I, have just been prescribed the fentanyl 50mcg patch, and it supposed to work for 72 hours, but it seems like im not feeling the relief anymore after 48hrs, is this common?
Hi Caiti, the answer to your question is yes and in fact it is very common. There are many people that have received new instructions from their physician to change the patch every 48 hours instead of every 72 hours. I would let your doctor know that the patch isn't keeping your pain level down to a tolerable level after 48 hours and see what he says. Depending on his response, you may want to tell them that you researched this phenomenon and found that it is very common and that in these cases the patch is replaced every 48 hours instead of every 72 hours.
Since this is a time release drug, it could be you need a higher dosage. Just my thoughts...
I had a similar experience with my patch only lasting 48 hrs but when I told my doctor he wanted to increase my dose fr 25 to 50. I declined because I felt that I would be getting in deeper and the withdrawals would be worse if I ever quit. I am now tapering off of it completely after I read some horror stories. It's your choice how deep you go.
This is common. Dr. changed my Rx to be changed every two days instead of three. My insurance, blue cross blue shield, refused to pay for it so they changed me to Butrans 20mcg/h which is a seven day patch. If your Dr. is willing to change the Rx, keep in mind your ins. co might not be down with paying for it.
I too was RX'd the 50mcg fentanyl patch to start off with and I experienced the same thing. I reported to my pain management doc that I felt the patch was working on the correct pain receptors but was NOT lasting the full 72 hrs as the RX proclaims. He did state to me that he would advise me to change out the patch every 48 hours but that would not be "playing by the rules"..(not sure what that is all exactly about, frankly don't care when one is in this much pain.) However, he did write me for the 75mcg patch along with Vicodin 10/365 for breakthrough pain.
Somebody somewhere is always saying how dangerous these patches can be but that is why they are only RX'd to those with an opioid tolerance. With the 75mcg patch in my regimen my pain is controlled however I have one big problem. These medicines were given to me for major spinal issues requiring surgery. I have since had the surgery but the surgeon doesn't have the credentials to RX fentanyl to me and now he can not get on top of my post surgical pain. Yikes! It has been only 1 week since my TLIF and all I can say is prior proper planning (on the docs part) prevents pi$$ poor performance.
Additionally, all bodies are different to one another. What works well for one may not be the same for the next body. Talk with your doc there is usually a work-around for your troubles.
I was started at 150mcg for 72 hours. @nd day I was like "oh great, some relief", but afer a few months the 3rd day was like I had nothing. After many complaints and hospitalizations, my "Stingy pain specialist" reduced me to 100mcg evey 48 hrs. I think it depends, person, to person, how fast we absorb the medicine and how long it "works" for us. I, too, am afraid of withdrawal, but will deal with that when the time comes. Some relief is better than none. Said Dr explained to me that I just have too much going on in body to expect pain=free life. Its all a matter of degree, some days I am a solid 9, unable to much of anything, some days a 6 or 7, able to do a little if I really push myself.
Take care and be well to you all.
This is a common issue. Inside the box of patches is the paper no one reads. It states this drug is to last 72 hours, but depending on your metabolism it may only be effective for 48 hours. I change mine every 48 hours. I'm in a tapering phase now from 100mgc down to 25mgc this has been over 7months. My doctor sees I want off this drug and allows me to set the pace. My normal taper is going down 6mgc over a month sometimes every 2 months. The main thing is it's working and I feel like I'm in control! Withdrawal is there a bit but nothing I can't manage. My husband is an amazing support along with my doctor and even the pharmacy is cheering me on!!!
All those who have answered "72hr patches lasting less than 48hr" are a 100% correct. 72hr is a marketing ploy by the pharmaceutical Companies. "Up to" is the operative phrase. Our body temperatures fluxuate all day long. If you sleep with a blanket you'll drain the patch quicker, period. A hot shower does the same. That's the reason why there's no indicator marking device when patch has run out would be proof there not lasting 72hrs.
Good luck to all, be glad you don't live in the State of Nevada, as of January 01, 2018, I have a new doctor... State of Nevada Legislature with a new law greatly hampering doctor's authority to prescribe pain meds. Now pain management in Nevada is truly a real pain.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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