Updated

I sit with a 73 year old lady. I take care of all her meds and refills. I thought she had a refill on file...long story short,she didn't. She is on 25 mg patches. Her patch was supposed to be changed this morning at 9 but they wont be ready til mnday morning. Should I give her as needed lortab to keep her out of withdrawal or will she be fine til Monday from Saturday?

11 Replies

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1

HI Cheryl,

I believe that the lady you care for should be fine until Monday since it's only a couple days and there should still be some of the Fentynal medication in her system. However, if you she doesn't get the medication Monday she might experience some signs of withdrawal ie: nausea, vomiting, insomnia, headaches etc.. You may want to consider refilling her medications a week ahead of time just so you aren't in a bind if something goes wrong again.

I hope this helps!

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2

You better get her to dr she will be in severe withdrawal by monday.

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3

Good grief, she will be in AGONY. She needs to get those meds!!

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4

Help. I live in Australia, take 50 m.g fentanyl, dose only lasts approx. 28 hours before withdrawals kick in. Ds say not withdrawals. Have been up to 150 every 3 days over an 8 year span. Restless legs,nausea,anxiety, severe itching,excessive tiredness a d insomnia,etc. Several Drs won't acknowledge it is withdrawal and seem dismissive of symptoms. Will not prescribe or suggest anything and are adamant NOT to change patches every two days. I do and dr. shop to do it. Suggestions please,I am thinking suicidal. Anyone in Australia got any suggestions or help with drug brand names available here. Thanks in advance.

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5

Feds dont allow refills on fyntinal need a fresh script with each need. I travel a lot so dr does 90 day supply for me. Just an fyi tx does not permit out of state narcotic scripts to be filled in tx. I think a few other states are going this rt as well. Should prob check with dr on uping the lora tabs for 2 reasons. If you up them she will run short on them. If dr approves uping them then they can give script sooner. Be well life is easer with a good positive attitude.

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6

As an RN she has to be treated with a substitute so give her the hydrocodone et Vicodin round the clock until refills on min

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7

Posters, I know this is an old post but you should NEVER presume anyone on Fentanyl will be ok if it is the day of patch change and you cannot get any for 2 or 3 days. That is cruel especially in this situation described.

If the medication is not there get her to the ER!

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8

i know...i read that first reply about "oh she should be ok" and as someone who is on 70mgs methadone tabs a day.....i was going "WHAAATTT!?!?!" that lady is gonna be a mess!! hope it all worked out alright.

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9

kkh yes anyone on either Duragesic and Methadone both are danger zones.

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10

Well ohio legislature chose to get in to more medical management they have stopped the filling of 90 day scripts for patches. Again the govt punishes the law biding person for the acts of the criminal. I guess the govt wants those with severe chronic pain to buy the govt supplied opiates that are out on the street cut with who knows what..... the govt makes it harder to get needed pain meds.

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11

It is up to your physician I am sorry to say. When with Dr. Famous he wrote me after 5 years 3 months at a time. However I am ultra rapid opioid metabolizer and was on 160 per month of brand 100's and 75's changed daily. Yes it's Odumma killing us all.

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