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Doctor insights on: Fibromyalgia And Duragesic Patch

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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.?

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

Dr. Laurence Badgley
1,367 Doctors shared insights

Fibromyalgia (Definition)

Widespread pain and tenderness on palpation of specific muscle points, associated with variety of other symptoms that include fatigue, sleep disturbances, depression, ...Read more


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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?

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

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Do Duragesic (fentanyl) pain patches work well? Are they safe?

Do Duragesic (fentanyl) pain patches work well? Are they safe?

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

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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 can I buy the Duragesic (fentanyl) pain patch?

How can I buy the Duragesic (fentanyl) pain patch?

Controlled substance: You have to be prescribed the narcotic by a pain specialist. ...Read more

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Ok to buy a Duragesic (fentanyl) pain patch online?

Ok to buy a Duragesic (fentanyl) pain patch online?

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

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What is the best place to put a Duragesic (fentanyl) patch for the most pain relief?

What is the best place to put a Duragesic (fentanyl) patch for the most pain relief?

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

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How is Duragesic (fentanyl) patch for chronic pain?

How is Duragesic (fentanyl) patch for chronic pain?

Reasonably effective: Let your pain management physician and your self decide about this option itching at site and premature falling off from site are some times problems. ...Read more

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What is the best place to put a Duragesic (fentanyl) patch on my skin for the most pain relief?

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

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Why might someone whom we suspect stole a Duragesic (fentanyl) patch test very high for butalbital?

Taking both: If someone stole a narcotic patch, they may also have stolen barbiturates and take them, too. The Duragesic (fentanyl) patch should not test positive for barbiturates, to my knowledge. ...Read more

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My husband is trying to get off the Duragesic (fentanyl) patch and hydrocodeine, what are the side effects of withdrawal?

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

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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

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How do people feel on duragesic (fentanyl)?

Many side effects: Depends what reason you are prescribed the narcotic. If you have chronic severe pain, you may just have pain relief, possibly sedated, somnolent, possibe nausea, constipation. ...Read more

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What is some advice for Duragesic (fentanyl) users?

Talik to doc: Monitor for side effects and increased sedation or pain. ...Read more

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Anyone have advice for getting off duragesic (fentanyl)?

Anyone have advice for getting off duragesic (fentanyl)?

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

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Any ideas why brand name Duragesic makes me itch but generic fentanyl does not?

Adhesive: The active ingredient is the same. A reasonable conclusion is perhaps the the nature of adhesive itself. ...Read more

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Do you need a prescription for Duragesic (fentanyl)?

Yes: It is an opiod, medicine called fentanyl (generic name). It is a regulated substance requiring a prescription ...Read more

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How can I get off Duragesic (fentanyl) and vicodin?

How can I get off Duragesic (fentanyl) and vicodin?

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

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Do you have advice for getting off Duragesic (fentanyl) and vicodin?

Opiod use: Duragesic (fentanyl) is a very potent narcotic. You need one on one help to wean off these meds. Get advice from your pcp. Good luck. ...Read more

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What is the definition or description of: Duragesic (fentanyl) allergy?

What is the definition or description of: Duragesic (fentanyl) allergy?

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

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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

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

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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?

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

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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?

Almost nothing: That is an enormous amount of narcotic medication which almost certainly at some point lead to drug tolerance and addiction. The matter needs to be quickly diagnosed and taken care of. Thank you. ...Read more

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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 a fentanyl patch vs. Iv dilaudid?

Side effects of a fentanyl patch vs. Iv dilaudid?

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 more

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What is the maximum dose of Fentanyl (patches) for chronic pain users?

What is the maximum dose of Fentanyl (patches) for chronic pain users?

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

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Is it safe to take klonopine while on the fentanyl patch? My dose is 50 mcg

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

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How long does it take for a morphine patch durogesic fentanyl to lose effect?

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

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My mom, 89 yrs old, had a fentanyl patch. I took it off today she hurt her back

My mom, 89 yrs old, had a fentanyl patch. I took it off today she hurt her back

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

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Is it normal to become itchy -all over- shortly after applying a new Fentanyl patch?

Is it normal to become itchy -all over- shortly after applying a new Fentanyl patch?

Itching can be a: Side effect of narcotics. Might try a Benadryl (diphenhydramine) before applying the patch. Also, let your treating doc know. ...Read more

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When using fentanyl patches, what kind of side effects occur? Is hallucinating one of them?

When using fentanyl patches, what kind of side effects occur? Is hallucinating one of them?

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

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Please help! Pain management people. What do you do when your fentanyl patches no longer work?

Please help! Pain management people. What do you do when your fentanyl patches no longer work?

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

Dr. David Sherer
225 Doctors shared insights

Duragesic (Definition)

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Dr. James Henning
718 Doctors shared insights

Fentanyl (Definition)

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