I take norco 10/325, Xanax 1mg and zanaflex 4mg as well and I'm scared that it'll be too much once the patch starts to work.
How long does it take for butrans patch to start working?
Added 6 Dec 2014:
Butrans patch is 20mcg
Added 7 Dec 2014:
While sleeping last night I kept having this strange feeling that I needed help but I couldn't move or scream out for help. First night wearing this patch and I have never experienced anything like this before! It was like I couldn't breath or move my body then all of sudden I would wake up in a panic and sweat. Has anyone experienced this while on butrans patch #20? I'm beginning to think this patch is not for me! My doc told me take norco for break through pain and I'm doing that.
Added 7 Dec 2014:
Please help!!! It's like the doctors and pharmacists are clueless!!
You should experience the pain relieving effects of the patch within the first couple of days. I must warn you that this medication should be started at 5mcg and titrated up. Also, as stated below (excerpt from professional monograph), you must discontinue other opioid-type medications before starting the Butrans:
Use of BUTRANS as the First Opioid Analgesic
Initiate treatment with BUTRANS with a 5 mcg/hour patch.
Conversion from Other Opioids to BUTRANS
Discontinue all other around-the-clock opioid drugs when BUTRANS therapy is initiated.
There is a potential for buprenorphine to precipitate withdrawal in patients who are already on opioids.
So you really need to discontinue the Norco for 24 hours before starting the patch. Aside from this, your other medications are ok to take.
It would be best to have someone around to check on you while you begin using the patch. At least for the first 72 hours someone needs to make sure your breathing does not slow down too much.
- Butrans Information for Consumers
- Butrans Information for Healthcare Professionals (includes dosage details)
- Side Effects of Butrans (detailed)
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