Fentanyl gel abuse

Common Questions and Answers about Fentanyl gel abuse

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I now have great pain in both areas. I do not know what to do. I am on fentanyl at 50 mcg every three days and about 4 percocets per day for break out pain. Really this does not stop my pain so I am at the point of thinking after a couple of years of being on oxy and now this to just get off it all. I am very scared that I am addicted. Since I am going to have a lot of pain either way I am wondering if I should just try and come off it all ? Any advice would be greatly appreciated.
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...
I was lurking in the Pain Management forums and someone mentioned that they've changed the way the Fentanyl patch is manufactured. They no longer have that gel stuff on the inside that you can squeeze/suck out (so I learned when I was in rehab). They now put the Fentanyl directly into the adhesive that sticks the patch to your skin.
The original one is a kind of a pouch filled with gel. The other is a flat patch that has the fentanyl embedded in the adhesive. It looks like a piece of Scotch tape. Mylan is one manufacturer of the flat patches and I've had the best results from that one vs. any of the gel pouch patches. They stick better and actually last the full 3 days. Everyone is different though, so just bear in mind that there are options out there if you have trouble with the one you're currently using.
5/500 mg Hydrocdone a day. The pain management doctor wants me to use the 25 mcg. fentanyl patch, but my Rhumetalogist seemed to have a strong reaction to this and the pharmacy treated me as if I am a druggie when I went to pick it. I worry about taking medication, but don't know what else to do for the pain. Does anyone out there use Fentanyl? Is it as addictive as they say? Should I worry about the amount of hydrocodone I'm taking. By the way everyone acts, I feel like a druggie...
What is your best med for breakthrough pain while using hte Fentanyl gel patch (100 mcg)?
It also dispensed too quickly leaving me dizzy and out of it the first day, fine on the second day and beginning withdrawal on the third day. There is also more potential for abuse with the gel patch (which I won't enumerate here). Prolonged raised body temperature can cause the patch to dispense too quickly. Taking a normal bath or shower isn't a problem, but lounging in a hot jacuzzi tub for an hour or more IS a problem.
There are some brands of Fentanyl patches that are flat and can be cut. The gel-filled ones should never be cut as it can release all the medication at once and cause an overdose. On the upside, you are on a fairly low dose of the patch.
Based on the little information I know, at day five you are probably through the worst. In the first 17 hours, there is 50% decrease in serum fentanyl concentrations. It's neither a quick or easy process. Symptoms of Fentanyl withdrawal can include: anxiety, irritability, confusion, tremors, sweating, muscle aches, stuffy or runny nose, abdominal pain and rapid breathing There is a lot of information on the net. Warm baths and exercise can be helpful.
It takes a long time for the Fentanyl to leave the system. It has a very long 1/2 life. If you are using the Fentanyl on a regular basis and then stop abruptly only using the Norco, your body is going to react in an unpleasant way. Fentanyl is very strong and Norco cannot replace that. Strange......... Well, I guess I don't have any answers for you at this point.
I had a lot of problems with them falling off also. I now place them on the flat part of my breast and the patch I use does NOT have the gel in a reservoir. It has helped a lot. Just make sure you change breast and spot you put them on. Hope this helps.
As far as the Mylan style, the fentanyl is in a solid gel matrix, and the patches are manufactured by simply cutting them out of a sheet, so cutting them further should not be a problem.
I would like to start each med on Monday so this week it will be on Fentanyl. I use the Fentanyl Patch 100mcg every 48hrs. This medication has had it's ups and downs for me. While it seems to keep the pain at bay, it makes me very tired. I could sleep all day if permitting. I have flare ups in body temps which are mostly at night. It seems that I get the largest dose then adn waking up can prove to be very hard.
i have been on the fentanyl patch for 4mths now because of chronic pain. i started at 12.5 then within a month i was up'd to 37.5 i still have chronic pain and a lot a breakthru pain for which i take tylenol 3 and clonazepam (for spasms). i want to stop the patch because it does not work for me .... can i stop cold turkey ... so far i have got myself down to 25 and am prepared to drop to 12.5 but what process would i follow .. how many 12 patches would i apply before stopping completely.
From time to time the FDA recalls misc brands and strengths of the fentanyl patch. My question doesn't ditrectly relate to recall but I normally get the Duragesic brand name patches or generic Sandoz brand. These patches had a gel inside and was secreated through the adhevise into the skin. The patches now no longer are made with the gel inside. They are made like the Mylan patches . The first week of the change I hurt so much worse... almost like I did have a patch on at all.
Coming off Fentanyl should be done very, very slowly. I'm not sure what type of patch you're on. The gel-filled ones cannot be cut but the ones that are sort of like a thin film can. I know JayBay has a lot of knowledge on this and hopefully she will respond to your post. I came off the Fentanyl patch last year. I did it a little too quickly and had some drawn-out mild to moderate withdrawals. I also used my BT medication to help me come off it.
