Doctor insights on:
25 Mg Fentanyl Patch
What pain medicine works best with fentanyl patch for breakthrough pain? I'm currently on fentanyl patch and percocet.
Tramadol is opiod like.Given as aid 2 stop Lortab.Clean 9days from lortab.Possible Tramadol is giving additional withdrawal?Only took 8/50mg tabs ttl
No: Tramadol is a weak opioid based on its binding to opioid receptor, but it's metabolite is felt to be much more potent, and the FDA has recently scheduled it due to relative addiction liability. If you switched directly from hydrocodone to tramadol, withdrawal could occur from the change in relative strength, but tramadol does. It induce withdrawal unless you stop it suddenly. ...Read more
Yes, but...: In test tubes, buprenorphine binds to mu opiod receptor more avidly than does tramadol. But analgesia is a very different concept, and depends on nature of pain, chronicity of it, dose and duration of drug, and individual genetic characteristics (such as expression of splice variants of mu opiod receptor). For some people tramadol is better analgesic; for others, the reverse. ...Read more
I taking .1 mg clonidine and 10 mg hydrocodone . Will the clonidine actually help the hydrocodone for pain ?
See below: Such an effect has been described. I have been less than impressed with the results in other patients. ...Read more
No & Maybe: Actiq shouldn't be used for non-cancer pain. Tolerance develops rapidly because of the rapid, intense effect. This results in the need for higher and higher doses over a very short time. This med is most appropriate for patients not expected to survive for more than several months as the med becomes less effective rapidly. Fentanyl patches may be more appropriate. See a pain specialist. ...Read moreSee 1 more doctor answer
Get second opinion: The combination could readily backfire, as the Elavil (amitriptyline) and Ativan can both cause anti-cholinergic side effects, and additive sedation, lethargy, and dizziness. Both very low dose, but nonetheless may cause more problems than success. Not clear why these two have been started together. ?Psych Concierge appt? ...Read moreSee 1 more doctor answer
Can work well: Yes Duragesic patches can work well. It depends on what dosage you are prescribed. One problem with the patch is building up a tolerance to continuous 72 hour pain patch. Any narcotic can lead to respiratory depression, stop breathing which can lead to cardiac arrest. If you drink alcohol, take Valium or xanax, (alprazolam) muscle relaxants, antidepressants, amphetamines, can increase risk of respiratory arre. ...Read more
Been on butran patch 10mg for 36 hours and it's not helping. If I remove patch will tramadol be effective immediately ?
No one can say: Immediately? - No one could guarantee the totalness or swiftness of any drug on a particular person. If you are in the care of pain mgmt physicians - you need to work honestly w/ them to find your best strategy. But it will never be certain, immediate or total and may change over time as you accomodate. Try non-drug strategies too - they support the effectiveness alot! ...Read more
I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?
Crumbling discs on Oxycodone. taking levothy for hypothy i hve 25 mg of atarax (hydroxyzine) left from prev prescr can i take? severe anxiety ty
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Is mobic, aciphex, (rabeprazole) flexeril, and a compounded cream with ketoprofen, baclofen, lidocaine all together safe?
Maybe not: There is a slight risk of combining the Mobic and the Ketoprofen. Those two meds are in the same class & could cause stomach ulcers or kidney damage (do NOT use if have kidney prob). We just don't know if enough of the Ketoprofen would be absorbed systemically to cause a problem. Aciphex (rabeprazole) protects against ulcers. The Flexeril and Baclofen are also in the same class and could cause sedation. ...Read moreSee 1 more doctor answer
I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp? Help.
Potentially yes: If you are getting lightheaded or dizzy from this combination you should contact your prescribing physicians or go to the er to have your medication adjusted so that you do not pass out. Stay well hydrated. It is possible for these medications to lower your blood pressure. ...Read moreSee 2 more doctor answers
If allergic to oxycodone, hydrocodone, morphine, codeine, & butrans & nucynta (tapentadol) do not work for pain, what alternatives are there? Demerol? Dillaudid?
Serious Medications: First of all mixing opiates together is a very serious issue. If you are on the 80mg Oxycontin cr tablet, i would imagine you are dealing with very severe pain. Adding additional opiates with Oxycontin should really only be prescribed a pain specialist and monitored very closely. The pain management doctor should organize a specific treatment plan with you. Theses medications are serious stuff. ...Read moreSee 1 more doctor answer
Provide pain relief: Fentanyl patches are small patches like a band-aid. The medicine is mixed into the bandage material. Once it is applied to the skin, the fentanyl, an opiate medication, slowly dissolves through the patient's skin and is ultimately absorbed into the blood so that it circulates throughout the body providing pain relief. The patches come in different doses affecting length of time they work. ...Read moreSee 1 more doctor answer
Please tell YOUR age: If would appear that you are signing in under someone else's account and since you are asking a bit of an unusual question when it comes to the controlled substance Fentanyl we need to verify your age and the purpose of your question. This site is for answering medical questions that have clinical relevance for patients with an illness. How does your question address a clinical need? ...Read more
High risk: for side effects, abuse and potential serious breathing problems and death. Vomiting, constipation,dizziness, drowsiness, or headache, just a few common side effects that may occur. Carefully follow your physician instructions for using fentanyl patches and remember that your doctor has prescribed this medication because he/she has thought that the benefit to you is greater than the risk. ...Read moreSee 2 more doctor answers
Fentanyl patch: The fentanyl in the patch should start it effect very soon after application of the patch. Within minutes. The onset if affected by your skin type and any chemicals on your skin before applying the patch. Make sure you follow directions on its use and if the dose is insufficient for you your doctor may need to increase the dose. Good luck. ...Read moreSee 1 more doctor answer
Call your doc: The best course of action is going to be to call your doc and explain and ask them for recommendations. The course of action will depend on your patch dosage, when you last changed it and the reason you use the patch. It is not safe to make recommendations without this information, so you need to confer with the prescribing doctor. ...Read more
For chronic pain: Fentanyl transdermal patch is used in chronic pain management. The patches work by releasing fentanyl into body fats, which then slowly release the drug into the bloodstream over 48 to 72 hours, allowing for long-lasting relief from pain. The patches are available in generic form and are available for lower costs. Dosage is based on the size of the patch, since the t. ...Read moreSee 2 more doctor answers
Varies: The dosing depends on how much opiate class drugs one is already taking. For those taking a relatively small amount and without evidence of tolerance, the starting dose is 25 mcg/hr. If one is taking higher doses of drugs such as oxycodone, morphine, hydromorphone or methadone, the starting dose could be 50, 75 or even 100 mcg/hr. ...Read moreSee 1 more doctor answer
Fentanyl: 25 micrograms/hr is the lowest clinically relevant dose. 12.5 microgram is the lowest available. ...Read more
Should not be done: Transdermal fentanyl patches are engineered to deliver a specific dose per unit of time. The size of the patch and the adhesives/compounds in the patch must remain intact. Cutting the patch may result in too little being administered or possibly a fatal overdose. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
Your doc's opinion: It typically takes a bit longer for Fentanyl patches to really get up to steady blood levels enough to start affecting severe pain. Unless of course, you are referring to side effects in which case those could appear immediately. Talk with your doctor and see what they advise. ...Read more
Would need more info: Fentanyl is a very powerfull opiod 1000 times more patent than morphine. How much opiod was the person taking? Opiod naive patient (persons who are not taking opiods) will react differently than people who are on chronic opiods. It is harder to hurt people on chronic opiods by increasing opiods they are already on but even they can be hurt. Was it given for chronic or new acute pain. It's possible. ...Read moreSee 1 more doctor answer