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Doctor insights on: Extracting Fentanyl From Mylan Patches

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I've been on 25mcg fentanyl patch for nine months. All patches have been produced by mylan. Last month I was given watson and the pain came back.

I've been on 25mcg fentanyl patch for nine months. All patches have been produced by mylan. Last month I was given watson and the pain came back.

Fentanyl patches: There are some different manufacturers of fentanyl patches. The branded-duragesic-and the generic actually have differing delivery methods. I would certainly suggest you switch back to the other type if patch to see if the is the reason for your pain returning. ...Read more

Dr. Norman Cohen
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What is usualy the the starting dose for a fentanyl patch?

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

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 more

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Side effects of using fentanyl pain patches?

Side effects of using fentanyl pain patches?

Fentanyl patch: Some of the common side effects include nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, irritation, itching, or redness at the application site can also occur. More serious side effects including agitation, confusion, hallucinations, severe stomach/abdominal pain, difficulty urinating or allergic reactions are very rare. ...Read more

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Fentanyl patch and Cialis together, is this ok?

Yes, if: You can take or apply each individually the combination would be ok ...Read more

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What are the side effects of using fentanyl patches?

Same as narcotics: Fentanyl is a narcotic pain reliever, in the same family as Demerol (meperidine hydrochloride) or morphine. Side effects can include nausea, itching, and slower breathing. If you use a fentanyl patch and use other sedatives or alcohol in excess, it could cause coma or death. These are powerful medications that need to be treated with respect, though they are very useful for severe or chronic pain. ...Read more

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What have the best glue durogesic or fentanyl patches?

Best?: I'm not sure what you mean by "best" glue. They differ in the matrix used in their adhesive (not sure the specifics though). I really haven't heard of one sticking better than the other, but I have heard of allergic reactions to the generic fentanyl patch while the Duragesic was fine. ...Read more

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Taking fentanyl patch and Cialis together, is this okay?

If taking each: Individually is okay then the combination would also be okay. ...Read more

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What are the differences between fentanyl patches and morphine?

What are the differences between fentanyl patches and morphine?

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). ...Read more

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What are the differences between fentanyl patches and oxycontin?

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). ...Read more

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Do you know if you can take Cialis while wearing a fentanyl patch?

Definitely, yes: There is no interaction between these 2 drugs. However, always talk to your doctor before starting any new prescription or OTC medication, vitamins or dietary supplement. ...Read more

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Safest med to take with 12 mcg fentanyl patch for breakthrough pain?

Safest med to take with 12 mcg fentanyl patch for breakthrough pain?

Many options: Any short to intermediate acting narcotic prescribed by your physician specifically for breakthrough pain and taken exactly as directed should be safe. ...Read more

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How can you convert an intrathecal dosage of fentanyl into the equivalent patch dosage?

How can you convert an intrathecal dosage of fentanyl into the equivalent patch dosage?

Fentanyl: Although intrathecal fentanyl may have systemic effects, it will act differently than if systemically administered. While the intrathecal goes on the local nerve endings as a local anesthetic, the systemic goes to the central nervous system through blood.
Intrathecally we use 10micrograms, in the blood 100 micrograms and much more for the chronic user. Less side effects intrathecally (small dose). ...Read more

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Can you experience withdrawal from fentanyl patch if you only have used it for 3 weeks or so?

Yes: Absolutely! If you have been on opioids before then, and now are on a fentanyl patch for a few weeks, then yes, you may definitely experience withdrawal if you stop abruptly.
Please discuss this with your treating physician. ...Read more

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I weaned myself off fentanyl patches. What other options would work as well for chronnic pain?

Complex: Complex treatment options from Lidocaine patch to physical therapy, surgery, epidural treatments, nsaids. Interdisciplinary collaboration is the answer. ...Read more

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Do you think I should continue w/ other pain meds while waiting for the fentanyl patch to work?

Discuss with your Dr: Your doctor is in a better position to address this question. If you are on fentanyl patch, a phone call to that doctor will only take them a few minutes to answer. I would call them and discuss it. Putting them on the same page as you are feeling and thinking about your options, is why they are in your life. ...Read more

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If I have been on methadone 20 mg 3 x per day, 60 mg total, and switch to a fentanyl patch, what should the dosage be?

This absolutely: Should be done in conjunction with your treating physician. You wrote into a health education site. It is for questions and answers - not for treatment of such a serious situation. Please discuss with your provider. ...Read more

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I was prescribed Fentanyl Patches today and forgot to ask if I end up being allergic to them, about how long would it take for a reaction to show up?

Unlikely: You are more likely to become allergic to the glue of the patch than Fentanyl. Allergy is nearly nonexistent but it may produce GI side effects like other opiates. In general, no one can forecast how long it takes to become allergic to a drug since it may never occur at all. ...Read more

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What are the upsides and downsides of the Duragesic (fentanyl) patch?

Level pain relief: Good prolonged and level amount of pain relief for chronic conditions that have pain. Like any narcotic, addiction is possible. Building up a tolerance to narcotics also inherent to chronic narcotic exposure ...Read more

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How do fentanyl patches work?

How do fentanyl patches work?

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 more

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What does fentanyl patch look like?

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

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How safe are Fentanyl patch 50 mcg?

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 more

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How do I get fentanyl patches to stick?

Brand name: Try different manufactures. Some stick better then others. J&j makes reliable patches. Also wipe your skin with alcohol, let it dry, then apply. ...Read more

Dr. James Henning
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