I was prescribed the 12 mcg and it had little to no affect on the pain, so they bumped to 25 mcg... I have been wearing it for well over 12 hours (i'm told this is how long it will be before it really starts working) and I am still in HORRIBLE pain. I actually had to leave work early because I couldn't stand due to the pain. I am wondering if I need a higher dose or if there is a possibility that this medication just does not work for all people... do you think it's the medication that is wrong for me or just the dose may be too low? I was very excited to try the patch and not have to deal with the rollercoaster of pain that comes with taking pills but now I am really hurting because I don't have the pills and the patches aren't helping. Any advice would be appreciated. Timeline of the patch: 1st applied a 12 mcg patch tues, thursday dr. prescribed 25 mcg patch and I applied that in place of the 12... any input is appreciated!
The initial treatment for fentanyl patch is usually 25 mcg. Since you are opiod tolerant (you said you were taking pills of some kind before the patch) then you will probably need a higher dose. You will have to inform the doctor that you are still in pain and possibly need a dose increase.
It is very likely you just need a higher dose. I understand that your doctor wants you to be on the lowest possible dose, but in my case I started out at 75 mcgs, and that's with only taking hydrocodone before. I know 25 mcgs does help some people though, and really, you want to be on the lowest dose you possibly can. Side effects are so much less, and it gives you a lot of room to increase over the years as your body becomes more tolerant to the medication. Just continue to increase slowly and give every increase a good chance. Do be insistent with your doctor though if it isn't helping enough - the whole purpose is to give you a good quality of life - then get out there and live it!!
hi there i was on fentayl for a few years started out at the 100 patch didn't work, worked my up to the maximum dose of 300 three 100 patches and nothing for me, but that is me. methadone worked awsome for me. but like it was mentioned be assertive with your doctor tell him hey this just is not working and i don't want to jump up 25 at a time try the 75. then go up in 50's. doc can be weird but you have to speak up. i hope it works out for you keep in touch, your friend if needed, amber
keeping your doctor informed if things do not improve as Laurie said if you were taking pills you may need a higher dose, notify the doctor and the more information you can give him then he should be better able to help you control your pain, I hope the doctor is able to prescribe the dose of medicine that will help you feel better
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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