I have a question that I know that not everyone might understand, ive been recently diagnosed with ankylosing spondylitis, and have recently started on a medication called Enbrel that lowers the immune system and makes it very difficult to fight all infections, major or minor. Even a small cut or blister (if it should burst and become an open wound) can put off treatment for weeks until it heals. I have been on fentanyl 75mcg/hr patches for a bit now, and have talked to my Dr about titrating down slowly to something less intense (even though my condition is a very painful chronic disease with no cure) I want to put my body through as little as possible, annnyways, back to my problem. The fentanyl patches now mixed with my weekly Enbrel injectons now cause skin irritation and blisters that ive kept from bursting so far, I would prefer not to titrate off of the fentanyl and move to something different all together, less intense obviously as that was my goal from the beginning. I dont know very much about meds or where to even go from fentanyl downwards (in pill form) as I cannot risk skin blisters that will not throw me into withdrawls that ive so often read about on here, the only other drug ive read about on here for chronic pain is oxycontin and ive already failed that treatment before I moved to fentanyl. My ultimate goal is to only have to have breakthrough meds on hand but at this point in the disease where it has not yet been controlled by my biologic meds it needs to be handled I think with chronic medicine for now. I dont see my dr until the 23rd and I do not like calling for early appointments as we all know how that comes across. I just dont know what any options would be for me as Ive failed oxycontin and no longer wish to be on fentanyl?
(12.24.13) L2-L3 Laminectomy, Discectomy and Coflex insertion. DX'ed with Ankylosing Spondylitis on 5/13/14