My doctor put me on the butran patch with norcos for breakthrough. iIwas confused because iIthought you could not take one while taking the other. can anyone answer this question.
I was surprised too, but apparently you can. It seems that when the dose of Buprenorphine is very low you can also use a short acting opiate for breakthrough pain. I say this because I have a friend who was on the 20 mcg Butrans patch and he was also given Percs for BT pain. He takes 2 or 3 of the 7.5 mg Percs a day. He says it all works together fine. He said the biggest problem is the pain relief of the patch starts to wear off after day 4. He thinks the patch should be changed every 4 or 5 days, rather then 7. I'm not exactly sure what he's doing, but I think he tries to keep the Percs for the last 3 days of the 7 day period and then use them. However he's doing it, he tells me it's working out good. So go ahead and use the Norco for BT pain as the doc said you should.
It would be great if you come back and tell us how it works for you. The patch is still so new that we'd like all the personal testimonies we can get, because we are all different. But try it, I think you will be fine.
The Makers Of Butrans recommend That a PRN be used atleast 1-3 tablets 4-6 times a day while using Butrans they also admit that the drug is much less effective on the 4th day. Ive been using Butrans 15mcg/hr for about 3 years i find it to be crap For the simple fact it does become much less effective after the 4th Day the only day I'm actually comfortable is the day I change the patch and im lucky if I have a good day on the second day. In Canada CEDAC the group that approves medication for government Funded programs has denied Butrans being Added to their formulary on several occasions as it is not cost effective and and Oral Pain relief is still required.Oral Opioid options are much cheaper and just as effective..
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