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Fentenyl Patch

I am on day 6 of trying the 25 strength Mylan fentenyl patch. While it is certainly helping, I still need the oxycodone on top of it to function. Even then, the pain is still there.
I have an appt in 4 weeks to discuss it all but wondering if it would be OK to contact my doctor with the above concerns. If I could go to a stronger patch that might eliminate the need for oral meds (which she still ok'd for me)
Maybe I need to give it more time. Any suggestions?
Thank you
Ellen Arnel


  • SavageSavage United StatesPosts: 5,476
    When I started up with pain management, that was the goal...to have daily medication keep the edge off the pain, and no need for breakthrough medication regularly.

    In my case, ex...I take breakthrough meds if I have flares and pain out of control.
    Esp when my pain level is moving towards a 9.
    My PM doctor and I, we have a goal to keep me out of ER

    For me, doctor begins me on dosage for one month, until our next visit.
    I let him know how effective, or not, the medication worked.

    He decides if increase is necessary, or if I need more time to readjust to certain level of pain.
    Again, as explained to me, pain management is to take the edge off, not completely rid me of all pain.

    It was explained to me that meds often times need to be taken three to four weeks before proper evaluation can take place,of their effectiveness.
    There is a reason for not changing dosages too quickly. ...my experiences.

    You mentioned if you should contact doctor with your concerns.
    You can always call doctor for any concerns you have!

    For me, doctor would want to see me, so if I have concerns before my next month appointment, I would need to make another to talk to him.
    Spine-Health Moderator
    Please read my medical history at: Medical History

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