Duragesic equivalent

Common Questions and Answers about Duragesic equivalent

duragesic

none of the pharmacies in my county or surrounding counties have the name brand and I can't afford to buy my own generic right now.Does anyone know of a generic equivalent patch that the drug company will give me for free?
Linda- Duragesic (fentanyl) is a tough taper-- Even from the 25 Mcgm level. My suggestion would be to ask your pain management doctor for hydrocodone (vicodin, or similar opiate) 10's, 7.5's then 5's to take the place of the Duragesic Patch. Although you may "Taper" by leaving the patch on for 3-4 days, it still loses effectiveness, and should be SLOWLY weaned off of. As you may already have heard on MedHelp, "The lower the slower.
I also have lumbar issues and according to my Neurologist, Central Pain Syndrome (changed her diagnosis from small fiber PN). So, my spinal PM wants me to try the Duragesic patch 12mcg. The thing that concerns me is that even though I am opoid tolerant, I do NOT take more than one or two 5/500 of Vicodin a day. I DO take Klonopin .5 once a day and have always tried to keep the meds low. It seem as if the leap from this to 12mcg of Fentanyl seems like a huge one.
I've read several posts from folks here who have used/are coming off of Duragesic (fentanyl) patches of varying strengths. Seems like most of these folks, however, have had them prescribed for legit reasons and have used them as directed. My question is, is anyone else familiar with the NON-approved methods of using these patches (that would include mainly ingeston)? Back in "the day", I would either cut them up or place them intact inside my mouth, and then. . .
Three months in, the honeymoon with methadone was over, so my doctor figured the equivalent dose on another narcotic might do the trick. I was prescribed the Duragesic patch, (also known as fentanyl) a treatment typically reserved for end-stage cancer patients. The advantage of the patch was that it maintained a steady dose of the drug around the clock, but the dose she switched me to wasn't exactly equivalent.
What Im thinking about doing, is somehow ask my PCP to switch me to the same equivalent dose of a duragesic fentanyl patch. That way I would be away from the temptation of the having the pills just laying around for me to take at will. I could simply put on a patch and forget about it for three days. In your experience, what are my chances for success with getting away from the oxys by switching to the patch?
It doesn't help to call the dr and ask for more- he has a policy not to help no matter what happened. My Question- i have duragesic patches 75 and 50 mcg that are ok- not recalled i'm pretty sure- i was using them before, in 2004. They expired in 2005 though. Are they still good to use? At the end of this week my meds will be over before my next prescription is fillable on the Tuesday.
continue to have severe pain under my rib cage on the right side that is only relieved by Percoset.,(or it's equivalent) I've been to the pain clinic in Pitts. & tried all thier resourses,(tens units & such) I've had two ERCP's done with nothing showing up.Came to the conclusion that I was addicted to the Percoset so I endured 2 weeks of some really awful pain to rid myself of all the drug,all to no avail.I have had all the awful GI tests done,not once,but,several times.
Norco a brand of hydrocodone that comes in 10mg pills, and is there for equivalent to 2 normal hydro pills. People get confused and think it is stronger because they are taking two pills in one.
02 Milligrams) of Buprenorphine, and Suboxone containing 8 milligrams of Buprenorphine, we're looking at two VERY DIFFERENT dosings. Taking one 8-milligram Suboxone pill is the equivalent of eating 40 (yes, FORTY) Temgesics. Good luck with WHATEVER you do! Jess P.S. Did you receive that shipment? US Customs seized mine. Damned Customs...
I have had to come off several meds in my life and currently coming off Duragesic but I sure am not stopping it cold turkey.. Why not just taper the drug down like the PDR or any doctor would recomend. It's seems like stopping cold turkey is setting yourself up for failure but most of all for a Heck of a lot of pain that you really dont need to go through.. Why not just stop it slowly. It took months to get there let is takes months to get you down and do it in a way that is safe..
There is 100mgs of morphine per ml of solution in my pump, and 1 MG OF MORPHINE ADMINISTERED INTO THE SPINAL FLUID EQUALS 120MGS ORALLY!!! Anyway I had the pump put in. My Dr. started me out at 25mgs (equivalent to 2500mgs orally) intrathecally. Within 1 month the pump had become infected with MRSA, a very dangerous/resistant staph infection only treatable with 1 anti-biotic called vancomycin.
there is also help for your fentanyl directly through the Duragesic website -- before I got the prescription coverage through medicare, I applied for and used their financial assistance and with it, I had absolutely NO cost for my fentanyl prescription. The one issue you may run across with it, though, is that because the help is directly from Duragesic, you MUST use the brand name patch - they will not cover the generic equivalent.
I, too, was placed back on Lortab when weaning from the Duragesic patch. Wasn't a pretty sight and I could not do it. I was put on methadone to help with the withdrawals. It took me a month, but I finally weaned off of meth and back onto Lortab. Then I was switched to Buprenorphine to help me taper completely off. If you are determined, I was told to lower a dose every three days to wait for your body to stabilize.
