I have been on the 75 mcg/h Fentanyl for around a couple of years. One problem I have is it will not stay on for the 72 hour period it is supposed to do. The second problem is it does not not seem to work to suppress pain for the same time period, a couple of trips to the ER for withdraw is anything but fun, so what do I do? My pain Doctor seems do be a nice guy, but the las time the withdraw all he did was prescribe me with something called ondansetron which was supposed to help me feel some better with the withdraw. The main reason I agreed to go on the patch was to get off the pain pills. Now I'm starting to wonder which is the better for pain, the patch or the pills. I was on pain pills over the last decade from a host of different doctors, most whom thought that all I wanted was a cheap hi. I finally found one doctor who found after a bunch of testing I had something called fibromyalgia, chronic gout along with a kind of gouty artrightis, (hope I spelled that right) and a couple of other things I've never heard of. But the main thing was he found the pain was real and I was not faking it. My biggest concern is that the patches don't appear to be stopping the pain like they did in the beginning. I'm not sure if the patch isn't strong enough to stop the pain any longer.
Follow the instructions. On clean dry skin without moisturisers or any other crap make a start with a clean towel and no soap (or the tiniest amount) pour hot water on the towel and give the application site a good scrub; with the opposite corner dry firmly on completely dry towelling. Turn the towel around to the other end and repeat the process but without any soap; when perfectly dry, apply the patch instantly smooth it out and hold it down with firm palm pressure to bond with your skin for 30 seconds. If it doesn't bond perfectly no tape or miracle from god will make it work effectively.
I have lost 3 patches in about 9 years. Sometimes reading the instructions that come with every single packet are worth reading completely. Instructions are incredibly useful.
Okay, follow the first poster's advice. If you are a woman, consider adhering the patch to the underside of your breast. The heat from your breast will allow medicine into your system, and your bra will help keep it pushed onto your skin.
Ondansetron is not going to help you to "get off" pain pills. It is an anti-nausea pain medication. A fantastic medication that WILL help you get off of pain pills is called Buprenorphine. It's being prescribed as a "pain pill" of it's own type, but it's not a typical pain pill, in that it helps people get "off" narcotics. I hardly take anything now for pain, and I used to be on 80mg of Oxycontin and 25mcg of Fentanyl. Now Buprenorphine does it for me... and another big one that I will also recommend to you.
Especially as you say you have fibromyalgia, check out Savella. I asked my doctor if there was just "something to help me with my all over body pain... " one of those "it hurts everywhere" things, and he nodded his head and gave me trials of Savella. My life completely changed before I ran out of the trial pack, that's how much of a difference it made. I have since tried to stop it (only because I'm on SOOO many meds, I try to eliminate the few underappreciated ones), and my body pain came ROARING back, so I appreciate it again. The fact that it is FDA approved for Fibromyalgia makes it even more of a good chance to help you. I didn't even have that and it helped me. Oh, and don't be a dumb dumb - I paid the copay of $45/month for what - 4 or 5 years - only to find that they had a discount card to sign up for. DUHHHH Yeah, I could have paid $10 I think this whole time. LOL Oh well, the pain relief was worth it! WooHOO!
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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