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Fentanyl Help

BIGGIsmallsBBIGGIsmalls Posts: 8
edited 04/22/2014 - 12:00 PM in Pain Medications
Hi everyone.

I'm new here so please excuse me if this is in the wrong section. I was put on fentanyl a couple of years ago for bad back. I was started out on 50 and I'm now on 75. It was working great but after a while it wasn't working as well. A friend told me to cut a piece and chew on it, the rest is history. I had no idea at the time how evil these things were. Now, I seem to have a very small piece in my mouth all day long. I use one 75 a day. I want to so very badly come off of this stuff but it's been the hardest thing I've ever tried to do in my life. Can anyone please help me by giving me their experience? If any others chewed the patch and got off, how did you do it? Any and all help would be appreciated. Thank you all.
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Comments

  • sandisandi Posts: 6,269
    edited 04/22/2014 - 11:59 AM
    I don't know why you would listen to someone who told you to abuse/misuse the medication. You are lucky that you are alive to tell the tale. Doing what you are doing is dangerous and often deadly.
    As for what you need to do, you need to have a frank, honest discussion with your doctor, and he can help you develop a tapering plan or put you on suboxone.
    Any medication, when used properly is going to lead to tolerance issues, which your doctor could have helped you with by changing the dosage or the medication that you were taking.
    I would strongly suggest that you start by putting the patch on, and leaving it on, and contacting your doctor for an appointment to discuss your options going forward. DO NOT put another piece of the patch in your mouth.

