I understand that Methadone is a large molecule and covers the opiate receptors really well, so not much else will work. I've been using Fentora for breakthrough pain, but my doctor doesn't want to prescribe that anymore. One idea is oxycodone - are there other medications that might work? Thank you for your answer.
3 Sep 2011
Possibly Oxynorm... Or Oramorph Oral solution 10 mg/5ml. I know that Methadone is difficult as far as increasing the dose and adding more drugs is concerned. I was given Tramadol and Paracetamol for breakthrough pain. However they did no good at all. Am having a meeting in the near future. If anything else comes up I will let everybody know.
2 Dec 2010
Oxycodone is commonly prescribed for breakthrough pain. What worries me is the Fentora. It is very powerful and normally prescribed for cancer pain. You'll be taking a step down in the pain control scale. As oxyaaron indicated, overdose is a strong possibility with any strong opiate added to methadone. Please be safe and have a talk with your doc. You're better off increasing the methadone dosage and lowering the breakthrough pain medication. If the right dose is taken each day, normally very few breakthrough meds are needed. But Fentora is VERY strong. Be safe.
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