I was on 100mcg patches every 48 hours at one point. I was able to taper on the patches down to 50mcg, then made a jump for a couple of weeks to hydros because the
fentanyl was making me so sick. It obviously took a lot of hydros to make that level (my poor liver...), so my doc put me on
methadone. I eventaully went to
suboxone and tapered that down to nothing about 6 weeks ago.
If pain management isn't a problem, it is far easier to taper the suboxone. Detoxing off of sub is no picnic, but I missed a day on a fentanyl patch once and it was WAY worse than the suboxone. Maybe it would be a shorter duration, but I can't imagine how intense those withdrawals would be.