Question 1

what are the differences between fentanyl patches and morphine?

Accepted Answer

Half-life & delivery: Both are opioids but stay in your body for different lengths of time (half-life) and, of course differ in their delivery (oral versus patch).

Question 2

how long does it take for a morphine patch durogesic fentanyl to lose effect?

Accepted Answer

Narcotic patches: The patch you ask about is not a morphine patch, but is a patch with fentanyl citrate.  This is a synthetic potent fat soluble medication much more potent than morphine and with more action in the spinal cord and brain areas due to high fat absorption.  Due to this the patch can stay effective for up to 12-24 hours after patch removal even though fentanyl can be broken down quickly be careful.

Question 3

patient with severe copd,  290mg of sustained released morphine  daily plus 5mg oxycodone for breakthrough 3 times daily.  patient has been on morphine for 35 plus years  would fentanyl patch be a better option?

Accepted Answer

Going up on narcotic: is generally not a good idea. That is already getting to be a large dose. People with lung disease need as much breathing as possible and narcoticcs lowers the drive to breath (bad).

Question 4

when switching from 50mcg (every 72 hours) fentanyl patch to morphine sulfate er. - what dosage is equivalent? roughly. thank you :)

Accepted Answer

Great Questions: 50mcg is roughly equivalent to 120 mg a day of morphine.  However, when switching most doctors will reduce by 50% because of incomplete cross tolerance.

Question 5

can someone taking morphine test positive for fentanyl although they have never taken fentanyl?

Accepted Answer

It is possible: Both drugs in the same class (opioids) so they will both show up the same.  Fentanyl is a synthetic opioid and much stronger than morphine. When testing for Morphine, it will show positive for morphine metabolites or fentanyl. Take care.

Question 6

i have kaiser and i have chronic pain. i take fentanyl 100 mcg 2 every 3 days and morphine 60 mg 2 twice a day. i needed refill yesterday my dr wont. ?

Accepted Answer

Ask to see a pain: management specialist.They are very strict with their protocols but they r the experts.U must be completely honest and follow their rules.Good luck.

Question 7

having endoscopy egd, using fentanyl. im afraid of oversode. can it be done with morphine? wich one is safer?

Accepted Answer

Fentanyl: fentany is easier to titrate and much shorter acting than morphine. The ideal way would be with propofol. it is very short acting and has minimal post egd side effects

Question 8

will morphine and fentanyl show on a urine drug screen as the same thing?

Accepted Answer

If it is a: comprehensive drug test, they will show as 2 different drugs.

Question 9

i'm learning to admin pain relief as a paramedic student. at what pain score (out of 10) is in fentanyl inadequate and should turn to iv morphine?

Accepted Answer

Fentanyl is more : Potent than morphine and has a faster onset.  It also clears faster. Properly used, they both treat pain well, but the morphine will last longer.  Improperly used, they can both cause respiratory depression.

Question 10

post surgery pain manage for patient woken up from ga. which is considered better fentanyl or morphine for a patient who is opiate resistant?

Accepted Answer

Comments: Would prefer NOT to use either for post-operative pain as each very potent, and could cause apnea in a relatively naive patient.  Fentanyl is the most potent narcotic we have available on the market at this time.

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Doctor answers about:

Fentanyl patch vs morphine

A member asked:

What are the differences between fentanyl patches and morphine?

A member asked:

How long does it take for a morphine patch durogesic fentanyl to lose effect?

A member asked:

Patient with severe copd, 290mg of sustained released morphine daily plus 5mg oxycodone for breakthrough 3 times daily. patient has been on morphine for 35 plus years would fentanyl patch be a better option?

A member asked:

When switching from 50mcg (every 72 hours) fentanyl patch to morphine sulfate er. - what dosage is equivalent? roughly. thank you :)

A member asked:

Can someone taking morphine test positive for fentanyl although they have never taken fentanyl?

A member asked:

I have kaiser and i have chronic pain. i take fentanyl 100 mcg 2 every 3 days and morphine 60 mg 2 twice a day. i needed refill yesterday my dr wont. ?

A member asked:

Having endoscopy egd, using fentanyl. im afraid of oversode. can it be done with morphine? wich one is safer?

A member asked:

Will morphine and fentanyl show on a urine drug screen as the same thing?

A member asked:

I'm learning to admin pain relief as a paramedic student. at what pain score (out of 10) is in fentanyl inadequate and should turn to iv morphine?

A member asked:

Post surgery pain manage for patient woken up from ga. which is considered better fentanyl or morphine for a patient who is opiate resistant?

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