I am on 100 mcg every 48 hours. I have Lupus and fibromyalgia plus some other smaller things. The dosage was great for a while but my condition has gotten worse and I don't feel that raising the dosage on patches is the right thing at this point. By the way, I was diagnosed in 1998.
Why not raise the dose on the patch? The goal in pain management of chronic pain is to prevent the pain, so a long term med is used. Taking a short acting med when the pain gets bad you are just chasing after the pain. Oxycodone is pretty good as a breakthru med with it. I'm not saying you shouldn't have a breakthru med, I'm just saying you should be on enough of the long acting to not need it often.
klymom3, Hello. kaismama gave a great answer. I understand not wanting to go higher on the patch. I went up to 150 mcg Fentanyl. My skin was just getting tore up, because, for me personally, no tape, covering, nothing would keep that patch on for nothing. I'm glad I'm in the minor majority of people this happens too. At first, my dr. Put me on Percocet and Vicoden 10 mg for breakthrough pain, when I was on a lower dose of the patch. It didn't really help, until he changed it to a little bit stronger Oxycodone. When I first started having to take much stronger pain meds. than just Pecocet, I didn't only hate having to do it, but my Husband hated it. He wanted me to have pain relief, but was just worried too. So, tell your Dr. Exactly how you feel. Hopefully, he will make some arrangements and you will be in less pain. Many Blessings, Ruthie
The reason I'm leary about upping the patches because I just update every 42 hours probably like a year ago and 6 months before that we update 100 milligrams. I know that it definitely help but it just seems like it's no enough help right now. I really hope that this is just a spell I am going through that is another reason Im leary about increasing patch. It seems so, final. Like i am admitting it's not gonna get any better. Does any of this make sense? I appreciate all your thoughts and prayers.
I totally understand about not wanting to increase the dosage of your patches. I go through seasonal flares in the winter, and my doctor just increases the dose and frequency of my immediate release medication so it's easier for me to decrease my medication when my seasonal flare is over in the spring. I take oxycodone immediate release pills, anywhere from 10mg to 20mg, and anywhere from twice a day to 6 times a day, all depending on what time of year it is. You might want to try something like that.
I used to be on patches years ago (75 mcg/48hours). I went off cold turkey in the hospital because of those & the other meds I was on but for the month prior I could not keep anything down & no sleep so that was weird & doesn't have a lotto do with the rest of my answer But...
Now after several recent surgeries I got up to 100mcg/72hrs. I've been tapering ss I have more surgeries required & my docs & I were worried with tolerance the meds were going to stop working. Im also on oxycdone & it doesn't seem to be as effective as it used to be. So I've tapered down as follows: from 100 to wearing both a 75 & a12 patch at the same time for a month, then 75 for a month, now 50 &12 together. My insurance is covering it But I'm not sure if I will be successful & I'm certainly not suggesting this for you. Just wanted to give you someone else's experience. I would like to get off completely to be able to have a baby but I'm scared that may be impossible. With all my physical issues I my have to remain on some level of patches & oxycodone & soma & lyrics, etc.! Oh boy! Good luck to you!
Hello - I think you should have this conversation with your prescribing physician and instead of increasing the dose of the patch why not ask your doctor if you can simply change patches every day? Also if you are having chronic intractable pain, you should ask your doctor to prescribe some long lasting time released pain medication to get your pain level down to around a 1 or 2.
If you are having to deal with break-through pain then you need to ask your doctor to prescribe something that is fast acting and taken on an as needed basis.
We are all individuals and just because a certain pain medication works great for me, that same medication may not work for you at all. This is the reason why there are so many different types of pain medication. You need to work with your doctors to find that right medication for you. You should also consider different types of therapy - accupuncture, accupressure, exercise, ultrasound, TENS Unit, chiropractic manipulation, massage, heat/ice, stretching/yoga, meditation, hypnosis, self-hypnosis, behavioral therapy, group therapy - to name of few of the different therapies available. Keep searching until you find the right combination of therapies and or medications that provide you with the most relief. Good Luck - Angela - I spent 5 years trying all of the physical therapies I could find and finally ended up with a combination of physical therapy, tens unit, exercise, massage and narcotic medication. I have nerve damage in addition to 11 ruptured discs complicated by spinal stenosis, degenerative disc disease and arthritis to name of few of my medical issues. I am in chronic pain every day and with the therapy and medications my pain level goes up and down between a level 2 up to a level 7 - so I have good days and bad days - just like everyone else in the world.
Best of luck to you - Be honest with your doctor!
There is also a narcotic drug called Opana ER for extended release care and Opana (generic oxymorphine) for breakthrough pain. It comes in many strengths. It works wonders for me. It is the new oxycontin I've been told. From what my pain management Dr. told me, it's great for people with lupus who take alot of medicines because this one doesn't break down in your body as easily from other medicines and, therefore, will remain whole to do it's job in your body and not be affected by other meds! Maybe worth looking into! :)
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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