Doctor insights on:
Extracting Fentanyl From Mylan Patches
In hospital they are giving me OxyContin on top of the fentanyl patch is this safe? 20mg oxy twice 25 fentanyl
Oxy and fentanyl: So if I understand this they gave you two long acting medications at the same time. If this is true this is a dangerous practice and not safe at all. ...Read more
What pain medicine works best with fentanyl patch for breakthrough pain? I'm currently on fentanyl patch and percocet.
What is the strongest med.: percocet, fentanyl patch, dilaudid, or norco (hydrocodone and acetaminophen)?
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
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
Opioids: Both are opioids so side effects would be very similar. The fentanyl patch is on the skin, the Dilaudid is IV so it is uncomfortable, requires venopuncture, or for chronic use a devise like a pouch under the skin on the chest which adds more side effects and complications. ...Read moreSee 2 more doctor answers
Which of these is most effetive> Oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?
An impossible ?: All opioid drugs, when given in equivalent doses, are equally effective in most people. Some may be more effective in some people for some kinds of pain, and some may be better tolerated than others in some people. Depends on the kind of pain, the dose given, and the specific biology of the person. Methadone and Nucynta (tapentadol) may be more effective against neuropathy pain than the others in some people. ...Read more
No difference: No difference in strength; just more expensive. ...Read more
Butran vs. tramadol: There is no such thing as "best" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genetics. ...Read more
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 moreSee 1 more doctor answer
I'm having a lower back molar extracted w/premeds of ultracet, (tramdol and acetaminophen) 10mg valium, novacaine, & nitrous oxide. Can i also take my prescription 15mg oxezapam?
Ask your doctor: Unless you are being sedated, which is an involved process from thorough medical history, and a sedation consultation, the medications you listed aren't normal for typical extractions. I'd ask your doctor what is appropriate. Make sure anyone that sedates you is trained and have the appropriate equipment for monitoring as well as emergency meds and equipment. ...Read moreSee 1 more doctor answer
What would be better for postop pain, sublingual administration of sufentanil (Zalviso) or iontophoretic transmission of fentanyl (Ionsys)?
Depends...: Depends on type of surgery, past exposure and response, allergy, other meds involved. Either is good in general. ...Read more
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
What complications can one expect from injecting the crushed beadss from a hydromorphone contin capsule?
Yes: You must be aware of the surface area. Its important to use just the one patch for the recommended duration, remove it and replace it with another. As long as you do not stick on multiple patches you are safe. ...Read more
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