My pain management Doc just prescribed me the lowest dose of the patch but I am reading all these horror stories not to use them running out of options because of severe pain any suggestions would be helpful thank you
I don't know why people are negative about it. After 7 years of use I was able to quit in 4 weeks with the help of my pain doctor. To make it even easier, do it in 5-6 weeks. Cold turkey withdrawal is unpleasant but giving up cigarettes is about 10 times worse. 12.5 microgram per hour will not give you a raging opiate habit AT ALL.
I too was nervous when my pain management doctor rx'ed me the Fentanyl patch, even though (like you) I was given the lowest dose @ 12.5 mcg/hr at first and was not opiate naive. Luckily, I had no adverse effects on the 12.5 mcg dose; however, my pain on that dosage was not relieved properly. My PM Doc, like yours, had said I would probably need to have the dosage upped pretty soon when he had given me the script for the 12.5 patches--this was def. true for me and evident fairly quickly... I was titrated upwards to 25 mcg, then 37.5 mcg, and have now been on the 50 mcg patch for over a year. I will say that for many, it seems, the generics differ greatly on this patch from person to person. For instance, my pharmacy orders the Sandoz brand generic for me each month as I have found it works best for me. It is a clear, thin 'matrix' type patch (like a see-through sticker with the med in the adhesive). However, the Watson brand are my next choice--they have the 'original' gel-type resovoir system (the original brand name Fentanyl patch, Duragesic, had this type of delivery as well) & are a little larger than the Sandoz brand.
Also, I definitely recommend purchasing covers for your patches to keep them from peeling, falling off, etc. Recommended are Tegaderm film dressings (3M & Nexcare makes these--you can find them on Amazon or ask your pharmacy). I hope this helps some! Best of luck to you!
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