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Where is the best place to put a fentanyl patch?

1pandora11pandora Posts: 1
edited 08/01/2015 - 11:01 PM in Chronic Pain
I am a newbie, finally having a doctor begin to find pain control that would work for me. SInce november, 2014, I have been increasing morphine (20 mg long acting in morning, 3 5mg. breakthrough pills/day and 30 mg long acting morphine at night. It took until March to finally become a new person and I could move and teach without screaming. On July 13 I went on a 12 mcg/h fentanyl patch with 3 5mg morphine breakthrough tabs throughout the day. However, when I ran out of the morphine and discovered my doctor is gone until August 17, I am back to screaming every time I move. I have an appt. (1st ) at the chronic care pain clinic on Tuesday and I hope someone can renew the 15 mg of breakthrough morphine daily. I cannot live like this until August 20 at my next doctor appointment. I found the morphine alone much more helpful and had felt better than I had ever felt for most of the years of my 74 year long life. Why did I go on fentanyl and why is it not working? It is tolerable with the 15 mgs a day of morphine, though. In addition, I have had gastric surgeries, acute pancreatitis a few times (not sure how that happened), breast cancer 15 years ago, diverticulosis, IBS and I make ulcers really well, and bothering more than anything, a left knee injury and my 45% scoliosis which is interfering with walking. I had to come home today because of the pain, but I also had an emergency endoscopy tuesday night for a piece of food lodged in my esophagus. I have to have another scope in 2 weeks, as GERD has narrowed the esophagus and it is getting worse. How do I get the morphine breakthrough renewed by another doctor so I can sort of survive until August 20th? Is there a magic place for the patch to be placed? Is it dangerous to put on 2 of these patches or will the pain clinic ease my suffering? I am a wreck, but i teach musical theatre and singing and cannot live without working, due to many tragic events through my life. I take 2 15 mg a day of Serax, but one doctor keeps wanting that to be reduced, but I have extreme anxiety and cannot foresee stopping this relief. I ams ordering if more Serax would stop some of the spasms and do pain clinics get into this also? I am so depressed, also, have antidepressants, but I cannot give up. I just want to feel like I did when I was on the morphine pills only. Why did that work and what should I do and tell the doctors? Have any of you been through this? Thank you.


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  • A fentanyl patch is an area of the body that has little hair and muscle movement is minimal. You can also use bioclusive coverings on the patch which help it stay in place. I found the upper arms, and lower calves to be really good locations .
    I am wondering how you can be out of morphine already if you just went on them July 13th? You NEVER should be using more of a medication than you are prescribed without the consent of your prescribing doctor before hand.
    Breakthrough meds are not meant to be taken on a regular basis, they are meant to be used in situations where the pain has severely increased . Taking them on any kind of regular basis only increases the amount of opiates your body expects to have in your system and leaves you nothing to help for those severe pain flares.
    Getting medications you are being prescribed by your pain management doctor from any other doctor can result in your not being prescribed pain meds again by any doctor, so I would not go to a different doctor to try.
    It sounds as though you may have used up the morphine too early ,and if that is the case, you may find that the doctors will not continue you on medications if you are self medicating or not following dosing instructions.

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