I have tried percocet, oxy, vicodin, Hydrocodone with tylenol, I currently wear a fentenyl patch 12 macrograms change every 3 days. All the pain meds I try work for a while 2-3 months then we are just swapping and going to one I haven't been on for a while. Any suggestions on a medication I can take that will last me longer than 5 hours and a couple of months?
If your pain problem is long term, you will need to stick with a controlled release medication where you have room for gradual dose escalation. If you can tolerate Fentanyl, and if it does work for your pain, it seems as a very good option. You are currently on a very low dose and you have a lot of room to go up with your dose to keep your pain under control. It is better to stick to a medication that works and escalate the dose gradually to counteract the tolerance as opposed to switching medication in a very short cycle of only 3 months. People can stay on Fentanyl patch for several years and have their pain under control with appropriate dose escalation.
Hello dear first off that is the lowest mcg of the patch I started at 50 mcg with Norco for break thru pain I am now on 75 mcg with Norco and seem to be doing well in other words have your DR up your patch and give you break thru meds it is a very good med I went around the loopty loop with meds as well and out off all others it worked the best I hope this helped but keep in mind everyone is different what works for one may not work for another I hope you get the help you need as it is so hard for us pain patients to really get the help we need I wish you the best Eric Owens
Dear oncarnahan - I agree with the 2 above answers. 25mcgs is the lowest dose there is, plenty of room for getting it right. Usually a drug works or it doesn't. I am also on patch for Crohns, CAD, Fibro Brain Tumor, Herniated Discs, and a few other minor but ongoing troublesome medical problems. I also take liquid Morphine for breakthru pain. Although I am not pain free, my doc says that it is not an option for me. It does help... Changing drugs every three months is odd to me. Be honest with how you are feeling to your doc. If you start at the top of strongest pain relievers, when you build a tolerance, there is no where else to go. Good luck and be well as can be...
My suggestion would be to stick with one, and get the dosage increased. You are on a teeny dose of fentanyl. Most people are on at least 50. We naturally develop a tolerance to narcotics and need the dose increased. This is not addiction. This is just the normal physiological action. You can't keep switching meds every time the dose stops working, you could make yourself nuts with that. Your dr should be aware of the process and be increasing the dose. Tell him its not working could he order a higher dose.
Wow - sounds SO similar to my situation. Sorry for your suffering. I actually thought Butrans was quite helpful for a round-the-clock medication with 20mg Norco for breakthrough pain. Unfortunately, after two years of the transdermal patch I developed an allergy to it, but Butrans might be worth a try for you. Probably will be less sedating than the Fentanyl you're on now (I am too).
I was diagnosed with CRPS in 2000. After nearly 14 years on every opiate out there I've just been told I likely have Opiod Induced Hyperalgsia. This means that, after years on opiates, my brain interprets things as painful which shouldn't hurt.
This is exactly what CRPS does but the CRPS may actually not be an issue any more. It may simply be the drugs.
I am currently stopping all opiates to give my brain a chance to reset itself.
Tell your doctors you prefer non-opiate medications if at all possible.
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