He moved home to get off of them and was down to 20 mg IV daily. He slowly, over 3 weeks, tapered from 180 mg IV daily. Now he has kidney stones. Of course the pain meds are immediate release opiates and don't work as well as they could because of his tolerance. We need to control his pain without feeding his addiction any more than we absolutely have too. Any suggestions that I can discuss with his doctor would be appreciated.
You could talk to the doctor about Fentenly because it is harder to use I.V? It is strong BUT if you get Duragesic they have gell that CAN BE COOKED & INJECTED,so if they do write that have them make sure he can't get brand only Mylan because they are pretty abuse proof,besides that I don't know what to say except good luck.
I would like you to explain why you are giving the doses as IV ? Is he on something that is supposed to be injected, or is he crushing pills and then shooting them?
Buddy is right, the only thing I know of that can't be shot is The Mylan Fentanyl Patch. And only the Mylan Brand. Make the doc write Mylan on the script in ink. Any other Fentanyl patch has a gel that can be shot and if done wrong, he will die. I know of a man who died on the bathroom floor with the needle in his arm. But the Mylan Brand cannot be abused unless he wears too many. There is a Narcotic Equivalency Chart online that gives equal amounts of other opiates to the Fentanyl patch. Google Narcotic Conversion Charts and find it. I just saw it a few days ago.
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