fentanyl for chest pain

Hi,your questions can only be answered by your pain management team.Why do you risk your welfare to uneducated strangers?????????????????????

I am now on the 50 mg patch with meds for break through pain. I do go to a pain management doctor, and it is much better for you to talk to your doctor about the pain not being controlled. Your body becomes tolerant and increased doses are expected. I am surprised your doctor hasn't already increased the dosage after such a long time taking the same pain killer.

I have been using fentanyl subliminal (?) Tablet 400mcg for approximately 1 year when I was switched to the Subsys fentanyl 1600 mcg spray. I was on this spray for 1 year. I was abruptly taken off of this medicine (cold turkey). My only saving grace was some 200 mg Nucynta tablets that I had used for break through pain ( Friday through Tuesday) I used these tablets until the doctor could see me last Tuesday @ 2:45PM. I have been given 60 MG morphine sulfate and 8 MG hydromorphone.

I am on 12mcg of the fentanyl. I cannot take more than that otherwise I get severe chest pains. The pain clinic dr won't give me anything else says he can't help me if I don't stick with the hydrocodone 10/325 and the fentanyl patch. I have severe neuropathy in my feet and I can't take Lyrica, neurotin or the generic. If I try to go to a different pain clinin then they will think I am just looking for drugs and I'm not I'm looking for some kind of pain relief.

Has anyone ever gone to rehab to be medically detoxed from fentanyl and oxycodone? I've been on pain meds for about two years now. I've only been on fentanyl for three months but I want off everything. I feel like I'm in a constant fog. I hate the way I feel. The fentanyl is making me depressed really bad. It also gives me anxiety. I have chronic pain but I think I would rather be in pain then deal with the way pain meds make me feel.

Just wanted to ask if anyone had any experience with switching methadone 95mg once daily, to fentanyl patch 100mcg Hour patch? or know the methadone mg fentanyl dose equivalents?

I believe that I was receiving adequate pain control for 80% of time when I was using only 25 mcg/hr fentanyl. I am concerned that the side effects I had been experiencing on 25 mcg/hr fentanyl (nausea, occasional vomiting, decreased appetite and insomnia) will increase, and I may be putting myself at greater risk of dependence or narcotic addiction. Nor am I entirely confident that the increased fentanyl dosage will eliminate my breakthrough pain.

I am prescribed quite a few pain meds and benzo's for Chronic pain and anxiety but need advice on getting off Fentanyl Patch ASAP. I am prescribed Fentanyl Patch 100mcg every 36 hrs, Diladid 8mg 2-3 daily, Percocet 7.5 4 daily, Norco 7.5 4 daily, klonopin 1mg 4x daily, Valium 10mg 2-3 daily, Flexeril 10mg 3x daily, Phenergan 25mg 2x daily. I now am down to taking 50mcg Fentanyl every 72 hrs, 1/2 so 4 mg of Diladid if needed 0-2 a day, 1/2 of Percocet so about 3.

Good job on the taper and good luck. Fentanyl is tough to kick. Chest pain is quite common.

I was on the Fentanyl 100mcg patch with dilaudid for breakthrough...up until about a month ago. I have pain that will always be here...but I am 36 years old, and I was getting very uncomfortable with the high doses of medications I was on. Also had problems with the patched staying on long enough, or the patches would last maybe 48 hrs and then I'd feel like I'd start feeling withdrawal symptoms for the last 24 and into the next patch for a few hours.

I am currently taking Opana ER 30mg /2 TID for long term spinal pain due to breaks and fusions. I am going to try replacing that for a short time with a Fentanyl Patch to see if I have any improvement in Pain Mgmt. I am just wondering what regimen I should use to safely do this. For example. Is it as easy as waiting 12 hrs. after my last Opana ER and then apply the patch (it's a 3 day patch) then take another ER once the 3 days has expired?

I have taken Fentanyl for a month 2 weeks 12 mcg and 2 weeks 25 mcg. This did not help the pain. So, I talked to my doctor and she told me to go off cold turkey. She said there was no need to wean off the medication because it was only a month. Two days later I have been experiencing too much anxiety, chest heaviness, lack of sleep and too much restlessness. I went to the emergency and was told that I should have no got off the patch cold turkey and the symptoms were withdrawal symptoms.

Wow!! What a mess!! I know, too well, about fentanyl patches. I was on them for 5 yrs for 3 failed back surgeries. My dr was fired about 45 days ago and left 600 patients to come off pain meds, cold turkey. I was on the 100 mcg/hr every 72 hrs, a few months ago, I decided I wanted to wean off fentanyl...I couldn't get below 75 mcg every 48 hrs. Also was on oxycodone 10/650, 4 × daily. I tell you all this because you should've been weaned off fentanyl...

Now... I am not exactly saying that I think fentanyl is the wrong medication for your pain, in fact... from everything you have told me about your pain levels and constant pain, fentanyl seems very appropriate and I understand completely why you would want it... I just think that it is the wrong medication for your body chemistry at the moment if what I've understood is correct, I'm just worried it would kill you. But, that doesn't mean you couldn't eventually take it...

s my understanding that the fentanyl patch is one of the strongest meds .I know several on it who say it works well for them. I would discuss this with my PM and see what they would recommend for you .

All of us here who are using opiate therapy should know what the symptoms of withdrawal are and how they can be treated.

Jenelle, thank you for your thoughts--I was hoping to hear from someone that had been on methadone. I had heard that methadone was the hardest opiate to detox from and I don't know why my psychiatrist thought it would be easier. I think it is one of those incidences where the medical community thinks they know what is best but had never experienced a practical application of their beliefs.

25 mcg per HR? Is this a patch? I thought this was a pain patch replaced every 3 days. Or am I misunderstanding an abbreviation? I would read up on fentanyl (type it in the search line). There are lots of cares to be considered with it and it is habit forming as well. But it has been fatal to some people. My friend's mother just went to the hospital after her dr. put her on this patch for pain (she has heart arhythmia). ER said "you can't be on this med".

Anyway, when I take Subutex, my resting pain level is a 2 - which is a reduction of 4 pain points - pretty significant for a drug I take only once per day, versus the Fentanyl, Oxycontin and Roxycodone I was taking previously. If you have other specific questions, hit me back. There are online tools to find a doc near you who can get you on Suboxone/Subutex, and in my experience, if you have chronic pain, it is a pretty good alternative. Peace!

Fentanyl is a good drug to treat pain for terminally ill patients , or ppl who need 24 hour pain relief. But drs are passing this drug out to patients who don't need it or they keep increasing the dosage until its almost impossible to get off of it when the time comes. I know, it happened to me. Then wnen the dr was fired after I was on it for 5 yrs, I was basically screwed.

I first started pain management for leg pain which still continues.What is your opinion about fentanyl,and also surgery on neck when their are multi-level problems causing same symptoms?

Cold turkey will be be completely out of the question for you. If your on fentanyl and oxy for break through and will have (real)pain still with withdrawl pain its tuff. But you sound like you're up to it. I too was on this combo for aa year. I started on the fentanyl first as far as tapering.. not both.. have a realistic time on tapering amount. Maybe 4 to 6 months. No joke.. some people will say thats wrong and you can do it faster..

Just like you , I am 29 and have been on pain meds for years b/c of chronic, severe pain. I too wanted to detox off of 150mcg of the patches b/c my doc did the radio frequency which is temproray and I am waiting to get the pain pacemaker free b/c i can't afford it. I practically detoxed off of the fentanyl patches cold turkey. If you use suboxone, your withdrawals will be easier but then you have to detox off of the suboxone which I heard is not easy.

Fentanyl for chest pain

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