I'm currently on 25mcg fentanyl patch to switch out every 72 hours. I notice on the last day I have breakthrough pain. My GP is switching me from the patches to MSContin. We haven't talked about dosages yet, but I have a lot of anxiety etc issues as well so for my brain I need to start the change off slowly and start on 60mg and then decrease 10mg per month while she throws lyrica into the mix to see if it helps. I am not sure if she will agree to the 60mg start base but I think I can plead my case as she knows about all my MH issues.
Anyway, Has anyone switched from fentynal to MSContin to be weened down/off? How did the switch go? Mine is taking place smack bang in the middle of needing to help dad recover from knee surgery (I'll have to cook, look after the house etc) and I don't want to be sick or out of it too much while my body adjusts. I'm hoping because it's from the same/similar group of meds the transition will be smooth but would love to hear from anybody who has been in a similar position.
L3/4 - disc bulge
L4/5 - dis herniation encroaching spinal theca & L5 nerve root in canal
Lf/S1- Posterior osteophyte lipping between vertebral bodies. Disc herniation encroaching spinal theca & L5 root nerve
**full description in my info**