Fentanyl epidural dose
Common Questions and Answers about Fentanyl epidural dose
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I recently underwent a lumbar epidural block. Being in EMS for over 8 years, I naturally wanted to know what medications would be given prior to the procedure and in what quantity. I was informed that I would be receiving 2mg of Versed, and 50mcg of Fentanyl; both IVP.
I have never taken anything stronger than tramadol for pain, so I expected to get significant relief from the fentanyl during the procedure.
25 mcg/hr is often the starter dose of Fentanyl. They do make 12.5 mcg/hr patches that contain 12 mcg/hr Fentanyl but this lower dose is fairly new. I am also on the Fentanyl patch, dosed at 50 mcg/hr. I take 10 mg oxycodone IR as needed for breakthrough pain. So another thing to assess is if your pain level is consistently high throughout the day or if it is only high during certain periods of the day.
I am 52yrs.old female with severe osteoporosis.52% bone loss,kyphosis,& so much pain i am on the edge.I have suffered 3 compression fractures,that when the last one happens I heard the bones crunch so bad that it sounded like eggs crushing. I have been taking slo-release morphine for 4 yrs.My dose has been at 100mg.BID & 10mg statex for break thru pain.I also take Lyrica.However the pain is increasing & I can only sit,lay stand for 5-10 minutes at a time.
I have been in pain for 7 years, with a plate in c5-6, in constant pain I am on oxycodone 10mg 4xdaily
soma 350mg 4xdaily
naproxen 500mg 2xdaily
lorazepam 2mg 4xdaily
Pls help with the pain I go to pain clinic to get cervical epidural but no more. I have had 4 of them and 52 trigger injections in 2 visits. Any Help?
mscontin and fentanly i was on but was afraid to have to go up the ladder so I tappered off.
Fentanyl can be very difficult to come off. The withdrawals seem to be harsher and last longer than other opioids. But you are lucky to only be at 12 mg over 4 weeks. Did your doctor have you on something else before he put you on the Fentanyl? I ask that because Fentanyl isn't normally used as a first-line drug for pain. If you were on something else, that would factor into your withdrawal.
You can read lots of withdrawal hints over on the Substance Abuse forum.
I began taking it even when I did not need it for pain and became addicted and tolerant to the medication... About 5 months ago, I got on Fentanyl Patches at 25mcg then increased it to 50, and now am on 75... I need to get off this and tried last month and I couldn't, it was too hard... My question is, what is the right way to get off of the Fentanyl without wanting to die. I am a registered nurse and am getting my nurse practitioner degree and will be done with my masters degree shortly...
Hello Novermhead,
You've asked a good question. Oxycontin is a sustained release medication and I am surprised that you are taking four, 40mgs tablets per day.
According to the conversion charts that I normally refer to the fentanyl patch would need to be 125 mcg to equal what you are taking now, which would be delivered over a 72 hour period.
it may take a while to adjust each time u drop ur dose//or patch dose..have u talked to ur dr bout some safe meds to help u with all of these wd symptoms..also most taper a bt slower than u have...from 150 to 25 mcg is quite a fast taper.. There r also 12.5 mgc patches available..u r where u r so it is hard to move back up in dose....each time u dropped ur dose how long did it take for u to adjust to the lower dose? did ur dr give u anything to hap with sleep and anxiety?
Wow! You take 300 mcg of Fentanyl every 3 days? That's a seriously high dose. Like mary said, you will develop a tolerance to opiates, which means you would keep requiring a higher and higher dose to reach the same level of effectiveness.
You posted in the addiction forum. Do you abuse your meds? If not, then I agree that this would be more suitable for the pain management forum.
Are you getting your meds through a pain management doctor?
If I go 18-24 hours without dosing or even a reduced dose I get sick, and I only take hydrocodone. Fentanyl is a short acting drug which is why they make it in patches so it can be time released, the good news is that it typically means withdraw will be shorter. Best of luck to you, I just signed up on here today myself looking for some advice to get the monkey off my back. I'm sure somebody else here can be more helpful.
ve never had the Fentanyl lollipops but I was on (what I think) was a high dose on the patch. I came off that gradually (on my own) and it wasn't too bad. I do know Fentanyl can be hard to come off CT but I would think in your situation in wouldn't be hard to taper you down.
Why are they all of a sudden in such a hurry to switch to something else?
Please do your research on methadone.
t help me anymore he referred me to pain management. I recieved an cervical epidural on Septmber 21st...... and that didnt work either(that doctor told me after the 3rd epidural that i would need surgery).I did not go through with anymore epidurals because my parents wanted another opinion. After a year and a half in pain, and seeing numerous doctors(10).....I am very close to solving the mystery.
I have a lot of experience with fentanyl patches but i must say you are on an incredibly high dose. Usually even in terminal cancer patients 300mcg/hr is the ceiling dose. 400mcg/hr is the equivalent of 960mg of oral morphine!!! (a 50mcg patch is equivalent to 120mg of morphine). That is truly an astronomical dose!!! Tapering from fentanyl patches is difficult as they cant easily but reduced in small increments.
s a good chance that you need to have your fentanyl dose upped. Ideally, breakthrough pain meds should be taken only for that - periodic times when the long lasting medications aren't quite enough. They should not be used as "additional dosing".
I would suggest talking to your doctor about adjusting your fentanyl dose up, even slightly. You may still need or want to request a refill on the breakthrough meds so that you have some on hand in case you find you need them.
Actually the symptoms you describe sounds as though you started on too high of a dose. Often we need to begin on a low dose (lower than we know will be effective) and gradually work our way up to a therapeutic level. It takes our system a certain amount of time to adjust to the opiates. Everyone is different. But the side effects that you described will go away or greatly reduce in time. How much time is strictly up to your system.
I still feel a significant amount of pain. I assume I have become tolerant of the medication. I do not want to increase the dose if at all possible. My sister died of a prescribed Morephine overdose.
I am just wondering if there is another long term pain relief option. I hsve BC/BS insurance. I just do not feel comfortable upping my dose on morephine. Ultimatly my goals is to be pain med free.
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