Have bilateral chronic sciatica causing moderate to severe pain, and a total left hip removal that left me with complex regional pain syndrome and additional severe pain. I have tried numerous non narcotic and narcotic pain relievers which inevitably stop working at some point due to ceiling tolerance being reached Currently I'm only taking 4 tablets daily of the Panadeine Forte (120 mg of codeine is the primary ingredient - 30 mg per pill). My GP is trying to switch me to the buprenorphine transdermal patch at 20 mcg per hour because he believes it would work better for a senior (like me) and also have a longer lasting effect. I've been on this patch for several weeks now and I can't tell that it's working at all. I know the Panadeine Forte is no longer working but don't want to wean off of it until this patch trial period is over. Since the trial hasn't been successful (but should be working by now), does anyone know whether the Panadeine Forte might be interfering with the patch working?
Panadeine Forte when combined with a buprenorphine pain patch will induced precipitated withdrawal symptoms. Only mild as you are only consuming 30mg Codeine which does undergo first pass metabolism to morphine (that's what shows up on a gas chromatography blood test).
The result is that neither can work effectively at all.
You have been doing it wrong since you started. (I can speak from direct experience on that one).
Take care, Steve
rabnud88; I agree with Stephen answer, But before you make any changes you should check with your doctor and let him or her know what is going on. Your doctor should always know what is going on. And as Stephen has said you should taper off of the Panadeine Forte, for at least the life of one of your patches. So you don't get as many withdrawals. And then the patch should be working back to at least as well as it had been before . good luck
- Buprenorphine Information for Consumers
- Buprenorphine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Buprenorphine (detailed)
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