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detoxing off fentanyl 100mcg patches
  1. #1
    Cazcat is offline New Member
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    Question detoxing off fentanyl 100mcg patches

    Hi I'm brand new here and would like some advice and or help on how to come off 100mcg fentanyl patches. I am on their for chronic pain conditions which I still have but I think it may be making me nauseous all the time so I am considering coming off them. I know that you can't do it cold turkey as once I tried nearly 8 hours without the patch and I was so ill physically and psychologically.

    Has anybody come off these and if so how? Lowering the doses gradually etc. Also what are the detoxing symptoms and about how long does it take to come off them. I could really do with some advice before I decide what to do.

    Another question too if anyone could suggest what would be a good alternative that is just as strong as fentanyl for chronic pain? I have tried ms contin, oxycontin and tramadol and they all made me nauseous as well but even worse than the fentanyl. I have a weak stomach.

    Thanks to anyone that can help. All the best from Caz

  2. #2
    Cats Meow is offline Diamond Member
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    For the nausea I would suggest asking your doctor about prescribing to you promethazine (Phenergan).
    You can do it cold turkey, it's hard, you always get w/d symptoms no matter what you're coming off of, it's the best, quickest, cheapest way. But if you want to taper first, even though all these other drugs make you nauseous, you'll have to go to immediate release pill, maybe to a Percocet then to a hydrocodone or Tramadol and take them with an antinausea med.
    W/d symptoms are the same as you experienced going off the Duragesic.

  3. #3
    Cazcat is offline New Member
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    Thumbs up Detoxing off 100mcg fentanyl patches

    Thanks Catsmeow for your advice. I may discuss it with my doctor. The problem is that I don't have anything else to replace it (wish I did) but I am just wondering if I would be better off without it.

    Good idea about the phenergan for nausea. I have never heard of using that drug for it. I am usually prescribed maxalon for that.

    One day I did try it cold turkey and within a few hours I was all shaky, anxious and agitated. It doesn't help that I am suffering from depression and anxiety at the moment too.

    Also what is percocet? I have never heard of that drug in australia. Is it a brand name or chemical?

    Sorry I have taken so long to reply but I have been too ill to even come online at all.

    Thanks again and I'll let you know if I decide to try it.

    All the best from Cazcat

  4. #4
    Cats Meow is offline Diamond Member
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    Idk what they call Percocet down there (maybe Oxycet?), but it's oxycodone and acetaminophen, and come in a 2.5/5/7.5 and 10 mg and either 325 or 500mgs of acetaminophen.

  5. #5
    Debbyholda is offline New Member
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    Hi Cazcat. I am new to this forum also and your post caught my eye.

    I am on Fentanyl 75mcg and I too, suffer with nausea. I do not think there are any options for me because all narcotics affect me this way. I have pain that is a burn very deep in my buttock and goes down my leg. I absolutely could not function without some pain relief.

    I am doing stretches and exercises that are supposed to do away with the pain eventually and I can not wait to get off the patch. I know when that time comes I will definitely titrate down because I just don't think the undo stress from "cold turkey" is good for the body.

    One interesting note about Fentanyl is that when I put my medication list into Drugs.com to check on drug interactions-it came up as a major interaction between the patch and my SSRI (anti-depressant) medication due to serotonin syndrome. As it turns out, I have had some spells with symptoms of that. This could quite possibly be fatal, yet not my doctor or the pharmacy ever made mention of this fact and what to watch out for. I was a tad bit angered by this to say the least.

    Yes, we are all aware that we need to be our own doctor.....but how about a little help with the real serious stuff, right? Well, I just wanted to spread the word on that. It is so easy to become a statistic and an "oops" after the fact doesn't help much!

    If you get a chance, let us know how you did with your detox! Blessings!

