I was put on Butrans for 3 different chronic pain conditions. I had some struggles with other narcotic pain medications, mostly because I need around the clock treatment. I tried Suboxone from a friend. Suboxone is a mixture of buprenorphine and naloxone, (buprenorphine being the narcotic in the Butrans patch), and was amazed at the relief and energy I had. (I have fibromyalgia and am tired ALL the time). So I went to my doctor and told him the truth, that I had tried the Suboxone and he prescribed me the patch, even though he really didn't even have the license for it. (Great doctor! although at this point, not much more he can do) So anyway, my question is... I've tried the 5's, felt nothing. He moved me up to the 10's, and still no results. After adding another 5mcg patch to the 10mcg patch (to make 15mcg per hour) with still no results, I have now had the 20 mcg patch on for 1 week and I have still not felt an ounce of pain relief. Has anyone ever heard of this or experienced it? I mean, is there something wrong with me or does this patch just not work on some people? I love my PCP and am SO thankful that he put his job on the line for me (if that's the case), but I am terrified to go to any more pain management specialists. I always feel like I have no say in my treatments, and like they are pushing things on me! Especially epidural injections for my spine, but I just can't handle them because of my fibro. I'm losing hope, because Suboxone is for addiction, and I think it's very rare if anyone at all subscribes it for pain. But it WORKS for me. There's also Subutex, without the Naloxone (which is what basically makes Suboxone for addiction and/or withdrawal), but I would obviously have to see a special doctor who can prescribe that. (And I have tried the Subutex as well, which works just as good as Suboxone). So, my question just turned into a large story, but as you all know who are in pain, it's a terrible struggle from day to day. And of course the people you love just want to help, but they also really don't want to hear about it anymore and that I can understand! I just wish I could find a great pain management doctor who treated me like my PCP does, but I honestly don't even feel like trying anymore since it seems it'll be an imminent letdown... well anyway, thanks to any readers... if you have an answer to my question, please let me know about the patch and if it's common for it to not work at all. Because even with the Suboxone, I could cut that into 3 pieces and eat 1 piece for a whole 24 hours which would completely eliminate my pain, so that was about 2.5 mg a day, and this patch I am wearing right now is supposed to be dispensing almost 3 mg a day. Whaaat the heck? :)
I too have fibro and subs worked for me. I hope you can find an affordable doctor who will prescribe it for you. You can go to the suboxone.com webpage and look up ALL the doctors in your area who are licensed to prescribe it. You might call and ask about the induction price and office visit price as well as if they also write for subutex, many won't. The fees I mentioned vary in price from doctor to doctor, and it is wise to check several. Sometimes they take insurance but usually not, tho your insurance may cover the meds. I sure hope I at least answered part of your question. I think it may be the difference between the subs films going under the tongue versus the time release of the patch that may be why you get more relief from the films. I have not heard many good things about the films, I suggest the subutex pills, number 1, there is a generic for subutex, but that is just a suggestion.People have often asked here is subs helps with pain, and several people used all caps in their responses screaming NO, but I disagree. Hope you get some relief soon. Patti
I am just like you. I have terrible pain with sitting and standing (pudendal nerualgia) long story. doc put me on Burtrans 20s. been on it since mid March..I cannot notice any real relief... so I am like you! I guess for certain folks or types of pain it doesn't work..That suboxone sounds great... I am going to ask about that. I have heard it mentioned on other forums...
I am in agony today cause I took the patch off for an hour and then re-applied to another side.. not sure if that is why (or cause I am experiencing higher inflammation from a recent procedure..I was told to expect the inflammation.
. I am about to try an oxcodone but I have very low dose 5mg Imm release... don;t know how much to take!
I dont want more urinary retention but the pain is awful.
Anyway I agree about the butrans... If there has been any relief I didnt notice it! Thx for the comments Hope you can get the med that helps Try a pain specialist?
hello, im glad to hear i'm not the only mutant..lol. I strated with Butrans 5mcg, now up to 10mcg, along with baclofen twice a day and just recently added Lyrica. I am not doing any better and I actually asked the pain doc if he was giving me a placebo. I have mucle, bone and nerve pain but noone can tell me why. So don't feel like you are the only one. I can't offer any advice except pray and hang in there.:)
One thing to note is that the position of the Butrans patch on the body is very important--top of arms, upper back, or upper chest which I am not able to apply there due to my sensitive skin. So my patch is applied to my thighs. I have both fibromyalgia and severe migraine pain. The Butrans patch does wonders for my migraine pain, but haven't noticed much difference to my fibromyalgia discomfort. Other strong pain killers for my migraines have also NOT made any noticeable difference. Most of my fibromyaliga pain is taken care of by taking the top dose of Trazodone.
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