Also known as: Abstral, Actiq, Duragesic, Duragesic-100, Duragesic-12, Duragesic-25, Duragesic-50, Duragesic-75, Fentanyl Transdermal System, Fentora, Ionsys, Lazanda, Onsolis, Sublimaze, Subsys
The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care.
fentanyl for Pain: I developed RSD after diving off a ladder onto the driveway. I tore the labrum in my left shoulder by severely dislocating that shoulder. The pain from RSD is overwhelming, so after using Morphine, Trileptal, and other pain meds. I started using the Duragesic patch, 25MG then 50MG then finally settling on 100MG. I put on a new patch, every other day. The three day use was really ineffective on the third day. I used a fentanyl lollipop for breakthrough pain, which happens a lot with RSD.
Review by Achy, breaking head (taken for 2 to 5 years):
Actiq (fentanyl) for Pain: My experience with Actiq was like a miracle. I get many, very severe migraines, especially when I am in a stressful, rushed situation. Some of these occasions are holidays, birthdays, etc. I would try to prepare ahead of time, but frequently I would get a migraine. When a bad migraine doesn't abate after the usual rescue and pain management medicines, I would take Actiq, without it I can't participate with my family to help with any preparations, spend any time with them, and can't even sit down to have a meal with them. After several times of a ruined holiday or special times with family, they either forget you or resent you. Children don't understand at all. So, the next time there's a special event, you get nervous thinking of it.
11 users found this comment helpful.
Review by Corey James (taken for 6 months to 1 year):
Fentanyl Transdermal System (fentanyl) for Pain: The fentanyl transdermal system, (Duragesic 75 mcg/hr), aids greatly in the relief of my lower back pain. The only down side to the fentanyl patch is that after two days or 48 hours of wearing the patch, it seems as though my pain resurfaces pretty badly upon the third day of wearing the system. I spoke with my primary physician about this issue and he suggested dispensing 15 patches each month so I could replace the system once every 48 hours or two days. Since I've been changing the patch every two days, my pain has reduced greatly and I haven't had to use my "rescue" oxycodone 20 mg IR tablets as much. THANK YOU DURAGESIC.
19 users found this comment helpful.
Duragesic (fentanyl) for Pain: I started on the patch approximately 6 yrs ago with a 0.50 patch for low back pain. Due to withdrawal symptoms on the third day, (sweating, chills, fatigue) I was increased to a 0.75 patch and then again to a 0.100 patch. I've been on it for two years and with the exception of the first 36-48 hrs. I have side-effect problems that are terrible. I have lost all my upper teeth due to gum loss and decay, this just after spending $2000 to get my teeth put into shape. I go from hot flashes and drenching sweats to chills every 10 to 15 minutes. I have severe backache, headache and urine retention. The patch did wonders for my pain, but long term, the side-effects aren't worth it for me.
18 users found this comment helpful.
Review by dieseltruckguy (taken for less than 1 month):
Sublimaze (fentanyl) for Postoperative Pain: I have been given this a lot after surgery. It is great for post surgical pain because it kills the pain but it doesn't give you nausea and constipation like others do.
fentanyl for Pain: Fentanyl has been a life saver. Started on 25mcg patches/72 hours and over the years have progressed to 100mcg/72 hours. I also have Vicodin and other medications that treat my diseases and also help alleviate pain. However I have been experiencing a lot of breakthrough pain recently so my physician is making changes in my medications and fentanyl is one that he is considering changing the dose and shortening the time to 48 hour patch replacement.
fentanyl for Pain: I have been having back pain since 1998, when I had my first spinal fusion. My back is now a solid unit from L3 south. I am going to see my spine surgeon to see about fixing the latest pain problems. I change my patch every 48 hours. I used the Watson patches for several years. They were effective, except for the falling off mentioned by others. Paper tape solves that issue. My latest experience is with Nylan. These have been wonderful; they actually stay on my skin and the amount of fentanyl is much more consistent. My new ones are from Mallinckrodt/Covidien. We will see how they work. Before I was put on patches, I went through all the usual meds. They would help, but not keep the pain under control. Patches are the way to go.
fentanyl for Pain: I have been on these patches for about 2 years. I started out on the 25 Mcg's and now am on the 100 Mcg's, and I change them every 48 hours. They work great. I also am on Oxycodone 15's 1-2 every 4-6 hours for break through pain, but I usually do not need to take them that often. I have a rare muscle condition that causes extreme pain. during the years prior to being on these I have been on just about every type of pain medication,(narcotic and non-narcotic) that you can think of. I must say that these are by far the best and I would recommend them to anyone that has real issues with pain. they are not for people that just have occasional migraines or back pain.
Fentanyl Transdermal System (fentanyl) for Pain: These have saved my life, I've been on the patch for 3 months, 25 mcg, every 48 hours. I think maybe one more adjustment will do it. Keep in mind they are to be used with a breakthrough medicine also. Well since I've been on patches I forgot about pills. Still have to take them though. I have 6 year old boy I can play with him again. That means the world to me. Give them time to work, and it took 3 adjustments to get them right, it took 6 weeks, three 2 wk trial periods. Word of warning my doctor went on vacation during trial period, I had only been taking them for a month, the withdraws were very bad. As soon as he got back I couldn't wait to start on them again. That says a lot. You have to plan ahead with these meds. Call 4 or 5 days before refill.