There are two kinds of patches. One is a pouch containing a gel mixed with the fentanyl. If that kind of patch is cut, the gel leaks out and dosage is no longer controlled. If that patch is compromised while wearing it, yes, overdose is a possibility if the gel comes into contact with your skin. The other kind of patch looks like a flat piece of clear tape. The fentanyl is embedded in the adhesive so if it's cut, there is nothing to leak out.
I'm not sure how long it lasts I would guess the worse of it 2 weeks. I just stopped using fentanyl patches the end of feb. I had to go 24 hours without a patch before I started suboxone. That was the only way I could get off the nasty patches!!!! I feel so bad for you it is pure hell. I have been told its the 2nd hardest thing to w/d from :( I'm currently weaning off the subs I have w/d but no where near the fentanyl w/d. Look up the Thomas recipe that helps people a lot.
Hello Everyone, I'm so happy that this place exists, and I commend you all for your bravery and honesty. I started off taking 5 mg of Vicodin for intense back, neck, hip, ankle pain which occurred out of nowhere in March of '08. Well, Vicodin has always been my weakness, and since the pain continued for months, I worked my way up to Norco 10 mg, 5 times a day.
I guess I'm just not devious enough because these practices never once crossed my mind. With all the abuse of the gel patches going on, I wonder how long it will be before the DEA bans them? Mylan pharmaceuticals makes the patches I prefer. Instead of a gel reservoir, the fentanyl is embedded in the adhesive. Less chance of abuse that way, but no doubt someone out there has already figured out a way to do it.
Oxycantin does not come in a gel form. The only gel form narcotic that I'm aware of is the Fentanyl patch. These start in the 12.5 mcg/hr. formula and goes up to 100mcg's so maybe you could explain it better. Anyway, don't worry about generic, in my opinion, it is just as good as the name brand.
And these horror stories of death and OD's that we hear of, occur most frequently with the elderly and those that seek to extract the actual Fentanyl base serum out of the gel and alcohol packs to, "GET HIGH" !!! Now the older folks aren't junkies, they just take those hot baths, forget when they put the last patch on, and sometimes for consecutive days, which leads to respiratory or Cardiac Arrest.
As we know their are a few that will abuse the goodness of the Pain Dr. If the Fentanyl patch is working and your not in need of the oxycodone then just tell the Dr. Tell the Dr. you don't need it daily and that you are happy to have the oxycodone when needed. Sometimes just knowing it is there truely helps.The Dr. will be pleased and will feel he has done his job. It sounds like your over thinking the Contract. Pain Dr.
For about two years I've been abusing the duragesic patches that you are meant to wear by cutting them open and ingesting the fentanyl gel. I used to be really bad into it but lately, before these four days, I was taking about 25 micrograms and about 40 to 50 millograms of percocet a day. That was me tapering down from 100 micros of fentanyl and around 10 to 15 10 millogram percs. Well thanks guys for the librium advice its helping me greatly.
The doctors could not get me stabalized for days and ended up putting me on 200 mcg/h Fentanyl patches every 72 hours. Due to post op complications (pneumonia, blood transfusions) I was in the hospital for 2 weeks. When I was released and saw my doctors for the first time to get the staples removed from surgery, they tried to take me off the patch cold turkey. I had a grand mal seizure and they put me back on it.
It is SO COMMENDABLE that you want to deal with your RA in a new way. You are right, hyperalgesia is quite common after being on opiates for a LONG time for pain. I had it too. I chose to wait and re-evaluate my pain levels after I'd been totally off opiates for 60-90 days. Lots of healing is taking place...and our pain/opiate receptors have to begin to work on their own again. Initially, the pain INCREASES....I'm sorry to say that, but it does for a bit......
) For me, originally I was given a generic Fentanyl patch that had the gel in it. I don't think the release of the gel was consistent and I also had trouble with the patches falling off no matter what I did. In addition, the glue on that patch would get on my clothes (and it doesn't come out ... a lot of ruined shirts) and it was really hard to get off my skin. Now I'm on the Duragesic brand (which I think may be similar to the Mylan brand) and I have had no trouble with it at all.
Another alternative that Ive had to use is a compounded gel called KGCL, ketamine, gabapentin, clonidine, lidocaine. If you google "neuroderm topical" it shows some of the different combinations that can be compounded depending on your needs. They are all non-addictive, less drug on drug interactions and can be applied directly to the source of your pain.
I still am not sleeping right and already had bad anxiety and panic attacks before I detoxed off the fentanyl patch over 100 days ago. I suffer with chronic pain on a daily basis and cannot do anything. 800 motrin, naproxen, zanaflex,flexaril,lyrica,etc...doesn't work. I am desperate. I am also worried about the prices of these vitamins and if they interact with my regular meds.
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