this is my first time using the fentanyl patch. I know its a low dose but I am just curious. the doctor prescribed both so I guess its ok. Does anyone have any opinions about the fentanyl
I take 50 mg of fentanyl and I am on 10/325 oxy 1 every 4 hrs. This combination helps keep my pain controlled wonderfully. You might feel a little drowsy or maybe have some nausea in the beginning but your body should get use to it. Just be honest with your doctor on the side effects so that he can help you control your pain safely.
I use fentanyl 62 mcg every 48 hours and take 30-50 mg of oxy in a day so you should be fine.
The only problem I ever had was on 75 mcg fentanyl I took a very hot shower too long. My wife got me out and it knocked me out. I do not know if I was close to trouble, but the pain was horrific. I'd had transthoracic thoracic spine surgery.
You should be fine.
I just want to correct your misconception that you are on a "low dose." You may be, in contrast to other people on these boards, but let me just correct this misconception. You know how people go into the emergency room screaming in pain and they're begging for pain relief? In the ER, the Doctor will typically authorize 5mg of morphine.
With a fentanyl patch of 25mg every 72 hours, you are working with 90 morphine equivalents per day. That's going to the ER and having them give you a morphine push eighteen times... every day... endlessly.
Please know that you are dealing with a very strong medication, which is why it is so critical that you never apply a hairdryer near it to get it to stick better (for example), as heat makes the chemical rush into your system.
Please take good care of yourself. I know you will. An informed patient is the best kind, right? :)
And yes, the oxycodone is a short-acting medication that is meant to treat your "break-through pain." Your patch is meant to provide you with round-the-clock pain relief, but sometimes pain breaks through that anyway, and that's when you want to take your oxycodone, to help stop that cycle of pain. Remember to stay AHEAD of the pain and don't try to be heroic about it. The way pain works is that it can get ahead of you and then you can never seem to catch up to it (or get on top of it again). So it is always a better idea to take an oxycodone when you're thinking "should I? shouldn't I?" and it has been multiple hours - because chances are... you should, and the TRUE pain hasn't befallen you yet, pain which you will regret with tears. Stay on top of your pain, learn to know what your "cycles of pain" are, and you can learn to get on a bit of a schedule where your body needs so much at so much a time, and through honesty with your pain management doctor, your pain management plan can be customized so you can be kept in the 2-3 pain level instead of the 5-6.
I wish you the best of luck - you can do this!!!
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