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Butrans side effects


I have DDD and have been on dihydrocodeine for a number of years, although more recently it's not as effective as it used to be. I went to a pain clinic and have now been prescribed Butrans 5mcgs initially, rising to 10mcgs later.

I'm now on my 3rd day of 5mcgs and am experiencing splitting headaches (paracetamol do not relieve them) and feeling very low, almost depressed, and lethargic. Is this to be expected and has anybody else experienced this please? None of the information I've seen seems to confirm this and I'm a bit concerned as I feel so down and am prone to depression anyway and currently take sertraline. I'm not due to speak to anyone from the pain clinic for another few weeks.



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    If you are experiencing side effects that are substantial enough to cause you concern, contact your pm doctor and ask them what to do. Side effects usually diminish over a few days to a week, but the butrans patch is a 7 day medication/patch so it would be wise to contact your doctor for direction.
  • I am on the 20mcg patch and feel somewhat similar. I have been sleeping a lot. I'm just trying to ride it out and hope that it will pass. Hope it passes for you, too.
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  • Thanks for your reply mcjimjam.
    I eventually rang the pain clinic and was told to stop using the Butrans patch if it was making me feel depressed. I have been taking Tramadol instead for the past couple of weeks, but nothing less than 150mgs even takes the edge off my pain and I'm aware of the 400mgs a day maximum dosage. My pain doctor said that if the Tramadol doesn't relieve my pain then the next thing I could try is Sevredol which I understand is morphine. Not ideal, but I can't afford to be in pain with a full time stressful job!
    I do hope that you are now tolerating the Butrans side effects mcjimjam and that the depressive feelings have worn off for you.
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