I have been on pain meds such as darvoset, mussle relaxers, lortabs and ect for years for chronic pain in my back mostly after my first surgery in 1996 now i need and have needed another surgery for the disc next to the other one . My pain doctor just put me on Butrans patch 5 days ago. I feel like i am living again it is WONDERFULL i feel no pain . Life is great but as the old saying goes if it is too good to be true it probably is . Is this the case ? Is their any future risk ? Anything i don"t know ? please tell me . I hope it"s all good but want to know if their is bad. Thanks in advance
How is Butrans working for everyone else ?
Added 25 Sep 2011:
Well now i think the true good to be true thing is here . All the side effects are really out doing the first week. I am on week 3 and unhappy :(. Bowel problems only twice since starting. I HAVE taken lots of laxativess to no avail hardly. and when i do i get really hot and sick feeling. vomit on occasion. Tired alot more than normal and abdomanal craps really bad. Shallow breathing sometimes. Very dry mouth mostly when working at my job. and so on . I am really UNHAPPY at this point . I guess back to the Effin pills. I will see doctor soon to see what will happen.
I'm glad to hear you are having such a good response to Butrans. I think you're the most positive review I've heard yet. I haven't been able to read a whole lot of reviews because Butrans is so new, and most doc's don't know how to use it yet. So there aren't many people on it yet. Nevertheless, I actually have a friend on it. He's also having a positive response. Can I ask which dose you're on? Most people do need the 20 mcg. patch. I'd like to know if you're on anything for Breakthrough pain, such as Percocet, Vicodin, Lortab etc.? My friend gets the 7.5 mg Percocet 2 or 3 times a day, and I am surprised they work with the Butrans.
Butrans is Buprenorphine, which is the opiate in Suboxone. I am also taking Bupe for pain and depression, but I take the sublingual tabs, aka Subutex. In much higher doses than the patch has, Bupe has been found to help depression in some peoople. I'm 1 of them. But it also helps with my pains.
One of the things that makes Bupe unique is that you can use the exact same dose for many years without needing an increase. Almost every other opiate causes a tolerance to develop and you need frequent dose increases. Bupe doesn't do this. I can tell you this from experience. I was on 5 mg of Bupe for 5 years and it never caused a tolerance to form. I was then taken off it for 1 year due to some new pains. I'm now back on Bupe. I like this better. I'm only having 1 real problem. The previous 5 years on Bupe I took the Name Brand tabs because that was all that existed. Now, for the past 6 months I've been on the generics. One didn't work for me at all. The other is only ok. I am finding a big difference between each of the generics and the Name Brand. There isn't supposed to be any differences, but I'm finding huge differences. So IMO you folks on Butrans should be fine until, when and if, Butrans ever goes generic. It is true that most people don't feel the differences with the generics. But some of us do. If this eventually also happens with the patch then there will be problems.
You asked about long term consequences of the Patch. We just really don't know yet, Butrans is too new. But based on taking the tabs for 5 years, I only found 1 problem. In Jan. of 2010 when I was taken off the tabs of Bupe my doc put me on Percocet. I then discovered that Bupe had caused me to have a major resistance to every other opiate there is. Within 1 year I went from needing 60 - 80 mg a day of the opiate in Percs, to 300 mg a day. Apparently the doc's didn't know this would happen. And this is the main reason I'm now back on Bupe. So 1 big question is whether or not this will happen with Butrans. The doc's don't think it will, because the dose is Butrans is low compared to what we take in the pills. It may be true too, because folks on Butrans can feel Percs used with Butrans for Breakthrough pain. I was recently at the dentist. He gave me some Percs for what he did to me, and I could barely feel them. In fact I'm not even taking them. Instead I increased my Bupe dose for the mouth pain.
So the dilemma with Bupe is whether or not it will cause a resistance to form to other pain meds? It's not good that it has done this to me. Of course the good thing about Bupe was that for 5 years I never needed any more Bupe. I had the same good results everyday from the 5 mg. According to my friend on the Patch, the 20 mcg. Butrans patch has a total of 21 mg in it. This is then slowly absorbed over 7 days. So theoretically, he's taking 3 mg a day, in the Patch form. And I took 5 mg a day for 5 years, and I was good all those years. So this is a hard thing to know which is best? We will all need much wisdom in determining whether or not Buprenorphine is ultimately worth using. I like the way this drug works, and since I won't need constant dose increases I have chosen to keep using it.
I will end by saying this. I am 59. You used the name oldman. I hope you are sir. Personally, when it comes to Bupe, I wish I was older. In the event Butrans does cause the opiate resistance to form that the pills caused to me, the older one is, the better. Which means I do not recommend anyone young should use Bupe (in any of it's forms) for very long.
I apologize that this is so long. When it comes to Buprenorphine, I do have a lot to say.
Hi oldman68... Thor gave a great synopsis on butrans. Most of us here are on suboxone which has buprenorphine and naloxone in it... an agonist/antagonist. Most of us were using opiates abusively having started them for pain and then started using them for non-prescribed pain, like emotional pain... or other things... like the energy and "up" feeling they give you. We are now on the suboxone as an opiate replacement therapy, the agonist part, and ro bypass the WD from opiates and then the naloxone part to stop the cravings for the opiate. So... just be aware that the patch you are on with the buprenorphine is just as addictive as other opiates... but as Thor said, unlike other opiates they do not build up a tolerance so u can stay on the same dosage for yrs. w/o having to go up and up and up on the dosage. When the time comes, if it does, for you to come off of the bupe patch, you will need to taper or start on the drug that has the naloxone in it to help you to wean... I don't know if this will b the case w/ u... just wanted to warn u of the addictive nature of the drug. I hope I am not being too nosey here but felt I needed to put my two cents in for whatever it is worth!!! Good luck and I am glad that the patch is doing the job for you.
Blessings to u...
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