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Appt w/ PM, Butrans patch anyone?

Trisha68TTrisha68 Posts: 32
edited 06/11/2012 - 7:57 AM in Chronic Pain
Hey everyone!
I had an appt with PM a few days ago and had a complete meltdown in the office. I'm not a cryer but let me tell you I did a great job of it! LOL! I am just so tired of hurting all the time. I was taking Norco and it stopped working. I also take Lyrica, Naproxen, Flexeril. The Dr put me on a pain patch called Butran or Butrans. I don't have it yet because the pharmacy had to order it. He told me that he understands that I'm in pain because my body creates a lot of scar tissue at a fast rate. He told me he knows how I feel about another surgery but eventually I'll have to see nuero again. I'm not sure I'd be a candidtate for another laminectomy because they've already taken so much bone to allow for scar tissue that it's caused an unstable spine. Anyway, I'm picking up the patches Monday and was just wondering if anyone else has used them and how they worked for them.
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13

Comments

  • P.S. I will still take Norco for breakthrough pain.
  • I've been on butrans for about 6 months I am on the 10mcg/hr patch. You put one on every 7 days and alternate the site. I have not had any side effects. I am also on Lortab for breakthrough. I still have constant pain but the Butrans has brought it to a manageable level. The worst part about the patch is the skin reaction at the sight. Make sure you put it on tight and that there are no bubbles. A couple of times there was an air bubble and it cause localized pain at the site. I get a slight rash which takes a couple of weeks to heal.
    The sites that work best for me are on upper back and on upper arms. Also on upper chest but I have a lot of chest hair and I have to shave a couple of days before and end up with ingrown chest hair.
    Good luck, hope it provides you some relief.
    laminectomy c4/c5 2008, ACDF c4-c7 Jan 20 2014 sched
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  • Thanks for the info! I wish something would take it all away as I'm sure everyone else does.
  • I hope the Butrans patch works for you though it can work as an antagonist against the Lortab from working for breakthrough pain but you can ask the Pharmacist about that if you like. I have no experience with the patch but hope it helps you. Take care. Sara
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • It knocks you about for the first two weeks. Feeling very spaced out. Not nice unless you like the feeling.

    I started on 5. I had extreme vertigo, sickness, hot flushs, night terrors. Yet that stopped completly.

    I went up to 10.

    I could not move without them, no under estimtion.

    Only trouble is that for me they last 6 days only, so I have had permission to chnge ever 6 days.

    If you can cope with temporary side effects, please do.

    I recently added another 5 to make it 15 but I felt drugged up and thus just took the extra 5 off within 2 hours.

    It dont touch nerve pain, yet mucle/scar issue, wonderful

    I hope you find this too

    :-)

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  • Thank you Charry and Millie. Millie, I have a question. I have an obligation in a town about an hour from me 6 days after I start using the patch. It's a huge product party for my business and I have to be there, no ifs or buts. Do you think I'll be able to drive to it? I might have to get someone to drive me there. I hope I will be able to do the presentation. Like you, I have to do something because even with Norco it's taking me several hours to get out of bed in the mornings. I have my meds and a bottled water beside my bed.

  • I am very able to communicate in day to day tasks, yet whereas I used to be very on the ball with a pressured job,I wouldnt be able to on the medicine cocktail I am on.I dont believe Butrans affects one like this after the 'getting used to it' period.

    I am not able to drive anymore sadly as I have great troule sitting upright. I think you are wise to get a lift,just incase.

    There are 3 reasons I would delay wearing the patch until after your big day: It may be wort you starting it a week late.

    1. The pain relief wears off a lot by day 6 and the agony is rather awful.I feel this is because we tend to do a little more movement when the dosages are at the highest leels, for me days 2 -4.

    This is why with my GP's permission I change every 6th day.

    2. It takes about 10 times longer before information seems to reach the mind and absorb the information, so presenting to others is rather difficult, rather feels like one is tipsy after some wine.This lasts for 2 - 3 weeks.

    3. The first few weeks you may feel very sick and/or drop off to sleep at a moments notice.

    It sounds awful as I write this, but its only short term.Those horrid tooth-pain type aches we get are dampened a lot by the patch. Ok nausea is awful, yet ladies get pregnant and feel nausea and are ok.You may wish to ask your pharmasist if anti-nausea tablets are allowed if you feel troubled by this.

    4. Please be careful where you place the patch. I put it on my un-fattest part of my arm and I lay on it alot. This caused the patch to heat a lot and the dosage I got was higher when I slept.It was not nice. Also they develop an ugly black glue around them (fibres stiking to the edges of the patch I think) so place where it can be covered if planning on wearing a summer type top.

    Sorry for the essay, I thought I'd cover the basis for you,no one old me about these and I felt very alone.

    :-)
  • Millie, thank you so much for all the great information. My husband and I both are really excited about the patch because we've been reading alot of people say that it has helped them so much. With a huge smile on my face I asked him, "can you imagine a whole week without me being in bad pain?" I'm so glad you said "tooth pain that we all feel". I describe it just like that. Like a bad tooth x's a hundred. LOL. I think maybe I'll try it and if it looks like I'm going to be impaired too much I'll take it off 24 hours before I have to go. I just want this pain to stop so bad that I'm not sure I want to wait. I'm like a kid waiting to open a gift. :)
  • Millie, thank you so much for all the great information. My husband and I both are really excited about the patch because we've been reading alot of people say that it has helped them so much. With a huge smile on my face I asked him, "can you imagine a whole week without me being in bad pain?" I'm so glad you said "tooth pain that we all feel". I describe it just like that. Like a bad tooth x's a hundred. LOL. I think maybe I'll try it and if it looks like I'm going to be impaired too much I'll take it off 24 hours before I have to go. I just want this pain to stop so bad that I'm not sure I want to wait. I'm like a kid waiting to open a gift. :)
  • hi Trisha

    Is no a good idea to take the patch off, you could be in ultra agony. Plus it dosnt just stop us feeling awful, it can make us feel worse. I am sure by day the initial awfuless will hve worn down, just be prepared for pin.

    It wot take the nerve pain away sadly. I not you tried Lyrica, all this did was mke me feel stoned.Butrans certainly does not do this.

    I wonder, do you ever have muscle spasm (I have a spinal cord injury so not sure if spasm would affct you).If so these produce its own awful pain. If you do have these and would like any further help with these do let me know :-)

    For nerve pain, I use Lidocaine patches (lidocaine is what they use to inject us when having dental surgery). Your dr may not offer you them as they are expensive.I find Aitriptylin at night and then Duloxetine in the mornings help.

    I personally would say stick on the Brutans patch right away.Feel free to pm me.

    :-)
    Best wishes



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