How Long Should I Leave Fentanyl Patch On After Starting Oxycontin

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Cheri DeVore RN Says:

I am converting a pt from Fentanyl 150mcg to oxycontin 60mg. Should I leave the patch on for a few hours before removing it:

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survivor Says:
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Dear Cheri:
I am not a Dr, nor am I in the medical field. All I have to offer is my experience. Going from 150mcg of Fentynal to 60 mgs of Oxy seems like a Huge Decrease! I am presently tritrating very slowly off of Fentynal, via my Drs help. May I ask why the switch? Is it not possible to ween down off patch then onto the other med? I say this because there are Many of us tritrating from Patch and if the Drs and Nurses only Knew what we, the patients go through, then and Only then would they Fully Understand. The big pharmaceutical companies Lie! I am not trying to be mean, nor am I a know it all. I am trying to help the person who is going from fentynal to Oxy. Truly, no harm intended to you. May I ask how this method of tritration was/is being converted? Thank you and I pray for the one who is fixing to go through this.

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Poodle Says:

I too am not a MD or RN qualified to answer so I would say one or the other. Not both at the same time at the dose you are currently on. Too little is bad and too much kills us. Pick your poison CAREFULLY. I do not understand why anyone would want you to make such a drastic switch. Taper off of the patch before switching would be my recommendation. You can even do it yourself. Just don't apply the whole thing. Put on 3/4, then to 1/2 then to 1/4 and eventually off and on to the new med. Just remember to not use your mouth to tear them. Scissors work great and save the 1/2's and 1/4'ers back on that paper in the box.

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Susan Says:

Have you ever been on fentanyl 75mg and 80 of methadone that kind of craxy i have cancer

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