Hi I recently started the fentanyl patch 12mcg/hr 48 hours ago and haven't had any pain relief. Before I was taking oxycodone about 60mg a day to deal with chronic severe migraines. My dr wants to to try the patch along with the oxycodone 15mg as needed for pain relief. They started me on the patch before putting me on oxycotin er 20mg 2x a day to see if the the patch would work. I'm out of the oxycodone till next week so currently have nothing for break through pain. I'm I'm a severe amount of pain and can't function. I have the perscription for the oxycotin er 20mg and don't know if I should take off the patch and switch to that or leave the patch on and take the oxycotin. I haven't been able to get a hold of my dr do I'm looking for some helpful advice to manage my pain. Thank you
Don't remove the patch at all. there is nothing wrong with wearing the patch and using the oxycontin for breakthrough pain or as part of the pain relief regime. People are often initially disappointed with Fentanyl as it acts on one opiate receptor only and doesn't provide you with the same feeling as true opiate analgesics which act on three receptors (including the euphoria one). Obviously you need to get approval from your pain management doctor first. These days, breaking the rules can get your authorization revoked. That is a really bad situation for some. I know of two and they have been permanently red flagged.
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