... symptoms from the fentanyl. I really want to make the switch. Does anyone know how long the withdrawal lasts? I am having to take A LOT of oxycontin to keep the symptoms under control
Pain - I am currently switching from the fentanyl patch to oxycontin, and am having withdrawal?
Added 13 Jun 2010:
I do not understand this. I felt almost full pain relief from the 50 mcg fentanyl patch. It just didn't last longer than 36 hours for me. Now, I'm trying the oxycontin, and I swear, I have to take 80-100 mg to feel anything, and it doesn't last long, like only 4-6 hours. Is there that much difference between the two?
Sorry to hear you're having so much pain and withdrawal symptoms. I'm assuming the oxycontin is the er form since you switched from the patch? It sounds like the dosage may be too low if you're having wd symptoms. I would call your pm specialist and ask for a bt pain med. Either that or go back to the patch or request an increase in the oxycontin. You need to let the doc know you are taking "a lot" of the oxy so you don't risk running out early or having your contract terminated. Please call him/her and let them know about these wd symptoms asap. In the meantime, use some ImdodiumAD, soak in hot baths for body aches, chills, and stay well hydrated. What mg of oxy were you prescribed? Say you were on 50mg patch every 48 hours, 60mg oxycontin 2X daily is not as strong. Just my opinion. Were you given any bt pain med? You should be able to get this under control easily with the help of your doc. Please call asap.
I know how tough it is to control bad pain. Hang in there. Call right away as the weekend is fast approaching. Good luck to you taliecakes and make that call.
I was on 50 mcg fentanyl every 48 hours. The doctor prescribed me 20 mg oxycontin every 12 hours, but he said to take what I needed to be comfortable, and he'll switch the dosage appropriately at my next appointment. However, he made it sound like my max would be 40 mg every 8 hours. From the answer above, it sounds like my withdrawals are to be expected. I guess I will just have to up the dosage, and call my doctor. I have some breakthrough medication, but it's only hydrocodone 5 mg, so it really doesn't do much for me anyway. How frequently can you can take the oxycontin? Because I'm finding it's not lasting even 8 hours?
Really you can take it as often as your tolerance allows. Ive taken an 80mg Oxy and then like a half hour later took another 80mg pill because it wasnt doing enough. Its not like Percocet or Hydrocodone that you are limited due to the damage you would be doing to your liver from the Acetaminophen. So you might just have to bump up your dose a little at a time and see where your tolerance currently is.
Okay, so I called my doctor, and he said I should only be taking 40 mg oxycontin every 12 hours. This just seems like a very small amount compared to the 50 mcg fentanyl every 48 hours that I was taking. Does anyone else agree? And I don't know why any doctor prescribes these ER pills every 12 hours, they do NOT last that long!
First, I am happy to find some mature people wanting answers for their pain problems. I just called my P.M. doctor at home to ask him if I have his permission to take off my 100 mcg. patch, to put on one of my old 75s due to only getting about 30 hours out of the patch, and it being the weekend I can't pick-up my new prescription until tomorrow. We discussed switching to Oxycontin for my primary med. to go with my breakthrough med. Oxycodone IR. I got prior authorization for 60 mgs. to start tomorrow. I was asked by my insurance co. what mg. I would be taking, and I thought 60 mgs. might be a good start. I wanted to say 80 mgs. but I'm trying to think like my doctor, and where he would want to start me at. I think before we start worrying about withdrawal, we should trust our doctors. My doctor may want to start me at a lower dose, I don't know?. I say to you, stay calm, and tell your doctor how the switch affects you.
Hang in there, and try and trust your doctors wisdom, and don't be afraid to tell him or her how your'e doing. I am wondering the same things you are, so I wish you a smooth transition...
I was only getting about 36 hours also. I'm about to change over to Oxycontin too, so you have my attention. First, was it a smooth changeover?, second, did you use a breakthrough medication? , and third, which medication did you use for it?. I would be very grateful for any information you can give me. This is an important change for me. Thank you...
I sure feel like I'm looking in a mirror when I read your post/question. After a week of trying the Oxycontin I new I had made a mistake. So I went back to my pain doctor with my tail between my legs, and simply told him that I should have stayed with my fentanyl patches. So my doctor prescribes me 4 -100 mcg.every 48 hours, after only being off the prescribed 1-100 mcg. about 8 days before when I switched over to the 160 mgs. of Oxycontin. I'm now on 2-100 mcg every 48 hours, and It feels no different than 100 x 48 hrs., except it works... Can I hear an AMEN from all of the fentanyl fans out there... With a smart PMD, and when taking our serious pain medications as prescribed, we can live our lives a hell of a lot better than before we reached out to a good pain management doctor.
