I've been on the patches now for about a year and a half now. Due to chronic back, shoulder, and arm pain. Anyways I'm on the 75's every 48hrs, right now Im given four 15mg oxycodone a day for breakthrough pain, but Im still having a lot of breakthrough pain to the point I get misserable.I dont really wanna keep upping my dose but something has to give. So I was wondering what you found works best for your breakthrough pain.
From personal experience, when the patch is used along with the bt pain meds, most docs would prefer to up the extended release med than up the breakthrough pain med. If you discuss this with your doc, maybe the 100mcg may be better than raising the short acting meds. When you have good extended release pain meds, you usually can cut down on bt meds. I would discuss upping the dose on the patch before increasing the bt meds. The reason for the increase in pain, is the patch isn't working as it should. I hope you find pain relief soon.
i was on oxy's 15mg but my pm took me down to 5mg with 75mcg fentanyl patch!still i'm hurting so i'm gonna let her know next month and maybe they will give me either more mg on break through or higher dose on patch!also took me down from 120to 90 pills !i also have fentanyl citrate to help with the really really bad break through pain!and sometimes nothing and i mean nothing helps !
I was on the 75's for a long time, finally I realized they did not work for me. I am now on the Sandoz pain patch and 100's. The Duragesic pain patch has changed and it does not work. I had a very hard time with pain until I got the Sandoz and I take up to 5 15's morphine a day for the break thru pain. I did really great on the Duragesic until they changed it, now it does not work..I have called them on the new pain patch, I guess I will just have to learn to live with my pain. You can go up on the patch, it will not hurt you, and you may get pain relief. I change my patch every 36 hrs. You may have to do this too, I am not doing as well as I did on the Duragesic, how I wish they had not changed it..I found out the reason it was changed is people miss using it. So they have about ruined my life for a "fix"...
so sad, that people would do this...
hi, after re-reading your answer it appears your dosage is higher than mine, i to am looking for help here about pain med. also my pain is abdominal adhesions affecting my bladder also. i have tried so many pain pills, and been to 3 pain mgmt doctors. they make me cry, intimidate me in a way, saying it is my responsibility to find exactly where the adhesions are i was just giving little history, rite now 25mg patches fentanl every 72 hrs, for breakthru pain 3 10 mg methodone, and 4 norco a day. i find that it takes 1 to 2 hrs for the first pill of the day to start to work, but only last 2 hrs, so then i take a norco. none of these do i take together, this is over 24 hr day. some days even with all this the pain is so bad i just cry. nothing relieves it to just bearable. then i spend more time in bed because of being dizzy or off balance from the meds.
My doctor gives me 2 mg dilauidid or hydromorphone (generic) they are fast acting and I also get xannax or alprazolam (generic) 2 mg bars and they are both fast acting so the alprazolam helps with the anxiety and misery the breakthroughs cause til it kicks it. Hope this helps.
I find with chronic intraactable pain in addition to changing my 100 ugh fentanly patch by Mylan Pharmaceuticals - I also take a combination of Oxycontin 80 mgs tablets, Oxycontin 60 mg tablets and Oxycontin 40 mg tablets and because they are extended release tablets - not fast acting - once my body obtained the proper blood level of medication, my chronic pain was under control and it has remained under good control for the past several years. I have 11 ruptured discs, 7 cervical and 4 in my back, further complicated by degenerative disc disease, spinal stenosis, arthritis, asthma, nerve damage in all 4 extremities, migraine headaches, hypertension, high blood pressure, low functioning immune system, IBS, Barrettes Esophagus, acid reflux, adult acne, hydradentittis supportiva, lymphadema in both legs, allergic to bee stings and assorted other medical issues but those are the main complaints.
I was in two very bad auto accidents - I was hit both times by uninsured drunk drivers so I have been dealing with chronic intractable pain for the past 13 years. I have tried every known type of physical therapy and after having only limited relief eventually started taking narcotic medication and this is the medication that I have been on for the past several years and it affords me the most relief I have ever had. I can live an almost normal life however I do have to watch my liver levels due to taking such high doses of Oxycontin.
You need to work with your pain doctor to determine the best medication for you however if you are in pain all of the time you may want to ask your pain specialist to switch you from immediate release medication over to extended release medication so once you have established a blood level of medciation, then all you need to do is maintain that level to keep your pain under good control. Expeciallly if you are planning to be on pain medication for the rest of your life.
I will pray for you and hope that you find the good pain control that I have been able to find with my pain specialist. Good Luck Angela
I have been off and on duragesic (once up to 125mcg/hr replacing patch every 2 days. I was also given 800-1000 mcg Actiq that would work miracles for breakthrough pain, but since i started back with a new doc in GA, I'm starting at 25 mcg duragesic and 2 Percocet for breakthrough. My patch is helping smooth out the peaks and valleys of the pain, but I need an increase in the patch. The Percocet May as well be breathmints bc they do nothing to help and I'm still 2 weeks away from seeing the doc again. Does the dilaudid work well for breakthrough pain?
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