First I hope this post finds you @ or traveling towards a better place in your battle against all this.
Second, as many of us know converting meds from one to the other can be a bit tricky at times.
Yes, it's all a matter of getting back to morphine, but there is what seems like 'less info' getting into the variables that take into account of a meds, delivery mechanism, true duration, given common results (ex FPatches 48h vs 72h) and all the other considerations than need translation (tolerance, etc).
So with that said I am trying to find more info on transferring from Mylan Fentanyl Patches -> OxyContin. These both as we know have very different mech of delivery action (absorption via body-fat, etc). Mylan's are often only 45-50h for most (2-Days) and it is quite different as we get into micrograms (vs mg) instead with the math.
Anyhow here is the question: What are folks finding when they move from the Mylan patch to OxyContin? I am trying to convert a 50mcg x2 days Mylan -> OxyContin x2 (12h) per day.
I am thinking 10mg x2 OxyContin per day is off, for somebody like myself with multi-year opioid tolerance, etc.
Can anybody help me with the theoretical result and the avg. result of those here who have done it? Obviously if you were once a 2Day Mylan person, even better ;-)
I want to go low as possible, but as we all know from unfortunate experience 'too low' can be just as bad as once you crose the two low line your body starts guarding itself with muscle spasms, intense nausea, migraine, and your reason (triple fusion with 1 level revision and rt leg neuropathy) area can really get drenched in pain, thus the chain reaction.
I always tell nonCP folks pain is exponential and you don't lose an hour pushing too far for an hour, that each hour over can become days fast. So as I am in a predictable my management plan and already have a predictable outcome, I don't want to 'freak it out' if possible.
It's all about the knowledge vs the surprises.
Thanks you all, in advance, ahead of time :-)
PS: For those wondering I want to get back in the pool when I get released again to PT and patchers know, they are very water / sweat unfriendly sadly even if your using tegraderms or the askimas Mylan will send you for free. Thanks Again :-)
Jun 2011 -TLIF @L5-S1
Mar 2012 -NonUnion @L5S1
May 2012 -Multi Level Discography
July 2012 -XLIF 2Cages @L3L4/L4L5
Aug 2012 -All New Hardware @L34L45/L4L5/L5S1
Mar 2013 -FBSS = Pain Management until they figure it out.