I am currently taking Methadone 120mg a day and have been getting fentanyl citrate. However, my insurance company has decided to stop paying for it and it is too expensive to buy without them. I tried Dilaudid but it did nothing. The fentanyl worked very well but I do not know what I will do without it? Is there anything comparable to it?
What other breakthrough pain medication is there to replace Fentanyl citrate?
Added 27 Oct 2011:
thank you for your replies, I am using the lollipops. They are very effective and I do not see anything equal to them either. My doctor has called the insurance company also and they do not seem to care. It looks like strictly a dollar issue. My insurance company doesn't appear to want to pay for any fentanyl products, I can go on their website and see what needs authorization and they all fit in that category. One of my problems at this point is I high a high tolerence for these medicines, I have been taking methadone for some time and I am afraid I would need a high dose of something else that my doctor would be worried about. I hate the pain I am in though and it is a tough situation.
Thank you for your help.
26 Oct 2011
Call your insurance company to find out what they are willing to pay for to replace the fentanyl. Were you using the lollipop form? Perhaps there is another form they would allow-they have a buccal tablet that you put between your cheek and gum. There is really nothing else like Fentanyl. There are other opioids that are short acting. Perhaps your dose of Dilaudid just wasnt strong enough. Fentanyl is a very strong med. Dilaudid is a good medicine. There are short acting forms of morphine, oxycodone, and there is no ceiling on these drugs, you can take as much as you can tolerate before side effects kick in.
26 Oct 2011
Dear Carmine... Dzoo gave a very good suggestion. Fentanyl is the most potent... there really is none as potent except under anesthesia, i.e., sufentanyl... which is much more potent than fentanyl. I would do just as Dzoo recommended. Also I would let your doc knows who prescribes the current fentanyl you r on and c what his/ her suggestion is. Perhaps the doc can go to bat for you. It infuriates me that insurance bureaucrats, who have no medical knowledge AT ALL get to make these decisions.
Hopefully they will pay for a different form of fentanyl. Is your fentanyl in the form of a lollipop or a patch? Good luck..
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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