  6. #6
    Gadalia is offline New Member
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    Default Gadalia

    I am very new to this site, am going thru a detox situation with my brother.
    He was up to 10 fentanyl lollipops a day. Started out using 3 , after both knees were crushed in a car accident. Along with chronic severe arthritic pain, and pains from the injury that occurred during the accident , the pain was unbearable. (2003) The pain was so escruciating -nothing else worked, the fentanyl seemed to help. Of course the doc did not inform my brother that , it would be overwhelmingly difficult to stop taking this potent drug, not to mention the more you take....the more you will need to get the same effect. Within time ,the intake became out of control. One day , after taking the drug for approx 6 years, he realized that he was dependant on the fentanyl, and decided that "this is bad, and an end must be put to this" Last
    Sunday, he decided to take his last fentynal lollipop. Needless to say, intense withdrawal has occurred....shakes, headacheds, heavy duty flu like symptons, trouble sleeping at night..sleeping most of the day.....a living nightmare. He is working with an outpatient modified treatment program , that uses suboxone...but is trying to get them to modify the treatment somewhat.
    He does not like trading off one drug for another drug...he really is trying to
    go cold turkey...but wants to go to support groups, education groups, and wants to talk to the doctor at the program. Today, is one week that he has not used, and has been in bed for most of the week, trying to work thru the
    withdrawal best he can. One day at a time. I will keep you posted as to how things transpire. If you get any good tips from another...I would like to hear about it....G is too weak to get on line at this time. I am trying to get support on best way to handle the situation and get some ideas.
    Best, sis

  7. #7
    Cazcat is offline New Member
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    Default Detoxing off fentanyl 100mcg patches

    Hi I decided not to come off the fentanyl as I have tried everything from morphine to oxycodone and they all made me constipated with severe nausea and vomitting.

    So for now I think I will stick to the fentanyl as it does give good pain relief.

    Thanks for the explanation on percocet Cat's Meow.

    Debby Missy I understand totally where you are coming from that you need it for the pain so do I and thats why I have decided to keep on using it as I really don't have an option.

    I have pain in my spine and muscles from disc degeneration, osteoarthritis, fibromyalgia and CFS etc. and other drugs just don't cut it for me.

    I definetely wouldn't come off it cold turkey as it can be dangerous and puts the body and mind through far too much trauma.

    A word on serotonin syndrome. They should warn you when you are taking drugs that may interact like that. I can't believe that they didn't? I once had serotonin syndrome and was very ill as I was taking two antidepressants at the time and the doctor concerned told me it was ok until a specialist diagnosed me as having serotonin syndrome and gee was I sick with it.

    Gadalia I really feel for your brother. He has obviously been through a really tough time. I've heard of those lollipops but have never tried it as I have heard they are even more addictive than the patches.

    I'm really worried about your brother though coming off them the way he is and I wish him all the luck in the world. Just make sure that he gets the appropriate car as from the little I know it can get really tough coming off this stuff. I know it won't be easy though that is for sure and I wish him and yourself all the best.

    Thankyou all for your support and information regarding this. Thanks but I think that the fentanyl patches for me are the lesser of two evils for me!

  8. #8
    ths49er is offline New Member
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    Default Cazcat

    I have been taking hydrocodone via my mother's medicine cabinet. Then I noticed her fentanyl patches (100mcg). I was ignorant of the fact that this is a dangerous and very potent drug, especially at the highest dose starting out. I was very dizzy at first, then noticed that I could work for hours, had a very social attitude and alertness. The opioid effect makes me very active and wide awake. This is a danger for me.

    Anyway, after taking the patch pretty constant (every 72 hrs) for 2-3 mo. I decided it was time to quit cold turkey. OMG!! I truly wanted to die. The 2nd and 3rd day was the worst. My Dr said cold turkey is the way to go. My mistake was NOT going to Dr until 7 days into withdrawal.

    Here are a few pointers I learned. You can do it!!

    Take a week off from work or school
    Go to your Dr and ask for Clonidine(makes symptoms less severe) and Clonazepam(like Valium).
    Stock up on water, juice, fruit, veggies, crackers etc.
    Make sure you have access to a hottub and sauna (this also helps a lot with symptoms) but make sure you drink lots of water & electrolytes beforehand.
    Final step: Rip that sucker off and go thru 4 days of hell.
    It's so damn hard but it HAS to be done. If not, you will end up losing your job, family etc. This drug is Satan. I'd rather have pain than take this drug again. Be Strong!! You Can Do It!!