21 users found this comment helpful.
fentanyl for Anesthesia: I have had this medicine when I have had colonoscopies and endoscopies. Also when I had two total knee replacements. It is awesome and causes me absolutely no problem. Keeps a person comfortable and I have had no addictive reactions to it.
Fentanyl Transdermal System (fentanyl) for Pain: I have used fentanyl patch for 8 years. I have oxycodone for breakthrough pain. I have bulging disc L4-L5, fibromyalgia, depression, osteoarthritis, Rheumatoid arthritis, degenerative disc and back disease, chronic pain and fatigue. The side effects I have are constipation and sweats. When I have a really active day on the 3rd day I do notice I hurt more and use the pain medicine. I try not to overuse them. I am monitored regularly. Still need an epidural or trigger point shots occasionally. I became disabled at age 39 now 50. That part is not good but life is manageable now! I can live again!
29 users found this comment helpful.
fentanyl for Pain: Fenanyl was recommended by the hospital pain management team. I had been on it for 4 years low dose 50 for 2 years then the 75. They worked well until i was hurt in an auto accident then had to move to the larger dose. Always had oxycodone for break through. The down side is it does leave you groggy. Once your body is used to the medication you have to constantly tweet your medicine. I recently changed medications, my head is clearer but my pain is off the chart. I think I will be going back to the fentanyl if I can't find a better alternative.
Duragesic-25 (fentanyl) for Pain: My husband has spinal stenosis. He had major back surgery so his Dr. prescribed this medication he was doing a lot better. He actually could move. Now his Dr. ups and quits and he has no more medication, no Dr. at his practice is able to write out this prescription for him and now he's back in bed.
Fentora (fentanyl) for Breakthrough Pain: I have a type of neuropathy that basically cripples me. I was taking oxycodone for years but it just made it so I could function. When my doctor prescribed Fentora it was like a miracle. I can live now. Not just get by.
10 users found this comment helpful.
Fentanyl Transdermal System (fentanyl) for Pain: I have Fibrolmyalgia, degenerative disc disease in my lumbar region and neck, my tailbone is broken in two places and has been for over two years, sciatica on both sides, degenerative disease in both hips, and chondromylacia in my knees. I finally got to go to a pain management specialist this last year. Oxycodone was horrible - worked minimally for an hour or two and then nothing. Lortab was okay, but nowhere near strong enough. Demerol wasn't strong enough, and caused me to have seizures. Butrans made me suicidal and had such horrible withdrawal symptoms. If you ever hear that name coming from your doctor, run. Then, we tried Fentanyl 62 mcgs and I'm finally getting somewhere. Needs to go up, but NO side effects except sweating.
16 users found this comment helpful.
Duragesic (fentanyl) for Pain: My doctor recently put me on the Duragesic patches. For years I have tried many other medications with nothing positive to say about them, until now. I tried the patch and automatically thought it was great. I put the patch on, and it seemed like even though it says 72 hours it really only helped for 48. I made my doctor aware of these concerns and he instructed me to replace the patch every 48 hours and placed me on a breakthrough medication. Since then I have actually been comfortable for the first time since my accident. I think the patch is great!
19 users found this comment helpful.
Fentanyl Transdermal System (fentanyl) for Pain: I had the shingles and the bumps went away, but the pain didn't. It was so severe that I could barley work. People didn't understand or believe me because you could not see my pain. I went to several pain specialists and I feel I was in the ER every other week. The pills they were giving me didn't help. I finally found the Pain Specialist that believed me. I am blessed that I found the right specialist and I am now using the 100mg Fentanyl Patches along with other medicine. It has saved my life and I am only in my 30s.
18 users found this comment helpful.
Duragesic-50 (fentanyl) for Pain: I have a doctor who is not into breakthrough medicines that much but he is still reluctantly writing Norco 10/325 for my breakthrough pain and I found that this medicine does pretty good for about 40 hours. The 72 hours they claim is a real stretch.
Fentanyl Transdermal System (fentanyl) for Pain: Although the pain relief was good the side effects were horrible. Rashes from adhesive. Disorientation, brain fog, hyper-anxiety. Ended up in ER after using for 8 days.
13 users found this comment helpful.
fentanyl for Pain: My Pain is completely alleviated with this medication when in normal use. I am on a 3 day schedule in changing the patches. I did try to go on a 2 day schedule as well, but then I experience too many unwanted side effects (drowsiness, feeling 'high', etc) so I asked to go back to 3 days. After about 2 and 1/4 days the patch doesn't seem to work, so the final 3/4 day I really start to feel the pain and withdrawal symptoms.
I sometimes feel the loss of 'control' with the patch because of the time it takes for it to become effective and the amount of time it goes out of your system. In other words, if a patch rips (I've had 2 do so in the last year) I start to feel the medicine pouring into my system and I have to immediately take off the patch.
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