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Oral Pain Meds VS The Fentanyl Patch

JEMJJEM Posts: 32
edited 06/11/2012 - 8:29 AM in Pain Management
The oral meds don't work as well as they used to, and my doctor won't increase my dosage. I think my disease and tolerance are increasing. Has anyone found that the Fentanyl patch (or generic) worked when the oral meds did not? I've got head to toe pain. Arthritis, Fibro, Cervical Spine problems. I'm a barely walking and talking ball of pain. Any advice? Thanks.
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Comments

  • I know just how you feel! :''( ~X( :(





    Angie 8>
  • I was in that position prior to surgery and they went from MS Cotin to Fentanyl patch. Duragesic to be exact. And yes they did help alot more. Hope this helps.
  • Hello Jem,

    I have been on the Fentanyl 25mcg patch since October- 08. I must admit that it has given me the best and most consistent pain relief that I have ever had. I do break through it sometimes when i overdo it. The one change that I had to make was to change the frequency that I change my patch. Instead of every 72 hours, I now change mine every 48 hrs.

    It took me a good 5 days to get used to the patch-it made me feel like I had drowsy,flu symptoms. Once that was over, I have been fine. The patch allowed me to be able to do PT and got me out of the bed that I was crying in pain in all the time. My pain level went from 9/10 to a 2/3!!!!

    I am still dealing with the side affects including: constipation, drowziness, & short term memory loss. I also had to sign a pain mgt. contract that doesn't allow any driving or drinking any alcohol. You should check with your DR & your state laws to see if driving under the influence of Fentanyl is a DUI.

    I also take flexeril & an inti-inflammatory med

    I am not a medical professional- can't u tell :)

    Just a fellow spiney - neckie here

    If you have any questions, please PM me.

    I wish you all the best!!

    hugs,

    glo :)





  • Hello Jem,

    I have been on the Fentanyl 25mcg patch since October- 08. I must admit that it has given me the best and most consistent pain relief that I have ever had. I do break through it sometimes when i overdo it. The one change that I had to make was to change the frequency that I change my patch. Instead of every 72 hours, I now change mine every 48 hrs.

    It took me a good 5 days to get used to the patch-it made me feel like I had drowsy,flu symptoms. Once that was over, I have been fine. The patch allowed me to be able to do PT and got me out of the bed that I was crying in pain in all the time. My pain level went from 9/10 to a 2/3!!!!

    I am still dealing with the side affects including: constipation, drowziness, & short term memory loss. I also had to sign a pain mgt. contract that doesn't allow any driving or drinking any alcohol. You should check with your DR & your state laws to see if driving under the influence of Fentanyl is a DUI.

    I also take flexeril & an inti-inflammatory med

    I am not a medical professional- can't u tell :)

    Just a fellow spiney - neckie here

    If you have any questions, please PM me.

    I wish you all the best!!

    hugs,

    glo :)





  • I take ms contin and asked my Dr if I could try the fentanyl patch and she said to ask the pain management Dr as he will know if you needed that med instead. My Dr had been giving my meds every month and don't know why she wouldn't try me on this. I said I only see the Pain Management Dr every few months. Anyway I see him next week for my injections and will ask what he thinks I should do. I'm on 120mg taking 30 mg every 6 hours. I still feel the pain around a 6-7 moving around. Let us know how it works for you. I hope I get a script for the patch. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • When my neurologist first suggested the patch a year and a half ago I resisted. I wanted control over my medication and felt like I'd feel too "drugged" with the patch. I finally gave in after a trip to the ER for severe pain and boy was I wrong! It has, by far, been the most effective pain relief that I've been on.

    Like some others here I change my patch every 48 hours but most are fine on the 72 hour schedule. It doesn't help with my nerve pain but I've taken very little break through meds since I've been on the patch. I have no side effects save the occasional skin irritation from the adhesive.

    Your doc is the most qualified to make the determination if the patch is the right med for you. It really is intended only for long term pain and is a strong medication. Talk it over with her/him.

    I hope you find the relief you need.

    Griff
  • I started off with fentanyl patches for my pain after having a microdiscectomy, and it's been over a year now that I have used them. I change it every 2 days and I feel no euphoria or alteration. I do need BT meds and am allowed 6 pills a day. The pain specialist would be the best one to determine if it will help you. I hope you feel better soon.

  • Out of all long acting medications I found the patch to work the best. They started me on 12.5 then up to 25mcg the following month. I then went off them when I had a surgery date for my lumbar. (should of stayed)
    I also have fibro, osteoarthritis and a ton of spinal issues.
    In my personal experience this has to be done through a Pain mananagment dr and there are 2 different types.
    1 does only injections
    2nd does medication and or injections.
    I also found in my area anyway, that PM will not help out fibro and arthritis with a pain med. I imagine there is someone but it would be to far away. My friend just went to one that I will be going to for my back and he gave her topomax. As she just went in for the achy joints, fibro etc.
    There are some primarys that do take control of their patients pain control. Thats a catch 22 in some areas also.

    Have you tried all the meds out for fibro and arthritis??
    Any type of therapy?
    Also has surgery ever been mentioned for your stenosis? As it can be a very painful diagnosis for some depending on the degree. NOT that surgery is a cure. And is always the last option a Dr will give you depending on the circumstances.

    If you do get a PM appt, always make sure to let the dr go over your records and give you advice on what meds or treatments should be tried.
    When someone goes in asking for a certain medication it raises a red flag to some.

    Let us know how you make out. I know I just got all my surgery records faxed Friday and they could not get me in till the end of May , so sometimes its a wait.

    I wish you the very best of luck!!! I feel your pain everyday!
    Terri :)
  • I switched to the patch 2 months ago from oxycontin. My Dr increased my patch to 75 mcg and still no relief. I feel ok for about 24 hours on it. I also sweat profusly. He said we can switch back to oxy next appointment.
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