Gov't has me into an insurance that has me paying a good amount for my deductible that I can't affod. It's because of the fentanyl, am hoping I can find another drug that they will help pay for. They say I now I make $4,000. too much for the extra help. I have been receiving extra help now for 11 yrs and now all of a sudden I make too much. Can anyone suggest another drug like fentanyl that will work for me? I sure would be scared to be left with no kind of help and no patches or other drug to use. I have RSD.. full body, along with fibromyalgia
If you want to stay with a patch I have heard they now make Morphine patches. I don't know if this is true, and I don't know how well they work. I'm one of the people who had bad luck with the Fentanyl patch. So I'm not even certain how powerful Fentanyl is compared to other opiates. I know that in terms of how much is needed very little Fentanyl does the same things as a lot more Morphine, but that doesn't mean it kills pain better. And then again, everyone has what works best for them. For me it was Oxycodone. Do yourself a favor, and don't get talked into the Butrans patch. Buprenorphine can make you highly opiate resistant. And while we don't think that happens with the patch, it's too soon to know.
I was told that with the Fentanyl patch you don't feel the Fentanyl as an opiate. Meaning no buzz, and no cravings for more and more. Tolerance also develops very slowly. The proof of that is how long some folks have been on it. This is what I'm worried about with you. There are several good pills and good drugs for you to try, and I'm sure some will work for you. But now the addiction issue comes into play. Most or all of these pills will give you a buzz.
I imagine you will want a time released pill. Assuming Fentanyl is one of the strongest opiates, I'll start with
Opana: It is time released Oxymorphone and I think it is one of the stronger drugs. But I never had it.
Dilaudid: This is another powerful Morphine like drug that works like a charm for some folks, and not too well for others. It is Hydromorphone and I am not certain if it comes as time released? Ask your pharmacist. I have had it and I found it to be powerful.
Morphine: This is still considered the best pain killer going. As I said I was told there is a patch. Again, ask your pharmacist. They know better than docs. There are several time released pills, the 2 I know are MSContin which works a little differently based on who makes it. The Endo brand made me very hungry and sleepy. The brand CVS got didn't make me hungry and I don't recall if it made me sleepy. I'm sure there are many brands.
Avinza: Another Morphine Time released pill. I never had it. It's more expensive and maybe not covered. I'm told it works better than MsContin. But it's useless if it's not covered.
There are other Morphine time release pills. But I don't know them by name. There is one mixed with Naloxone. I'd avoid that one. I think that pill is for someone who is such a bad opiate addict that he can't be trusted with Morphine at all. Otherwise I see no point in mixing an opiate antidote with an opiate pain killer.
OxyContin. You have most likely heard of this. It's now infamous. It was so highly abused that a judge ordered it taken off the market. But a deal was struck, and the formula was reworked so you now cannot abuse it easily. However, the people who use it for pain say the new formula doesn't work as well. Us chronic pain people just can't win. If it isn't our insurance screwing us up, it's the opiate abusers ruining things for us. It is the drug Oxycodone, which like Dilaudid, works great for some people and others say it doesn't work well at all. For me it was good. But I think it's not as strong a pain killer as the others, and if Fentanyl is really as powerful as I am lead to believe it is, perhaps you should start with Morphine or Opana.
There may be other choices out there. I'm not a pharmacist nor a doc. I'm just another chronic pain victim like you. Good luck, and I hope I helped.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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