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A 40-year-old member asked:

please help! what is the lowest possible fentanyl patch dose?

1 doctor answer2 doctors weighed in
Dr. Gary-Anthony Lawson-Boucher
Anesthesiology 22 years experience
Fentanyl: 25 micrograms/hr is the lowest clinically relevant dose. 12.5 microgram is the lowest available.

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A 29-year-old member asked:

How long before the first fentanyl patch starts to work?

2 doctor answers3 doctors weighed in
Dr. Andrew Turrisi
Radiation Oncology 47 years experience
It's peak onset: May take 24 hours with first patch, and will recapitulate the build up if a gap of 2 hours without patch occurs. Break though narcotics can be used unitl peak action.
A 35-year-old member asked:

I am a fentanyl patch but my work drug tests come up negative. How can this be?

2 doctor answers3 doctors weighed in
Dr. Andrew Turrisi
Radiation Oncology 47 years experience
Fentanyl is: Unique pharmacolocig compund that may cover narcotic/opiod receptors but it and its metabolites may not be picked p in generic screens for morhine, heroin, Methadone or cannabinoids. There are other newer pain products Nucynta (tapentadol) that also are relatively potent analgesics that do not turn screens positive.
A 33-year-old member asked:

What is usualy the the starting dose for a fentanyl patch?

2 doctor answers5 doctors weighed in
Dr. Andrew Turrisi
Radiation Oncology 47 years experience
The lowest : Available dose form for Duragesic (fentanyl) is 12 microgram. The actual dose is usually based on prior oral morphine and congeners, and likel 25 or 50. These patches last 3 days, and short acting breakthrough products are also used together.
San Jose, CA
A 19-year-old male asked:

What is the correct breakthrough medication cause i'm taking fentanyl 75 mcg but the breakthrough medication isn't working no more wich is 10 mg oxy?

1 doctor answer1 doctor weighed in
Dr. David Teicheira
Pain Management 36 years experience
They are all similar: You are in an unfortunate position, 19 and already on major, major opiates. Opiates only take the edge off. They do not relieve pain completely. They are just one tool in helping you make pain more manageable. Some days they work well enough, and some days you wonder why you bother taking them. Once these facts make sense, it will be easier to develop more tools for managing your pain.
A 41-year-old member asked:

How long does can I take the fentanyl patch?

1 doctor answer2 doctors weighed in
Dr. Alvin Lin
Geriatrics 30 years experience
As long as doc says: Fentanyl is a narcotic used to fight pain. The patch form is typically used for those w/chronic pain. Therefore, one should only take it as long as your physician recommends that you do so. Be careful of addiction as well as constipation.

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Last updated Jan 19, 2014
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