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Should I switch from Fentanyl to Butrans?

I have been on some type of pain meds since 1998. About 5 yrs ago I was taking Oxycontin 80 but they would only work for about 8 hrs instead of the 12. Found out that because I have colostomy the pills were not dissolving before passing through, so my pain doctor put me on Fentanyl patches. Started at 75's and was up to 175's for awhile, plus also was given 180 oxycodones/mo. I didn't take the oxycodones except couple times a month, just made me extremely tired. I went back to my regular doctor and we got me down to 125's without anything else. I have alot of pain now because I have been on same dosage for last couple years but don't want to increase. I have been researching what other options are out there and heard about Butrans, sounds like it might be a good option for me. I like the 7 day patch vs. 3 day that my Fentanyl is. What do other users think, should I try Butrans? I have injuries at L3 & L4 plus Fibromyalgia, chronic fatigue, severe osteoporosis and undiagnosed leg pain. THANKS
L3, L4
Fibromyalgia,Chronic Fatique
Severe Osteoporosis
Undiagnosed Leg pain


  • LizLiz Posts: 7,832
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • if it works don't knock it...talk with the doc about your concerns about an increased dose but if you are getting relief under 5/10 to me I won't mess with anything that is working unless it's a fortune....
    I'm on 50mcq of Fentanyl and a breakthrough pain med it works wonders and has been the ONLY thing to help the SEVERE nerve pain of my left leg. I also take a high dose of Lyrica too. I increased to this patch dose after just about 2 yrs so it holds me awhile and I don't have the up and down of trying to manage pills.
    just my 2 cents
    take care
  • heywwjdhheywwjd Posts: 5
    edited 04/07/2013 - 8:00 AM
    Thanks EMC, I am just hesitant to increase my Fentanyl because I am on pretty high dosage already, thought switching to something else for awhile might be best option. I don't take anything for breakthrough pain so maybe thats an option also. I tried Lyrica and it made me EXTREMELY sick. Glad you have found something that works for you.
    L3, L4
    Fibromyalgia,Chronic Fatique
    Severe Osteoporosis
    Undiagnosed Leg pain
  • I am on the Butrans patch and I think it works great. I have never been on the Fetanol patch but I do like the Butrans patch.
    I also take breakthrough meds as well and the coctail seems to work for me. Fibro pain is a much different pain than I have but if your current RX are not working talk w/ your MD and suggest a change. Again, it works for me but may not work for the next person.
    Ive had L45 Lami and 4 5 Fusion. Herniated C 6 7, and now S1 and 5 nerves impinging on root. I had recent injections (3) paired w/ my meds and its helping me.
    I heard Fibro pain is very intense-- Keep us posted and good luck.
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