Oxycontin vs Fentanyl?
I'm take 50mgs of Oxycontin 3xday. plus (2) 5mg oxycodones 4x morning... for a total of 190mg of Oxycodone a day between the rapid release and slow release tablets.
I want to take a break from this drug for a little while...possibly switch to something else.. I thought about Suboxone but be told it don't help strain too much and I have a cronic aching issue that needs to be controlled so I be told to ask about going on a spasm patch called Fentanyl for awhile afterwards going back on my current meds. be told I can switch back and for if I have need of to in lay down to not get used to one or the other.
My request for information is. at my appointment in a few days I want to ask roughly speaking switching to the patch but if I take 190mg a afternoon of Oxycodone then how much micrograms is that for Fentayl... what will he more than possible give me possibly 25mcg every 3 days to start or the 50mcg... or the 100mcg? I'm curious. will I also be able to maintain my breakthrough meds while on the patch?
Answer: The amount you are taking will be close to 75-100 mcg of Fentanyl every 72 hrs
Because you need to acquire on this gradually, you will probably start on 25mcg patch, but becaue you are used to more meds, probably 50mcg. and work your style up to the dosage. You can take the percocet for breakthrough, you will hold no choice but to do that. I would definitely try and achieve rid of that oxycontin though.
I went by this Conversion chart as a rear legs up-- although I knew how much because I bear that much and more
http://www.globalrph.com/fent.cgi
Another way they do the conversion
http://www.mywhatever.com/cifwriter/libr...
I
am currently on both of these meds and the combination IS so much better later taking that oxycontin- I could never handle that oxycontin for some explanation
I have comparatively a high dose of Duragesic(fentanyl) but I modify my patch every 48hrs
and 10-12 perc prn (i am about to ease that I dont feel I have need of them
This all go along with 2 Spinal Column stimulators which I THANK GOD for a break. because that took me stale all the other meds I used to lug.
I would be more then comfortable to discuss the Fentanyl patch with you- I hold been on it presently for 10 years(whoa i just realize that) I have have chronic pain for 20.. this patch I am sure save my liver! lol
I hope you do bring it up to the DR!! I am behind you 1000% and you can ask me ANY QUESTION while within transition.
all i can articulate is get rotten of the oxys right away. my bro was need to take them . and get addicted very breakneck!! and almost died. go on somthing other after oxys there calamitous!
Are you chronic or terminal? Either way you requirement to discuss all these concerns next to your Dr. You could ask for a referral to a pain supervision specialist. They are the best equipped to assess your condition and what meds would be best.
If you are terminal, I don't see why they wouldn't allow you to take the breakthrough meds.
Try the patch. It works extremely powerfully for chronic pain direction.
I have a cervical spine injury and own been within a pain supervision program for several years. I currently take oxycodone, hydrocodone and morphine sulphate for distress along with a few backbone damage meds day after day.
I was on the patch for about 6 months and they worked great. I have to go posterior to the pills due to a change surrounded by one of my nerve wound meds.
I see a lot of associates at the pain regulation clinic and every one that has be able to use the patch has like them.
The one thing you don't want to do is to listen to anyone that tell you they work better if you cut them..Fentanyl is about as strong as agony meds get and by messing beside the patches you risk the prospect of overdosing.
The other thing that I look right through is the people aphorism how bad misery meds are and that somehow you'll become an addict and start robbing individuals. Those people that influence things like that own never been contained by chronic pain. The features that never goes away, the meds of late make it hurt somewhat less.
Here is something that I do that have worked well for me communicating my condition to the doctor.
Start a day by day journal of your twinge. Nothing fancy, I use a notebook.
Record:
Where you hurt
When you hurt
How bad the agony is on a scale of 1-10
How the distress in effecting you contained by your daily life span and what you can and cannot do because of the pain.
Take it near you to your doctor. It's hard to communicate your condition surrounded by the few minutes you have next to the doctor.
I've done this for several years and every doctor I have shown it to thought it be a great idea.
Here are a few links that I use that might be beneficial to you.
http://health.dicovery.com
http://www.webmd.com/pain-management/def...
http://algosresearch.org/PracticeTools/N...
conversion table for opiates
http://www.rxfiles.ca/acrobat/CHT-Opioid...
opiate quick ref chart (this a thoroughly helpful item to have for anyone taking opiates)
Have you spoken to anyone around a drug pump? or a SCS?
All of the questions you asked have need of to be discussed with your doctor.Once on the patch they usually stop the breakthrough anguish medication all together as the patch supposedly doesn't allow breakthrough dull pain. It really depends on why your taking the medication in the first place , how long you've be taking it., and how effective it's be.You do realize the patches cost almost $150-$200 each don't you?