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Doctor insights on:
Fentanyl Medication
1
Please describe the medication: fentanyl?

Narcotic: Fentanyl is a synthetic, short-acting narcotic analgesic. ...Read more
2
I have chronic pancreatitis. I am on fentanyl. What other medication can relieve the pain?

There are: A lot of choices. You should consult with a pain specialist to come up with an optimal regimen. ...Read more
3
Is this diabetes, or caused by my medication? I have a spinal injury, and am on the following medications:
fentanyl 12mcg/hr trans-dermal patch
promethazine 25mg tablet-as needed
ibuprofin 800mg 1@every 6 hours as needed
naproxen 500mg- 2x daily
risperido

It :
It sounds like you went over 24 hours without eating, which could certainly cause low blood sugar. This, combined with your medication regimen could have caused this extreme fatigue. If diabetes runs in your family, your risk of developing the disease is higher. However, experiencing hypoglycemia does not necessarily mean you have diabetes.
Diabetes is diagnosed by blood glucose tests that show a trend of high blood sugars in the blood plasma (over 126). It is manifested by high blood sugar in the blood and low performance of Insulin (which is produced by the body to lower the blood sugar). Symptoms of high blood sugar include extreme thirst/hunger, blurred vision, frequent urination, dry mouth, poor wound healing, recurrent infection and fatigue. See your doctor if you notice any of these signs of high blood sugar.
...Read more
4
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?

Why?: Really need more information. What is the underlying problem that causes a 19-year old to be using this much medication? ...Read more
5
Are fentanyl patches and opana ER the same kind of medications?

Yes: Both fentanyl and Opana are opiates. Opana er is the trade name for Oxymorphone (a derivative of morphine). The medications differ in their side effects and length of activity. ...Read more
6
False positive on urine drug screen will ketorolac or fentanyl cause a false positive for a barbituate in a urine test. Previously had a blood test for drugs which was negative and was given these two medications in the hospital for pain and then give t

Drug test:
Fentanyl is an opiate. It will not result in a false + result. It will pop positive.
Ketorolac isn't an opiate. It will pop negative.
...Read more
7
I am a fentanyl patch but my work drug tests come up negative. How can this be?

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 more
9
After my doctor made me feel like a drug seeker today, I've taken my Fentanyl patch off and am no longer taking my other meds. Is this dangerous?

Stopping: These meds cold could give you a rough ride. I would talk to your doctor or if you are not comfortable with him find another doctor to help you wean off the meds. The higher doses and the longer you were on the meds. All lead to a more severe withdraw. Nausea, vomiting, abd pain, anxiety etc just to name a few symptoms. But explain what you want to do. And wean off slowly. ...Read more
10
Had an EP study and they gave me fentanyl (3 times). It did nothing, I was in excruciating pain the entire time. What could be reason this drug failed?

Procedural pain: You would get your best information by asking the EP who did the study. Without knowing what was going on, the only speculation would be the dose of fentanyl wasn't enough to cover the pain. There could have been lots of reasons but speculating blindly won't tell you anything. ...Read more
11
What would cause a false negative urine drug test for fentanyl patches?
Errors:
1. Not wearing the patch, an exhausted patch, a placebo patch
2. The test was not specific for fentanyl
3. Lab error
4. Specimen misidentification.
...Read more
12
Is there anything that could cause a false positive drug test for fentanyl?
No: Conventional urine drug screens (uds) look for metabolites from naturally occurring opioids (like morphine and codeine), but fentanyl is a synthetic opioid which is metabolized to different products. These products are not picked up by uds. ...Read more
13
I had conscious sedation for a colonoscopy with fentanyl w/3 other drugs.I was never sedated.cried in pain the entire procedure.why didn't it work?

You might want: To ask the anesthesiologist this question. He would know the specific medications and amounts. ...Read more
14
What type of drug test can i have done on my daughter to check for fentanyl hereing she's using fentanyl patch and cuttin peices a putting under tonge?
Urine drug screen: A typical urine drug screen will pick up fentanyl as an opiate. I am sure the ones you buy over the counter at CVS test for opiates. Good luck in helping your daughter! ...Read more
15
Will morphine and fentanyl show on a urine drug screen as the same thing?
If it is a: Comprehensive drug test, they will show as 2 different drugs. ...Read more
16
How long will the metabolites from Fentanyl show up on a urine drug screen?
About 3 days:
Fentanyl would be detectable for three days or so after last encounter with the drug.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
...Read more
17
What are the advantages of fentanyl/other pain drugs vs gas & air for labor?

Fentanyl : Works fast. Minimal fetal effect. Out of system 45 minutes. ...Read more
18
Is there a drug interaction between hydromorphcontin, fentanyl, amnitryptaline, Clonazepam, celebrex. Taken daily fentanyl every three days 100 mg?

Too many meds:
You are taking too many medications with overlapping functions and indications. You ought to see your doctor to evaluate which medications you need to continue taking.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
...Read more
19
Which type of cancer patients call for the prescription drug fentanyl?
Thanks for asking!: Any cancer patient, especially patients with metastasis to bone which could be very painful. ...Read more
20
Why would hydrocodone show up in a urine drug test when u only take oxycodone and use fentanyl patches?
Because u r alive!: Those drugs are all opiods and the body has metabolic pathways that intraconvert one drug into another. That's biochemistry for you. You can look up the pathways in Goodman & Gilman if you want to. Great book on pharmacology. ...Read more
21
Will fentanyl show up on a urine drug screen saying it is only testing for opiates and benzos? Not specifically fentanyl though

Fentanyl:
IS an opiate but does not show up on routine urine testing HOWEVER many Companies ask for COMPLETE drug screening which can include Fentanyl testing so don't "figure" you can use Fentanyl and pass your test!!!! The half-life is about 12 hours thus it will show up for a few days after use! The HAIR will be positive for a lot longer time!
Dr Z
...Read more
22
How to seek ER help with Chronic Pancreatitis pain, pain also in kidneys? Fentanyl 25 mcg and 4 mg dilaudid home pain meds. Pain 7/10 not a drug seeke
Pancreatitis : Make sure u only use dilaudid for acute bout of pain as tolerance to that drug could be an issue in the future secondly ask your gi doc for someone who does a celiac plexus block which can be helpful ...Read more
23
Can someone taking morphine sulfate test positive for fentanyl in a saliva drug test, although they have never taken fentanyl ever?
Yes,: 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. ...Read more
24
I take Morphine sulfate 200mg 3x a day. Had a routine saliva drug test. Tested positive for fentanyl. Is this possible? Never had fentanyl ever?

Repeat lab test: Next step would be for lab to repeat test and check quality control results. ...Read more
25
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
26
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
27
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
28
How do I get fentanyl patches to stick?
Brand name: Try different manufactures. Some sticks better than others. J&j makes reliable patches. Also, wipe your skin with alcohol, let it dry, then apply. ...Read more
29
What happens when fentanyl 50mg kicks in?
Pain relief: Fentanyl works on pain receptors. Its primary use is to alleviate pain. How fast it works depends on how it is given (IV, IM, transdermal). I'll assume you are referring to IV. Works in 1-5 mins, lasts ~ 45-90 mins. Some very serious, but expected side effects include slowed or even stopped breathing, low blood pressure, sedation. Expect excellent pain relief with Fentanyl when used properly ...Read more
30
I need to know what is fentanyl 100 mcg/h?
A pain medication: It is a very strong (narcotic) pain medication often used to treat the most severe pain. ...Read more