It takes work, patience,trust,and time, but I think I have finally found the right doctor, the right medication, and the right insurance company. My arms have $900.00 on them combined, and without the blessing of my insurance company, this could never happen.
I currently am on Fentanyl patch.
I started on OxyContin. 1 x 80 - 3 times A Day. From there My Dr added a 25 fentanyl patch to wear along with my 3 x 80 oxy's.
from there pain was still bad. Dropped OXYS slow and raised dosage on the patch to where i am now which IS :
1 x 100, + 1 x 50 = Every Day !!
YES EVERYDAY I GET A 100 And A 50 patch for My Pain.
So i am NOT Sure IF there Is A Limit to what dosage amount your Dr can put you up to !!
Since as I said I get a 100 and A 50 A Day. GUESS WHAT- I STILL FEEL PAIN. Thinking of Again Asking for An Increase BUT Thinking to Wait till END Of the Year !
BY THE WAY- to ALL Who wear the Fentanyl Patch =
The BEST Patch to get IS Called
" RATIO"= made By Ratio Pharm
The package just has "Ratiopharm"
On the Box !!
Now I Am In Canada & I do NOT KNOW IF The USA Even Has This Brand there ???
Can someone Please Let Me Know?
Here in Canada these ARE THE BEST Over Sandoz-and ANY other Brand Out there. !
but given that and the dosage I am on I STILL FEEL PAIN !!!
And really like how far can I go !!!
This IS VERY High 150 a day .= yes I know and to still feel pain IS CRAZY !!'not all the time but sometimes I WILL STILL FEEL Pain !!
That's all and to all who suffer as I with pain I feel your everyday Pain & hope your Dr Is helping you the Best he/ she Can & If Not = FIND Another Dr = is what I say. In these times there Is NO REASON On Earth Why Anyone should have to suffer with Pain !
YES I am aware if YOUR health care system there and ours here. We do get a lot paid for By Ohip. Government - yes. BUT there was a time we paid for Ohip from when we worked it came off our cheques. No longer it's fully paid by Government. Which IS WHY I am one to NOT scream to loudly at our taxes here. With that and a clean Country / city / ONTARIO where I am. Highways are pretty good etc. all from our taxes. But as everywhere w DO GET RIPPED BY THE Government and their High taxes on everything. Not going there this IS about Fentanyl.
So God Bless everyone & those who suffer pain daily. I pray you get the Help You NEED !!
Dear anonymous, I did the same change you are doing, and first I changed from100 mcgs of fentanyl to first, 80+10=90 mgs of oxycontin. I knew right away this was not nearly enough, so we changed to 160 mgs. After a week I gained enough courage to tell my very "intimidating" PMD that I made a mistake,and to please put me back on the fentanyl patches ,that even with 160 mgs of oxycontin it didn't even come close to the fentanyl. I knew this after 3 days that it was mostly curiosity that I made the change.now this is where it got weird. My doctor said to come down,and he wrote a script for 4-100 mcgs to be put on at once,to change every 48 hours. I looked at my doctor like he was crazy... He swore that after a week of being on 160 mgs of oxycontin, that 400 mcgs would cover the withdrawal. I out loud disagreed, and that crazy look was now on my pharmacist's face, and the silence of the woman with my insurance company then saying "NO".
I wouldn't have put that much on me, nor would my friends at CVS pharmacy.it was friday at 4:50 p.m, and my pharmacist said if you haul a#;! to your doctor, ask him to give you your old dose of 100 mcgs. So I did.after a week, I called to get a prior authorization for 200 mcgs of the fentanyl patch, and after some phone work, I got it through. By the way, I had no withdrawal from the change :-). I want you to ask yourself if the fentanyl isn't working,and with a higher dose, would it work better. My breakthrough medication is oxycodone 30 mgs 6 times a day. I think fentanyl is the cleanest,most effective pain medication there is out there.I can't even tell I'm on them because I don't feel them, and I feel NO side effects. If it's not too late, get back on the patch. Don't believe all the silly stories from people that don't take them as prescribed, by chewing, putting them in unmentionable places,or shooting them into their veins. I hope this helps you not make the same mistake I did. And if you're looking for a medication that gives you a good feeling, save that for your breakthrough medication. My oxycodone helps with my pain, and depression.:-). Have a nice day,and please keep me informed,and how things work out. Be well, sincerely,"seldomright"
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