I have a few leftover pills of Exalgo ER @ 12 mg each that I happened upon today and since losing a 50 mcg./hr fentanyl transdermal patch to the shower once this month (dang it all!) I have only one more 50 mcg patch left for appx 4-5 days; Can I remove the current patch (changing is overdue) & take an EXALGO instead? I read that 12mg of Exalgo ER is equivalent to 25 mcg/hr of fentanyl transdermal. Do you think I could switch for 24 hours in a relatively safe way? I am very opioid tolerant as 50 mcg of fentanyl every 72 hrs is just barely effective enough; then again, my physiatrist refuses to rx any breakthrough meds besides Tramadol (my body seems to think this is a placebo) & Tizanidine (ZzZ). Thoughts/suggestions?
Well with the current climate on narcs you stand no chance of getting another patch. We have to get creative. If those were your pills before, I don't see much of a problem with doing that. I was on tramadol, it doesn't work unless you take it on a regular basis, I don't see that it would do anything as a break thru med.
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