I had the same reaction with the percocet where I had to take 2-3 at once. I was just prescribed the duragesic patch 25mcg but have not filled the prescription, while researching on internet found the ingredients in this patch being some powerful meds that I have never experienced before and I am in fear of overdose, not being able to concentrate on my job or addiction.
I'm with peekawho on the nausea meds - zofran is the absolute BEST, and apparently has a generic equivalent now. Phenergan does come in suppository form, and since vomiting is part of my problem, I have those handy along with the pills. The rectum is a great delivery mechanism for meds - if you can hang on to them long enough. :-/ Not exactly pleasant, but effective. The colon's job is to absorb water, so suppositories merely take advantage of that function.
I did a conversion once when I found a table online and was shocked to find out that the 100mcg patches I was on are equivalent to over 200 mgs of oxycodone. That's some bad stuff to get off of and there is no easy way that I have found. I had the cheap mylan patches (flat and not jell filled) so I ended up cutting them so I wouldn't get the full dose and tried tapering a bit. It wasn't easy at all and I finally just did the cold turkey thing.
Gypsygrl - 10 - 15X of what I'm on??? That's the equivalent of 10 - 15 50 mcg patches a day, can anyone really even take that much and live? 50 is a fair amount, even once every day. Wow. Fentanyl is a long acting, extended release med.
So you should be able to stop the patch and take a vic as needed. Duragesic (Fentanyl) withdrawl was the most painfull withdrawl I ever had. At one point I had a 160mg oxycodone habbit and it wasn't nearly as painfull as a duragesic 25 withdrawl (and I had only been on it for 30 days). My doctor messed up my appointment, leaving me 2 days from the time my 30 day supply was up until the next appointment.
heres my question. Im currently on Duragesic patches, 100 mg/72 hrs and also taking 100 mg morphine ES tabs, usually 1 in the am, 1 in the pm. I want off. Its starting to rule my life. Whats the best way to taper?. If I cut a 100 mg morphine in half do I get 100 mg for 6 hrs or 50 mg for 12? Originally I took these for back pain but now Im sure Im addicted as when Im out I feel like you know what. I get these from a friend so I cant get smaller dose meds.
the pain relief I got was astounding! Since I was taking the equivalent of 32 to 64 percs a day in my prime, this was quite a change for me. I have no desire to abuse them (not now at least) but I know the dangers that are out there waiting for me. Does anyone have any advice for this pain weary person?
Fetanyl is literally a hundred times as potent as morphine. 0.05-0.10 mg. is equivalent to 10-30 mgm's. morphine. This super strength per mg makes it ideal to use in an transdermal patch. Joe, there is a GAP in time that you must allow for the formulation in the patch to work. I cannot remember the specifics on how much time must past before the patch starts working. Ask your doctor or phamacists. I am sure they will have that information.
Where you will lie in most uncomfortable bed you have ever been in in your entire life, and where you can lie for days, while they ignore you, and ask you every 6 hours if you want some paracetamol (which is the British equivalent to American aspirin).
If you crush them, doesn't that just mean you're getting, say, 20 mg oxycodone, the equivalent to taking four percs (been there, done that)? There must still be a time-release effect that makes them feel different from standard old percodan or 'cets. I know that the cough syrup, Tussionex, which is time-release hydrocodone (vic), is hands-down the best vicodin delivery system. What's the story with these oxy's?
When first introduced, it was considered equivalent to Tylenol as a pain reliever. However, Tramadol is now known to inhibit serotonin uptake in the synapse, and I imagine those who get pain relief from Tramadol do so for the same reason SSRI antidepressants have analgesic properties in some. I used the Duragesic patch when they first came out.
Ive been struggling with pain for ten years. With my current PM doctor ive tried ms contin percocet methadone and now duragesic 25mcg. I take a new med it seems to work for one to two weeks then it stops.
I know a little about the patch as I am on them myself, the conversion charts I have read says that 100mcg/hr is equal to 600mg of hydro/day. In your case that of course would be 200mg/day or 40 of the 5mg's or 20 of the norco 10mg's. That would obviously be a step up for you. The peak effects don't hit until 24-48hrs so your sleep may get even better! I'm just afraid that when you go to detox, you have place a much bigger monkey on your back.
As u probably know, you are taking the equivalent of 16 percs a day. Many of us have gone cold from far, far more than that. You are in a relatively enviable position that way. If possible, and it may not be, I would get 100 percs or vikes and taper down, never going over 8 per day (the tylenol fries your liver). Otherwise, I would take 10 days off and lie down and kick. It shouldn't be that bad (relatively), with your habit.
Well Koala, I was on doses several Dozen times larger than the Duragesic you are on and I could do it. Every 25 miligrams of Fentantyl are an equivalent of about 10mg of Percocet every 4 hours. If you were on a 50mg patch, that would be just about 12 Percocets a day, that's 120mg/day. There also is dose reduction but I've noticed that most doctors do not know how to deal with this. At least for oxycodone, hydrocodone, morphine, etc.
What would be the equivalent in Methadone to the 80 mg. 3 times a day of Oxycontin? He gets quite depressed. Takes 3x75 mg. of Effexoy daily. Also 3x300 Neurontin Any ideas?
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