Hi, I am concerned. I have always believed you must take some kind of breakthrough medicine with the Fentanyl Patch. I currently Take Fentanyl 100mcg patch every 2-3 days ( depending on if patch actually stays on my arm even with a Tegaderm film). Also, for over a yr. I've taken 4 Norco, and 2 , 4mg dilaudid pills per 24 hrs. It's a lot I know... so, I sought help. l got a new PMD. He insists on no Narcotics for pain eventually..seeking other methods for chronic pain in hips, spine , legs. I am being told I can take Fentanyl any mc amount, without extra pills eventually after ween down process. He said , work w/your current medication, but slowly leave out 1 pill, 2 etc, until you get to 0 pills, and 50 mcg of Fentanyl, I will help you then. You will have much less pain. I thought w/ Fentanyl, you were suppose to me taking breakthrough meds , such as Norco, etc. at least maybe twice daily at minimum to take safely, Fentanyl patches?? I was I guess misinformed? Can someone please reassure me , he knows his meds? I want to follow his directions, but am afraid to take 0 pills and only be on Fentanyl patches!! Thank you so much for feedback and information regarding this.
I was on Fentanyl only for about 7 years, 3.5 of those with a necrotic broken hip. Breakthrough pain medication like opiates can dramatically change the effects of Fentanyl (in me) and makes me stoned and dozey. I'm not allowed to take anything that might be recreationally used, so no other medication allowed at all. See how you go without the pills. The pain relief will NOT be the same. That your patches always fall off I suspect you have not read and followed the application instructions to the letter; I think I lost 3 patches in total and one bonded so well when I removed it it tore off the skin (Duragesic brand).
Pain is all relative which Doctors seem to fail to understand. They asked me my pain score in hospital and I said about a half to one which they could not understand. I told them they said to grade it from 0 to the worst pain I could imagine at 10 (which can only really be tested with pain). I told them that when I had been screaming the day before; that was a ten and while it is a piece of agony I can talk and think and about one tenth as bad as the previous day.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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