I just started pain management. The doctor wrote a perscription for fentanly patch. I have been on roxycodone for the past 10 years for RSD. This works for me. I take 20 mg. every 6-7 hours. I have been on this same dose for years, but no one wants to perscribe these meds anymore. I am so afraid to start this patch. Dr. said absolutely no other meds with the patch and yet I've been reading that almost everyone is taking breakthrough meds. She put me on 12 mcg every 3 days. This sounds like a very strong medication. I don't want to do it. I just want the pills that work. Everything I've read it sounds like drs. are putting patients on this patch because their current meds aren't working, she's putting me on this because she says roxycodone is highly addictive and highly abused. I'm in MA if anybody out there lives in Ma and is having these problems with drs. write back. I'm going out of my mind with this.
I know how your are feeling only to to well I was on 2 10 mgs of percocet, and that was for breakthrough,since i was on oxycontin also, however my doc of 15 yrs got busted for using cocaine! yup I found iust the real reason yesterday when I saw my new pain doc. anyway going from 10 mgs I gather it was to be taken 2 ever 6-8 hrs just my thoughts. to go to 12 micr of the fetynal patch your gina be hurting for a certain tell her to either up you dose or give you a breakthrough. the patch worked really good for me however I was also on 10 mg of roxy as well, I was bummed due to the fact I was highly allergic to the fetyal patch every brand, I even tried it with flonase sprayed on my skin before adding it.
You got the shaft hun are you sure she put you on 12 micro, besides, also how long have you had her, and have you had problems with loosing, coming up short ya da da. they take all that into acount as well. GL and hope all turns out. hoping you a painfree day
I am so sorry to hear this!! Are you positive about the patch strength? I thought for sure the lowest dose was 25mcg. I will double check on that. In any event, you are dependent on the roxi's after many years of use. They worked, so why did she do this? At the very least, if she gave you the low dose patch, she should have kept you on the roxi's for bt pain but maybe lower the dose on those, not quit them all together. I will repost in a few mins. Your doc is right about them being addictive but you already are. That does not mean you abuse them at all! Is she trying to make you miserable on purpose? I'll check and get back to you.
According to this, the way I read it at least, they're assuming you have bt meds. You really need to click on the link, print out all the information, fax it to your doctor and let her know she is not well informed about fentanyl. Did you fill the script? According to the info, 25mcg is the lowest dose available. Unless there is another pharmaceutical Co. that makes the lower dose. This is very disturbing to me. I fear you may go in to withdrawals. Please keep us posted.
"The recommended initial Fentanyl Transdermal system dose based upon the daily oral morphine dose is conservative, and 50% of patients are likely to require a dose increase after initial application of Fentanyl Transdermal system. The initial Fentanyl Transdermal system dose may be increased after 3 days based on the daily dose of supplemental opioid analgesics required by the patient in the second or third day of the initial application".
I am on the 12.5 patch- there is indeed a lower does than 25. Sandoz and Mylan, to name two I have been given, make this strength.
I do believe you will need breakthrough medication. I find the fentanyl very good for base level pain but I still need my breakthrough meds. I thought if I went up to 25 I would not need my BT meds but all 25 did was knock me out so today I was lowered to 12 again and given my BT meds back. WIth that I can control what I take beyond that low level of fentanyl rather than being hammered hard every day. I was in a stupor on more.
It night help to send the info as recommended so you wont be treated like a drug seeker. Any conversion chart shows that you should be on 50 - 75, not 12.5! This is too low a dose.
Also, it is strange she is concerned about addiction- fentanyly is the most addictive drug of all. I forgot my patch one night and by morning was in the throes of AWFUL withdrawal.
I think you need a second opinion.
The more I think about this doctor, giving you a low does not adequate for your needs and saying your oral meds are highly addictive and abused- well nothing is as addictive as fentanyl and it is abused too- she is clearly ignorant , especially about the equivalent dose for you.
