My insurance has run out. I have been on this medication for over 13 years and am still in chronic pain! I also have malabsorption issues and don't do well with meds by mouth. I've asked dr & pharmacist for advise... To no avail. Pleeeaaase, anybody out there know what would help???
I just recently switched back over to oral medications from the same dosage of Duragesic patches, to 200mg morphine sulfate ER, one every 8 hours/3 times a day, with 30mg oxycodone IR 4 times a day as needed. I get the generic morphine sulfate ER 200mg tablets made by Rhodes Pharmaceuticals. I specifically mention the manufacturer because in the past I had tried both the brandname MS Contin and the generic moprhine ER made by Mallinkrodt and I found them to be absolutely worthless. But the ones made by Rhodes I have actually found to be rather effective. Not totally, 100% equal to the Duragesic patches 200mcg/hr, but close enough not to complain, particularly with the 30mg oxycodone IR tablets 4 times a day on top of it. I'm actually on them temporarily (I'm wishing and praying, at least) until I find another patch manufacturer whose adhesive I'm not allergic to and not Duragesic or Mylan.
It's going to be somewhat difficult, as all of the pharmacies in town only carry Mylan patches regularly, it's the only brand of patches they keep in stock in the stores. But since I was getting the brandname Duragesics special ordered for me every month, I'm hoping that I can get another manufacturer's patches special ordered each month. At the moment I'm just researching which pharmaceutical manufacturers produce the fentanyl patches, then I'm going to my regular pharmacy to see which ones they would be able to special order for me, and if they can't, I guess I'd just have to try one of the other, chain, pharmacies in town.
I don't know how much help I've been, as I know you have absorption issues, but I've always had issues with the extended release medications and this specific one I've had no issues with, as long as I take it every 8 hours. They're actually technically supposed to be taken every 12 hours, but I metabolize medications a bit faster than an average person, so I need to take them every 8 hours. Even IR meds don't last too long for me once they finally kick in. This is the closest replacement I've found to the Duragesic patches at 200mg/hr.
Whatever you do, plan early before you are out of your patches.. You do not want to stop Fentanyl without taper. If you do, you will be headed for terrible withdrawals.
You will need a pain management specialist to help you switch but if you are at the end of the rope, addiction specialists can help you as well to at least avoid accute withdrawals.
- Duragesic Information for Consumers
- Duragesic Information for Healthcare Professionals (includes dosage details)
- Side Effects of Duragesic (detailed)
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