Suppose to start new medication but want to know the patch is not in my system. Thank you anybody please advise?
About 18 to 24 hours, it should be safe to start a new medication. Here is what the literature says:
Discontinuation of Duragesic
To convert patients to another opioid, remove Duragesic and titrate the dose of the new analgesic based upon the patient's report of pain until adequate analgesia has been attained. Upon system removal, 17 hours or more are required for a 50% decrease in serum fentanyl concentrations. Withdrawal symptoms are possible in some patients after conversion or dose adjustment
It would be best if your pain Dr told you how to begin your new medicine because you will be in pain long before the Fentanyl is "out of your system" and as Fentanyl is still absorbed by the skin even 24 hours after removal, he may need to titrate you up on the new med rather than taking a full dose at first.
If the doctor who is prescribing the new med the same one who prescribed fent patch... just follow those directions. You don't want to go through withdrawals, do you? What did your doctor tell you that you are a bit wary or leery?
I am also on the patch so kind of curious what you are being switched to...
I am currently on fentanyl 100 mcg/h patches and have been for 8 months since an accident the doctors have never reduced the amounts as the pain was nerve injury related,i want to see how much pain im actually in now and im sick of the drugs as it stops me from doing everything and its wrecking my life,i want to get of them but doctors a reluctant to help can anyone suggest a safe reduction plan I was thinking of gradually cutting the size of the actuall patch down
I've read cautions on many threads warning Not to cut patches. My Dr had weaned me from 50mcg patch to zero by cutting them. Absolutely safe to cut transdermal patches! I maintained same interval of replacing patches whether on 50 or 12. Fentanyl dosage is determined by patch size. Cut 50 in half & you now have two 25mcg doses.
By cutting patches, never had to worry about running out. My Dr kept prescription dose at 50 while I slowly tapered down. At the end, patches were in small pieces equivalent to c. 5mcg. I was spared the trauma of Fentanyl withdrawal which is nightmare. Chronic pain is awful but Fentanyl withdrawal worse. Use scissors to cut patches to reduce dosage and for safe taper off drug.
How do you seal the ends of the patch? I've been on fentanyl 100mcg for about a year. I really hate it so I asked my doctor to take me off of it. He suggested I gradually get off of it. So I was on 75s and he took me off and put me on hysingla 40mg but the withdrawal was so bad I asked him to put me back on the fentanyl which he put me on 50mcg now I'm trying to get off that and the withdrawal is still horrible. I don't plan on cutting the patch was just curious. I actually came across this thread trying to find out if anybody knows how long the withdrawal should last? Thanks
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I need a comparable drug to duragesic patch 200 mcg every 48 hrs. It must be affordable. Pleeaase!!!
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