  9. #9
    JFTororella is offline New Member
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    Default Coming off Fentanyl

    Hi Caz. I am on Fentanyl 50 MCG/hr and Oxycodone 10 mg every 4 hrs. I was thinking maybe I'd switch the Fentanyl for Oxycontin (the slow release version of oxycodone) because I'd been so tired all the time. My doctor said we'd try it and he told me to start taking 20 mg of Oxycodone instead of 10 mg, and to stop the Fentanyl...actually he had his nurse call and tell me this. What a disaster! I had figured the extra Oxycodone would make up for losing the Fentanyl, but I went into withdrawal and it was awful. I felt like I was crawling out of my skin. Of course this happened on a Friday and it was Saturday that I got so sick. By the time I realized it was stopping the Fentanyl that caused my reaction, I was a mess. I put a patch on, but it took 3 whole days before I felt better! When I called the doctor's office on Monday morning, he had the nurse tell me to start taking 10 mg doses of Benadryl (over the counter). With my patch back on and the benadryl helping the withdrawal symptoms, I finally got over it, but as I said it still took 3 days before I got over the shakes. Now I'm so wary of changing anything that I'll be satisfied to keep the same medicine, even if it does make me tired.

    What ever you do, DON'T just take your patch off. And you can't cut them in half, either. Let your doctor titrate the dosage down slowly, and take Benadryl anyway just to make sure you don't get withdrawal symptoms.

    I don't know how much pain you live with, but I do know that in chronic pain management they like to give you something long-acting like Fentanyl or Oxycontin, and then also give you Oxycodone or another short-acting drug for breakthrough pain. I take my Oxycodone every 4 hours but only during the day: I only take 4 doses in 24 hours.

    Like you, I have stomach problems due to other conditions. I find that Fentanyl irritates my stomach considerably less than Oxycontin.

    If Fentanyl is the only drug you're taking for pain, then your doctor might reduce it to 75 MCG at first. If my doctor wanted me to take less medicine overall, he would cut back on the short-term doses of Oxycodone, not the Fentanyl.

    The most important thing is to communicate with your doctor. Hopefully he is a pain management specialist, because any other kind of doctor wouldn't be as experienced with pain management, and you are on some heavy duty stuff! Talk to your doctor and do what he advises. PLEASE don't take it on yourself to get off the Fentanyl.

    Best of everything to you! -Jackie

  10. #10
    methadonfriendly826 is offline Junior Member
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    You guys might want to try Methadone. It works great for pain and doesnt give you as much side effects. Plus it works great at relieving withdrawal. It is used specifically for that purpose. It is a long acting opiod and u only need to dose once maybe twice a day. Give it a try as it is an excellent pain killer and gives minimal side effects.

  11. #11
    helpless123 is offline New Member
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    Default can i please ask how it went? im desperate for help as i wear 150mcg patches 2

    I wear a 100 and a 50. Currently dying from w/d Bc they were not in the safe and had them taken by some kids. Its been 10 days 5 more to go and I don't feel like I'm going to survive. Ive had over 30+ surgerys past 2 yrs alone. Bad back surgery- left with drop foot MRSa grew pseudonoma bc took 5 yrs to find a dr left 8?10 plastic draping on spine. Would anyone b willing to trade me just 1 for 1 back when I get mine.

    QUOTE=Debbyholda;228581]Hi Cazcat. I am new to this forum also and your post caught my eye.

    I am on Fentanyl 75mcg and I too, suffer with nausea. I do not think there are any options for me because all narcotics affect me this way. I have pain that is a burn very deep in my buttock and goes down my leg. I absolutely could not function without some pain relief.

    I am doing stretches and exercises that are supposed to do away with the pain eventually and I can not wait to get off the patch. I know when that time comes I will definitely titrate down because I just don't think the undo stress from "cold turkey" is good for the body.

    One interesting note about Fentanyl is that when I put my medication list into Drugs.com to check on drug interactions-it came up as a major interaction between the patch and my SSRI (anti-depressant) medication due to serotonin syndrome. As it turns out, I have had some spells with symptoms of that. This could quite possibly be fatal, yet not my doctor or the pharmacy ever made mention of this fact and what to watch out for. I was a tad bit angered by this to say the least.

    Yes, we are all aware that we need to be our own doctor.....but how about a little help with the real serious stuff, right? Well, I just wanted to spread the word on that. It is so easy to become a statistic and an "oops" after the fact doesn't help much!

    If you get a chance, let us know how you did with your detox! Blessings![/QUOTE]

  12. #12
    helpless123 is offline New Member
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    Hoping someone is filled with compassion. Ive never been in such a jam and I have no one to help me

  13. #13
    helpless123 is offline New Member
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    How did it go for you?

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