Hi everyone - I have been on Butrans patches for the last 3 years. I have a good relationship with my PM and I have always followed my drug contract. When I started, I had a hard time getting them to last the full 7 days so she allowed me to wear a 10 and overlap it with a 5 mcg after 5 days. I would put the 10mcg on, on Sunday, and then 5 mcg on Friday and overlap them so I would not need any breakthrough med's like vicodin or oxycodone. I had to change health insurance companies this year because of the new laws and I am having a difficult time trying to get my Butrans approved this way. They will not approve more than 4 a month. I decided to just fill then the 10mcg this month to see if I could make it but the withdrawals on Saturday and Sunday are killing me. It is not just dealing with the increase in pain, I start getting a burning sensation in my legs, followed my nausea and I can barely walk. Even if I were to take oxy or vicodin, they don't help much with the pain/withdrawal since Butrans makes them less effective.
Has anyone else had this problem. I was able to print the forms from the insurance company that asks for an override on the prescriptions but I am not sure if she will be willing to do this. The other insurance companies did not make a big fuss and if she is not willing to argue it through for me, I am not sure I will get it. I am worried if I just go straight up to a 15mcg, then the withdrawals over the weekend will be even worse. I can't really afford to be ill in bed every weekend. I always try to keep the patches from getting hot or wet in the shower and I put tegaderm over them every time. Any feedback would be appreciated.