I am annoyed that doctors who control our access to the medicine we need carry their attitudinal baggage. Bah.
I may just kiss my own doctor next time I see him- he is just the opposite- today when I asked to go down on my fentanyl strength and what options there are for breakthrough he had not judgment other than wanting to make sure I don't suffer bad side effects. I will be trying dilaudid now in the hopes it doesn't not keep me awake all night.
Awesome things about the patch for folks with RSD... it's absorbed through the skin... you only take it off every 48-72 hours... if you wear a cover for it called 'tegaderm' (made by Nexcare, has a mountain biker's leg on it... first aid aisle at the drug store) you can shower do whatever... and not have to think about losing pills... keeping track of pills whatever... it seems that 12.5 is a relatively low dose to start on considering your history. I understand your unwillingness to deviate from a drug you KNOW works... but trust me, the patch was night and day from taking pills... try it out. If it's not for you, take it off-tell your doc, bring the remaining patches in and switch back to your previous medication. You got nothing to lose and A LOT to gain!!!
The lowest dose on the Fentanyl patch is 12 mcg, not 12.5 mcg. I'm not sure of the manufacturer. 12 mcg is - nothing, compared to Roxies. And the above posts are correct - Fentanyl is just as addictive as the oxycodone in Roxies. Who knows what the DEA is looking for nowadays - doctors are scared to write for anything anymore! Sweetpea123 - if you start feeling bad - hurting, aching, sweating, vomiting, muscle spasms, etc. you need to contact your doctor. She didn't give you enough of a dose on the Fentanyl patch to come anywhere near what you were taking on the roxycodone, and you might very well go through withdrawal. Your body has become dependent on that dose of roxycodone, and without it your body will give you fits if not enough of an equal dose of narcotics is given. I know you are afraid of going on a strong medication, but I feel the Fentanyl patch is equal to the dose of Roxycodone you were on, and it's so much easier to use.
You only need to change it every 48 -72 hours (some people find they need to change it at 2 days, rather than 3 - I did, mine stopped working at around 60 hours). If you find it's coming off early, try putting Bioclusive over it (it comes in sheets like the Tegaderm), or order an adhesive strip called Hypafix - it comes 4" X 6 yards (I believe) and is made by Smith and Nephew. Your local drug store should be able to order it. You can cut it to the size you want and put it over your patch, and is much cheaper than the Bioclusive and Tegaderm. I was on the Fentanyl patch for 10 years, and did need breakthrough meds. I know some doctors don't believe in breakthrough meds, but obviously they've never lived with pain - it doesn't stay constant. on better days, we rejoice! but on bad days, we need breakthrough meds. Best of luck to you sweetpea123 - friend me, and we can talk by private message if you like.
Does anyone one of a good pain dr. that is in the Gwinnett area? I have bad back pains and cant seem to find a dr. to help me out with any meds. Its even hard for me to lay down at night my back hurts so bad and i have trouble with my cleaning and kids with my back always in pain. I have lumps on my lower back that just ache and dont know what to do about it.
I have been on Vicodin 7.5 for the past 4 1/2 yrs. I am sick of taking pills. I also take Tramadol. I take anywhere from at least 8-12 of these pills a day for little to no relief from pain . The only time I an not in pain is when I am asleep. I pray to God that my Dr will let me have this patch. I HATE swallowing pills every day of my life. The thought of no pain at all, sounds like heaven . My pain is similar to that of fybromyalgia. I have been on a lot of different pain meds. If someone uses the patch, please let me know if it really works. Thank you, Elaine
I am also on a Lower dose of a Fentantly patch. I went to my doctor on a visit to get my B-12 shot and she said I now had to pee in a cup every 3 months - their new way to deal with the FDA oversight. I snickered and said okay, I am on a bunch of meds, wonder if they will exclude me from taking my type 1 meds now? Oh well, it all turned out good I suppose, I got my RX's for 3 months. I wonder who determines your an addict and at what point do you become one?
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