I started a pain management plan & we were going to do 240 percocet 7.5s a month then he left for a minute & came back & said he decided to do fentanyl 25mcg/hr he said that is equivelent to taking 8 percocet 7.5 a day I need to know if the patch is that strong or if I need to talk to him so we can get it right because I am in alot of pain every day
19 Apr 2012
Fcory, welcome to the site. Sorry no one has answered your question yet. I don't know the equivelancy, but they usually start someone on 25mcg patch & work up the dose from there. It will take the patch 12 hours before you will feel it's effects so I hope you still have a few pills left. Most pain management doctors prefer to use a long acting drug like fentanyl patch or oxycontin so that you get continuous relief. You should try it & see how it does. If you don't feel it is working for you, then call your doctor, & tell them right away so they can up the dose for you. Everyone reacts differently to every kind of drug. Someone with more experience in this area will be along to answer your original question about equilvency...
19 Apr 2012
I am on one of those patches. It is normal and appropriate to start at the low end (25mcg) and yes, they are that strong. So, to be on the patch you are supposed to already be taking opioids and/or opioid tolerant. He isn't going to start you higher until he is sure how you are going to react to the initial dosing. Don't push this one... you can become really sick and unable to function at all.
Take them as recommended. If they don't work but are well-tolerated... then the next logical move is to go to 50 mcg, the next dosage as your doctor recommends. It took a while (1-1/2 months) to get on the dose I am currently taking: 1-100 mcg patch replaced every 3 days and still on other painkillers...
Do as much as you can for yourself to help alleviate the pain. Gel packs or heating pads but NOT on, over or near the patch. I wear the patch on my "front" side where I can see it... usually on my lower abdomen... alternating sides.
I can totally appreciate being in pain and being in constant, chronic pain. Getting it under control is a process and doing as much for your own peace of mind is also helpful. I also like to meditate so that I don't make myself nuts when I overdo things and end up aggravating my condition,
God bless you and help you through this journey. We are here for you and hope you will keep us in the loop so we can support you along the way. I am interested in how you are doing and want to offer you encouragement, too.
19 Apr 2012
My doctor is trying to switch me from Oxycodone 15mg 4x day to the 25mg Fentanyl patch. I've had the patch on since Friday and haven't felt any pain relief from it, they say it takes about 24 hours to kick in but I'm on my third patch with no relief.
Lucky my doctor was smart enough to give me my normal prescription of the Oxycodone this month, I'd be out of commission without them.
I was looking forward to the patches working. The 25 is the beginning dosage, maybe I need stronger.
Perhaps it will work for you, I'd give it a try. Keep us posted on whats going on.
19 Apr 2012
I was on 60 mg of oxycodone without the tylenol and made the switch to Fentanyl 25 with 30 mg of oxys to cove bt pain. Either it wasn't enough Fentanyl or something. Next month upped Fentanyl to 50 every other day. My doc refused to give me any bt meds. After 1 month, started wd's with the patch on, so I left the other patch on. Still in wd's so I went to my shrink and he gave me Suboxone 8/2 twice a day. Now I have no pain, no wd's and I feel great.
just sayin' I hate the pain docs having so much control over my quality of life. How do they know how much pain I'm in? So I jumped off, the best thing I've done for myself in 10 years.
Wishing you the best,
9 Feb 2014
Yes fentanul patch is better then 7.5 perks every 4 to 6 hours a day you will feel more off the patch then you will the pill you will get 25 mg every hour which is great and it last so much longer then a pill you change the patch every 3 days then you take about 4 pills a day ... hope this helps you out ...
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