Doctor insights on:
How To Withdraw From Fentanyl Patch
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
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
Some guidelines: You should not try this on your own, rather, you need an experienced practitioner to help make the switch. It can be quite tricky. The guidelines are to be on 30 mgs of Methadone or less for at least one week, then completely off Methadone for at least another week. The Methadone remains in one's system for three weeks, so the suboxone needs to be started at a low dose and increased very slowly. ...Read moreSee 2 more doctor answers
Reducing the amount : Over time, you can reduce the dosage of nicotine that you use daily.What you are describing is physical dependence and not addiction which has multiple negative factors associated with use such as criminal activity, irresponsibility, harm to others as well as yourself, etc.You might also want to consider Chantix which works to replace nicotine in your nervous system and reduce withdrawal symptoms, . ...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
Tapering: You should taper the nicotine patches over 3 months or so, first the 21mg, then the 14, then the 7, and in time, with a tapering dose, you should be less and less addicted. I n general, the nicotine should not adversely effect your sperm to much, especially in the past month of the taper. Best wishes. ...Read more
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
How can a person get off of buprenorphine and naloxone sublinguals when using for addiction treatment?
Protracted : Protracted withdrawal or abstinent syndrome is when craving & other w/d symptoms last beyond the acute w/d phase. Can take months & even years in certain individuals to fully recover which is one maintenance therapy was approved. Individuals with this condition may benefit from agonist based therapy due to higher incidence of relapse. Discuss abstinence-based treatment with an addictionologist. ...Read more
Ask your doctor: Ways to wean drugs vary from physician to physician. There are no "bright line" standards that must be followed aside from what one's own knowledge & experience tell them. Most importantly is the knowledge that a prescriber has of his/her OWN PATIENT. Therefore, the WORST person to get advice from for this type of matter would be someone who DID NOT PRESCRIBE these drugs. Talk to your doctor. ...Read more
Thanks for asking!: Taper to avoid side effects.Get a more detailed answer ›
Can I use oxycodone to help the withdrawal from 17yrs of methadone use daily, my Goal is to be off methadone, I have tried suboxone but relapsed.
With medical help: Withdrawal from drugs can be very dangerous, most counties have detox facillities. - enlisting the aid of addiciton professionals can help provide some guidance, the safest way to withdraw is under medical supervision. The hard part is the next step, acknowledgin a problem and engaging in treatment. Making assistance dependent on their getting help is often good strategy and avoids codependency. ...Read more
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