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Survived fentanyl withdrawal but need a replacement

I have been off of all fentanyl for 3 full weeks but the pain has just been terrible - even with oxycodone and my spinal cord stimulator. Unless this is something that is just "part of fentanyl withdrawal" and will resolve itself, I think I need another extended release pain med to level out these horrible spikes I am getting.

Any suggestions (preferable generic) other than ms contin? I tried that but had excrutiating headaches. Thanks for your help.


  • you could try nucynta er, the doctor should give you a card, and the presription should cost $25
  • My doc is letting me try to ease onto Methadone as a replacement for fentanyl. Cheap and he thinks it may be the ticket for the pain that the SCS isn't covering. He is a good man. He listened and took the time to look over the drugs that are most affordable according to my insurance - thought Methadone, although eventually I may have to take it up to 4 times a day, might reduce my need for most other meds. We'll see
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  • I realize this is an old thread, but my Dr is suggesting methadone as I want to get off fentanyl. How did the switch go for you? Are you happy with the choice? Is your pain addressed by methadone?
    DDD, bulge at C3-C7, L1-S1, hernia T11-T12, L5-S1, piriformis syndrome
  • kathyykkathyy Posts: 585
    edited 04/10/2015 - 11:39 AM
    I found small dosages of methadone way more effective for nerve pain relief. It IS somewhat heart toxic. I have always fought high blood pressure and as a result, my cardiologist recently advised me to get off all narcotics. You can refer to my recent posts on that subject........"off narcotics." Hope this helps you. Best of luck. k
  • I am sort of surprised that your cardiologist told you to get off the narcotics. I also have high blood pressure and when my pain is real bad my blood pressure goes up a lot. Hopefully when you are off the narcotics that you will be able to control your pain so it does not effect you blood pressure or your heart. I sort of wonder if you doctor knows much about how chronic pain can effect are entire body including a increase in our stress levels. Yes there are ways to deal with the stress that is caused by are pain, but is it enough. I guess you will have a chance to find out.
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  • We're all different & need to deal with our pain in different ways. To be honest I've been very different at different points in my journey. I've come off of all of my meds twice since this started. I wanted/needed to see what I could handle. For me, my vitals go through the roof when my pain isn't managed to some degree. I've actually experienced a medical 'intervention' of sorts...3 specialists 'ambushed' me at a regular appointment to convince me that I NEEDED to take narcotic pain medications!! At the time they were very right. Pain was putting too much stress on my body causing all kinds of other problems (they went away once i had my pain under control) Uncontrolled pain can be very, very bad for our bodies. The catch 22 is that narcotics can also be very bad for us.
    We are all on our own personal journey. I've made many mistakes. Do I regret any of them? Only a couple (letting a DO do an adjustment on me 8 months pregnant is one!!) but mostly, No! I've learnt from every step I've taken. At the moment I believe whole heartedly in 'The Blend'. Mine includes narcotic medications. They allow me to function & be more physically active. I have 2 young children I have to run around after. Will my views of pain management be the same when I'm in my 60's? Who knows! We live & learn.
    My moto is try everything & keep what works but my body & my pain is constantly changing so the way I manage my pain changes frequently too.
    Osteoarthritis & DDD.
  • I replaced fentanyl with OxyContin but found I needed too many dose adjustments so I moved onto MS Contin (generic) when I become tolerant to that I will switch to another med. changing narcotics rather than increasing doses has allowed me to maintain pain control without getting upto doses I'm uncomfortable taking over the past 9 years.
    Osteoarthritis & DDD.
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