My Dr spoke with me today and suggested fentanyl spray 800 mcgs. I was told when the pain peaked I would/could use it to lessen the pain. Since it is a spray how many will be needed to help relieve the pain? I have been back and forth over the years on pain medications and the best I had was Demerol doc says this is better than Demerol 50 mgs. My appt is the 12th of January and I wanna get some information before I see him. I had the fentanyl patches after surgery but never a spray. would one squirt work or would I do 2 or 3? I can't find information about how long it takes to give me relief etc... What would one dose be equivalent of ?. I was on a new medication called Zohydro a month ago but it didn't help much well at least for a long long time after I took it. Is the spray fast acting? 800 mcgs seems to be a lotta medication so I beg to know how many mcg's is 1 spray of fentanyl please. How long to get relief? How often may it be taken (I read wait at least 3 hours somewhere) but if one spray doesn't work why take another?. I want some knowledge so I can ask questions when I see my Dr. I don't wanna go in there unarmed so to say. I hope I can get a little more knowledge and understanding before and hopefully after. Actually I am afraid once again. Do I keep spraying until the pain is gone or wait awhile? Please provide any and all information no matter how it may sound. I want the good and the bad about this medication PLEASE!
The Fentanyl spray is called Subsys. I had a Insys rep come into my practice last week and he explained to me that its used for break through cancer pain. Subsys spray will indeed work better, and most importantly you will feel pain relief almost instantaneously, compared to the patch, tablet, or even fentanyl lollipop. When you get your prescription they will come in single spray units so once you spray once under your tounge, you will dispose of the spray device. If you don't feel pain relief within 30 minutes, you are allowed to use one more spray device containing the same MCG as your original dose. (you should find pain relief if you end up using a second spray after 30 minutes).
I recently prescribed this to 2 patients of mine and they are EXTREMLEY happy about the fentanyl spray called subsys. I believe and witnessed the success of subsys first hand so don't be afraid. You will be very satisfied with subsys. Give it a try and feel free to ask me any questions. Hope this info helps.
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