Doctor insights on:
Fibromyalgia And Duragesic Patch
I am on a fentanyl patch to control my pain I have fibromyalgia, chronic Lyme disease. I forgot this morning, took Ultram twice 100 mg, I am naseous.?
Nausea: Nausea can be a symptom of opiate withdrawal, but you are wearing your fentanyl patch. Nausea is also a common side effect of ultram. It's possible that this is the result of the inadvertent double dose of ultram you gave yourself, rather than opiate withdrawal. I suggest contacting your physician, and also creating a way to consistently keep track of the pills you take each day. ...Read more
I have fibromyalgia and my body does not metabolize most meds unless thru iv. Fentanyl works wonders how can I get doc to prescribe it for my pain?
Overall program: Sounds like you need to be working with a pain medicine physician -- many of whom are also psychiatrists. This physician can review your whole case and personal situation, and help you develop a treatment plan that is more comprehensive than opiates (such as fentanyl) alone. There are many facets to healing from fibromyalgia, and you need all of them to get well. Good luck. ...Read more
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
Fentanyl online: No, the delivery and integrity of the patch is of paramount importance and many people tamper with these and can alter sometimes fatally the delivery system. Your best bet is to get this with a legitimate doctors prescription with close supervision from a reputable pharmacy where quality and safety can be assured, these are potent and dangerous medications if used improperly. ...Read more
Any: The patch works by releasing its medication into the fat under the skin. Then blood vessels going by the area absorb the medication into the bloodstream and transport it to the brain where is finds it receptors. Therefore, there is not need to place the patch over the painful area. Any hairless area will do. ...Read more
Pain docs: Pain specialist.Get a more detailed answer ›
Someplace flat.: The best location is anywhere that it can remain undisturbed. Typically someplace flat where the skin does not flex or stretch frequently. Common locations are the area above the breast, the side of the thigh or high on the shoulder blade. The patch does not have to be over the painful area to be effective. ...Read more
Thanks for asking!: Taper to avoid side effects.Get a more detailed answer ›
My husband is trying to get off the Duragesic (fentanyl) patch and hydrocodeine, what are the side effects of withdrawal?
Withdrawal effects: The withdrawal effects of a medication, any medication is often the opposite of the therapeutic effects. In this case, diarrhea, anxiety, wakefullness and restlessness as well as feeling flu like and having a runny nose and sneezing with a rapid heart beat is common. We often call this sympathetic storm due to the activation of a certain type of nervous system response, there are meds that help. ...Read more
Please let me know if there is anyone on here who must use opiate-type pain meds familiar with the Duragesic (fentanyl) patch?
What is your?: Duragesic is a skin patch that contains fentanyl, a very powerful opioid that is chemically unrelated to morphine, Codeine etc., but is highly potent. The patch releases a certain amount of fentanyl over the course of 72 hours. They start at 25 mcg per hour and go up to 200 mcg per hour. They are best in people who cannot tolerate oral drugs because of nausea and vomiting, and are for severe pain. ...Read more
Talik to doc: Monitor for side effects and increased sedation or pain. ...Read more
Weaning off drugs.: Stopping the patch "cold turkey" is not something I would recommend for you. The effects are distinctly unpleasant. I would suggest asking your provider to wean the dose of your medication slowly. If they won't do it I suggest getting a second opinion. ...Read more
Duragesic (fentanyl): The label states that its for adults only. Anyone above the age of 18yrs ...Read more
Adhesive: The active ingredient is the same. A reasonable conclusion is perhaps the the nature of adhesive itself. ...Read more
Duragesic (fentanyl) vicoidn: This is best done with medical direction and a strong mind on your part. This also depends on the dose used of each. I would see your doctor. ...Read more
The condition needs to be treated and not masked.
Gabor Racz ...Read more
Duragesic Allergy: An allergy is caused by your immune system and can be of varying degrees. An allergy to Fentanyl, the narcotic in Duragesic, can cause itching and or a rash as well as anaphylaxis, a tumultuous immune response presenting as significant swelling accompanied by difficulty breathing. The adhesive in the patch itself can cause a skin reaction presenting as skin irritation as well as a severe rash. ...Read more
On Duragesic (fentanyl) 100mcg 15/mth x 4 yrs. Dr 2 retire do 2 ca & assoc. Dr. Allowing 10/mo. What to do? Brachial plex/cerv radicul/stenosis/spurs/nerve root
New options: Staying on one opioid for too long can cause more tolerance and thus you may need to switch medications every once in a while anyway. Also, there are many non opioid options that may reduce your pain... Good luck. ...Read more
One of the side effects of gleevec (imatinib) is bone pain. I can't take nsaids. I am on a combination of Duragesic and vicodan. Any suggestions other than narcs?
Adjuvant therapy: There is good evidence that shows anti-epileptic medications, Gabapentin and Lyrica (pregabalin) specifically, can work in conjunction with opioids in reducing pain as they work on different pain receptors. Cymbalta has also been approved for various pain conditions including back pain, osteoarthritis pain, fibromyalgia, diabetic peripheral neuropathy, etc. ...Read more
29 m. I am on 200 mcg Duragesic fentanyl and 20 mg x 6 norco (hydrocodone and acetaminophen) for bt pain. I have unknown stom/groin pain. What could warrant this much med?
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
Sure: As long as you check with the prescribing physician first. ...Read more
I've: Used 200mcg for a severe patient but with all meds they need to be effective. Talk to your doctor to get on the proper combination for max relief ...Read more
Yes and No: It is always dangerous to mix any morphine or opioid-related medicine and a benzo like Klonopin (clonazepam). They both suppress respiratory drive and thus patients die when their brain no longer tells them to breath when asleep. The risk can be mitigated by careful dosing, gradual changes, close management by an attentive physician, and avoidance of other CNS depressants. Please be careful ...Read more
Narcotic patches: The patch you ask about is not a morphine patch, but is a patch with fentanyl citrate. This is a synthetic potent fat soluble medication much more potent than morphine and with more action in the spinal cord and brain areas due to high fat absorption. Due to this the patch can stay effective for up to 12-24 hours after patch removal even though fentanyl can be broken down quickly be careful. ...Read more
Need more info: Several questions need to be answered first...Why was your mother given this patch and for how long had she been prescribed them? Need to know mechanism of back injury, did she fall etc... Would recommend a trip to your family doctor or er for evaluation. ...Read more
Yes but very rare: All narcotics can alter perception; visual and auditory hallucinations can occur but are very rare. If this continues, go back to your prescriber for another therapy. ...Read more
Tolerance: This is not uncommon. You may have developed tolerance, which is no uncommon for opioids. It may be time to change the dose, or the frequency of patch changes or switch medications. You will need to discuss this with your provider. ...Read more