Doctor insights on:
Never heard of WD: Phentermine has some properties similar to amphetamines, but it is not an amphetamine.If you abruptly stop Phentermine most patients might be more hungry for 24-48 hrs. Then return to regular appetite.There has never been a report of physical addiction.Emotionally, regaining wt w/o the med use could cause emotional stress.I have found that with monitoring pts. They can take the med for maintenance. ...Read more
Not necessarily: I have heard patients tell me that suboxone withdrawal is not as bad and have also heard it's worse. It depends on from how high of a dose one is stopping whatever opiate they've been taking. It is much easier and safer to try and gradually decrease the opiate dose until one is stopping from a very low dose and not a higher dose. The higher the dose, the worse the withdrawal when stopping. ...Read moreSee 2 more doctor answers
Can opioid induced hyperalgesia persist for years after stopping opioid use? GBS used fentanyl for 4 years. Stopped cold turkey. Three years ago.
OIH Controversial: The concept itself has some opponents who dispute the existence of this condition. I can state even those who believe in this condition would find it difficult that it would persist for four years. If you are still having pain that is uncontrolled you need to see a pain specialist. ...Read moreSee 1 more doctor answer
Tapering is best: Tramadol is a synthetic opiate with weak Mu opiate agonist activity and some re-uptake inhibition of norepinephrine and serotonin. In translation: it acts like a weak narcotic AND antidepressant at the same time. It has a long half life: 7 hours. So it takes a while (4-5 half lives) to build up and to come out of the body. Taper over 2 weeks reducing the dose 10% per day to avoid withdrawal. ...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
Yes: Do you think that if it didn't, anybody would go to it? However, unlike other medical treatments where success depends on the skill of the doctors/nurses and the effectiveness of medication, success in rehabilitation has more to do with how motivated you are, what resources are available to you, and how long you stay involved in treatment. Overall success can be as high as 90% in some groups. ...Read more
Benzo withdrawal: Some antidepressants can have very unpleasant flu like withdrawal symptoms, like Paxil or effexor, (venlafaxine) but benzo withdrawal can result in seizures and death if going cold turkey from a high dose of benzos. Both should be tapered if you would like to stop taking them, to minimize the withdrawal symptoms. ...Read more
Seizure: You should be free of seizures for 2-3 years before you stop this medication in consultation with your doctor. You don't have to wean. ...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
A stated-warning: Possible seizure activities due to abrupt withdrawal of xanax (alprazolam) (hypnotic class of med) is clearly stated in the drug-label for this med. If prolonged use, do not stop abruptly. If you can/need to go off this medication, consult your prescribing physican for appropriate weaning protocol to safely discontinue it. Consult doc. Good luck. ...Read moreSee 2 more doctor answers
What pain medicine works best with fentanyl patch for breakthrough pain? I'm currently on fentanyl patch and percocet.
No reason for that: Doctors say "No!" They also suggest that you work w/ a doctor to help you go through opiate termination. It's the safest way and you deserve all the support you can get. You're almost certainly be doing the right thing - don't select our own assistance drug. ...Read more