A friend of mine has to go off the Fentanyl patch 150 mcgs as her insurance company will no longer cover more than 3 boxes a month. There is no way to get 150 mcgs at less than 4 boxes (changing patches every 3 days). She was changing every two days, which is 6 boxes a month. We meet with her pain specialist on Wed. to explore her options. What would be comparable pain medications for her, and at what dose? She's been living with chronic pain for about 15 years now, and was doing well on the fentanyl patch with Oxycodone 5 mg for breakthrough pain (she's been on the patch for 10 years now). Thanks for your comments!
That sucks! This is in part why drugs like this make their way to the street! Insurance stops helping, people are then left with no choice really but to tapper a bit, and sell what they can to cover the costs! No one wants to change meds and I don't blame them I know how long it takes before you finally find the right medication that works. Just to get to somewhat of a life you had before!!! All of a sudden insurance changes and your back at square 1!!!
Sometimes I can't even blame the ones who sell some to make money to pay. I'm not saying your friend is going to do this at all. But some seem to have no choice! Specially after years of being used to one med then find out you may have to change! Urg that's frustrating.
There are many meds if taken enough would prevent any sort of WD but weather they work for the pain. Weather she has side effects or not is a whole other ball game. If I were her I'd find a way to stay on the meds I know already work. Could their be any chartitys Or groups that help with the costs of meds? If you would like I can do some research and see what I can come up with and we could bounce ideas off eachother just shoot me an e mail.
Opana-ER [brand name; active ingredient oxymorphone] might be an option. It also comes in a variety of strengths. As to whether or not your friends' insurance will cover it at all, or sufficiently, is a different matter.
There are also extended-release formulations of morphine on the market. She should also check with her carrier on this matter; as they may (or may not) cover generic formulations of this compound but [potentially] not certain brand name versions of this medication.
Methadone is another possibility. It is a relatively long-acting and effective pain medication. Its [alternative] use for opioid addiction should not preclude her from discussing this as one among her options.
Lastly, perhaps she might continue with 3 boxes a month; supplemented with an additional pain medication and a modified prescription regime.
I hope this information arrives in time for her appointment later today.
i too have a friend whose insurance says no more, i am sure she is desperate, as my situation has a ten day window (only).
Chronic pain also from an amputation and complications from a massive trauma to lower pelvic area and below ... resulting in cutting my leg off.
so now what, after 10 years, must i relive the pain of that night and my forever changed life since then, and why change insurance... is there anybody out there
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