  • Thank you Sandy. I know I'm going to get some answers I don't like. And to be honest, I didn't think chewing such a small piece was that big of deal, I know I was wrong, but I have to try and move forward. I also know I need to just put it back on and leave it there, problem is, I just can't seem to leave it on? And when I do leave it one, I feel like I'm withdrawing? So, Im not sure how to go about this? But thank you for answering me.....:)
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  • Also, my Dr doesn't want me off this stuff. I've explained to him I don't like it, but he says it's best I stay on it. I haven't told him I chew it, but I might tell him next appointment. He and I have a very good relationship, and I would feel horrible that I betrayed his trust.
  • I know and understand, but what you did could very well have been deadly......you may very well be experiencing some withdrawal since chewing the patch as you did released all of the fentanyl in that bit of the patch each time you did it....so you inundated your body with all of the fentanyl, many times over during the course of a day.....It might very well be uncomfortable for you for a few days, but the best advice that I can give you, is to have an honest discussion with your doctor. How are you not running out early every month, if you are chewing a patch a day? What are you doing when you do run out?
    I would strongly encourage you to put a patch on, and leave it on........it will hold off the worst of the withdrawal symptoms, and there are things you can do to ease the rest of the symptoms. Immodium helps with the diarrehea if you have it, and coke syrup available in pharmacies help with the stomach upset........gatorade and even pedialyte help with keeping the electrolytes in balance.......and melatonin helps with sleep.....
    The worst of withdrawal should be over in about 3 days, and toward the end of the third day, you should be feeling a little better.....
    Read the do's and don'ts of pain management at the bottom of my post.......
  • I'm sorry this has happened to you. Your friend gave you some terrible advice. You are going to need to come clean to your doctor. It's going to be hard, but I don't see any other option. As to what he will do, I don't know. I don't think he'll be angry. Explain that you did this on the advice of your friend when you felt the medicine wasn't working anymore. I think you and your doctor should be able to work things out so that your pain is controlled without needing to take medicine the wrong way. The fact that you are not using more medicine than prescribed, just using it the wrong way, is a positive thing.
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  • Thank you all so very much for the advice...:) I also need to be honest with you all, I am running out early, and this is what really bothers me the most. I have been buying off the street from a guy who sells his instead of using them. I know it's wrong, I really do, and it depresses me to think I've sank this low. I've never been one to abuse anything, heck, I don't even drink. When I started chewing the patch, very little pieces, 1/8th of an inch, I felt instantly better, I had a little energy and life just felt better. But it really is bothering mentally what I'm doing because although I feel so much better, I know what I'm doing is wrong. My biggest problem is I can't stop chewing the damn things, I know more than anyone that I need to get them put back on and I still can't get myself to do it without feeling like total crap. Do you all think that maybe I should ask my Dr to boost me up to 100 per patch as I would get more then the 75 so it would be a little more med into my system? But I'm also to the point I don't think I can trust myself. This is the position I'm in. This drug has really helped me, but had I known then what I know about it now, I would have said HELL NO to it! and suffered.
  • I'd like to also say that the last 5 days I've got down to about 50 or less a day. I've really stretched it out. I know it doesn't sound like much or a lot, but for me, that's really a big deal. But it's been a rough 5 days. But man, I'm trying my best
  • It may be difficult to tease out what is happening here. For one, you have pain, so you are using to control it. Tolerance to the meds is resulting in escalating dosage and needing to buy off the street. It sounds like you are medicating your pain but also getting high. Do you use just the amount to control the pain or do you take more until you feel high (relaxed, sense of wellbeing etc.)? I am in no qualified to diagnose an addiction but there are several warning signs you seem be experiencing. Chasing the high, loss of self-control with regards to usage of the drug, buying off the street and deceptive or manipulative behaviour to hide drug use or obtain drugs are some of them. If you feel you have lost control, you may need additional help. Counseling, Narcotics Anonymous meetings, inpatient rehab and opioid substitution therapy (methadone or suboxone) are some ways people get control of their addictions. As you have pain requiring strong opioids anyway, you would probably benefit from substitution with methadone or suboxone. These are effective painkillers and can replace your Fentanyl. They are given in ways to avoid abuse such as a single dose being dispensed at a time, at least to start off with. You may not need all these measures. I may have misjudged your post and your situation may not be so dire but either way, something needs to be done. Many people have died from fentanyl patches being misused. Even applying heat to the area with the patch has killed people. Things will get better, but you need to see your doctor and you need to be 100% honest. If you keep going the way you are, it won't be pretty. Trust me.
  • mcjimjam said:
    It may be difficult to tease out what is happening here. For one, you have pain, so you are using to control it. Tolerance to the meds is resulting in escalating dosage and needing to buy off the street. It sounds like you are medicating your pain but also getting high. Do you use just the amount to control the pain or do you take more until you feel high (relaxed, sense of wellbeing etc.)? I am in no qualified to diagnose an addiction but there are several warning signs you seem be experiencing. Chasing the high, loss of self-control with regards to usage of the drug, buying off the street and deceptive or manipulative behaviour to hide drug use or obtain drugs are some of them. If you feel you have lost control, you may need additional help. Counseling, Narcotics Anonymous meetings, inpatient rehab and opioid substitution therapy (methadone or suboxone) are some ways people get control of their addictions. As you have pain requiring strong opioids anyway, you would probably benefit from substitution with methadone or suboxone. These are effective painkillers and can replace your Fentanyl. They are given in ways to avoid abuse such as a single dose being dispensed at a time, at least to start off with. You may not need all these measures. I may have misjudged your post and your situation may not be so dire but either way, something needs to be done. Many people have died from fentanyl patches being misused. Even applying heat to the area with the patch has killed people. Things will get better, but you need to see your doctor and you need to be 100% honest. If you keep going the way you are, it won't be pretty.

    And no, I don't think you should ask your doc for a stronger patch. You cannot do this on your own. You said yourself that you can't stop chewing the patches. That means you are going to need help to stop.
  • If you were in Australia they would probably put you on a methadone program. That way you get enough to control your pain but it is taken under supervision. It's better than chasing round the streets looking for narcotics. And spending the rest of your life waiting to get your next fix. It also doesn't cost anything here - so the continual waiting and chasing down narcotics are gone. I guess the underworld of drugs isn't a really good place to be.

    Talk to your Dr - you've obviously had enough but only you can decide for yourself. Anything we say will fall on deaf ears until one of your friends dies, you are put in a situation where people would kill you for illegal drugs, someone steals from you and no-one in your circle of friends cares about another person - drugs are more important or something drastic happens to make you want to change.

    But if you do it now you won't waste years of your life with a drug controlling you, your behaviour and your values.

    It's your decision how you want to spend the rest of your life.
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