Fentanyl opioid

Common Questions and Answers about Fentanyl opioid

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I was on Fentanyl, along with various narcotic breakthrough meds but felt like the Fentanyl changed me. It's hard to describe. I came off the Fentanyl easily enough since I was on the breakthrough meds. Now I'm down to 10 to 20 mg. of oxycodone every six hours. I've always wanted to come off to see where my real pain is but I think fear has kept me from trying. But I am still trying, though slowly. I think it seems like most people have issues with anxiety, sleeplessness, etc.
Is there specific guidelines (references) for administration of opioids in the NICU and dose adjustments? In general, I understand the dose for fentanyl to be 1mcg/kg but in what situations should this does be adjusted downwards? Should the dose be reduced (or proceeded with caution with Narcan available) if the preemie has experienced several recorded O2 desaturation events in the preceding hours? Also if the preemie is less than 1000 grams is there a guideline for does adjustment?
Hello! I been over on the Painmngmt. mainly but have a question regarding Fentanyl i hope someone can help me with. I'm currently weaning down on Fentanyl 25mcg. This is my 5th day and my schedule looks like this. 1st keep 2 25mcg patches on for 3days. Next put 2 25mcg keep those on for 3days. Next put 1 25mcg and leave that on for 3 days and the last put1 25mcg patch on and leave on for 3days. After this i'm done. I was started on 25mcg and went quickly up to 100mcg whithin 4weeks.
Fentanyl - Opioid Dilaudid - Opioid Methadone - Opioid Hydrocodone - Opioid Darvocet - Opioid Don't be fooled, if you do Darvocet or Darvon, you are feeding the opiate receptors and you will set yourself back if you are trying to go C/T
Depending on how high of a dose of oxycodone you are on however, you may not have a high enough tolerence to warrant an increase in the fentanyl dose. I would make sure that the physician ordering the fentanyl (whether it be an anesthesiologist, radiologist, etc.) knows the amount of oxycodone you take by telling that person YOURSELF. Don't rely on the information being relayed to them via the form you fill out when you check-in or the nurse who swares they will tell them - do it yourself.
Fentanyl is an opioid-agonist and therefore you WILL experience withdrawal problems if you go cold turkey with this one. Are you trying to quit both meds at the same time or just Paxil?(sorry, I didn't get it). There might be some subtle interaction between the two drugs that somehow makes it more difficult to quit Paxil this time. Listen to Paxiled. Taper.
he has put me on fentanyl patches 25mcg and oxycodone 10/325 3x a day for breakthrough pain. i havnt taken any of this med. yet. i am a lil aprehensive about taking the patches. it states on the package "for use with opiod tolerant patients" im not sure but i did a lil research and most people dont make the jump from hydocodone to fentanyl. most go to morpine oxycodone etc...
After a decade resulting in opioid resistance as treatment for fibromalgia, degenerative disc disease and advancing osteo-arthritis, I was given Mylan patches 100 mcg ,after 2 years, every 48 hrs because I would get the shakes before 72 hrs. Mental/physical decline prompted me to cut back rather abruptly, @ 50mcg/72 hrs. Thought i was going crazy, since bi-polar in family & I've had mild depression since childhood.
i am on my 13th day from detoxing from 150mcg of fentanyl. i need to know why since the detox, my eyes are burning and watery, very sensitive to any light. ive been trying to make myself deal with it and get used to it....not working. also now i am finally hungry and very thirsty well i was happy i had a good meal and then felt pain in my stomach like i ate an elephant.
Reading in the Fall 2008 'CURE' magazine that 'Relistor' (methylnalterxone) is FDA approved this year especially for opioid induced constipation. It helps to prevent the opioid from affecting the gut by blocking the receptors there. Very cool. Ask your doc about it if you are taking such drugs (which include Morphine, Fentanyl, Dilaudid, etc.).
I'm researching the pro's and con's of the fentanyl patch. My fiance has been in a great deal of back pain and is prescribed oxy's, morphine and percocet. However, he doesn't take them because they the only things that work for him are 80's and roxy's that he gets from family and friends. The doctors won't prescribe them so he is not under medical care, he self medicates and even though he doesn't take more than 2 pills a day, I'm still worried.
that it isn't working, well to make a long story short, I have been thru many narcotics, and now I have been perscribed Fentanyl, a low dose, but I don't feel that warm fuzzy feeling that I expect to get from taking a narcotic... Does that mean the medication isn't working? And the pain is not as bad, So Iguess it is working, but I don't feel that euphoria.
As a Schedule II controlled substance, fentanyl can produce drug dependence similar to that produced by morphine. Fentanyl has the potential for abuse, often leading to physical and psychological dependence, but may be a necessary evil to control chronic pain. Your doctor will have to take these factors into account before prescribing this drug. Tolerance is when ever increasing doses are required to produce the same degree of analgesia.
My girlfriend (aged 32) was an anaesthesiologist, specialized in cardiothorasic surgeries, but also addicted to fentanyl. The first time I noticed the use of fentanyl was about a year ago, but as the days passed the dose began to rise and over the last 2 months she used to do 2 hypodermic injections of fentanyl per day. I don't know the exact dose, but she had the large fentanyl vials (I think that there are 2 vial sizes) which she used for 4 or 5 injections approximately.
Yes I do have questions about fentanyl patches, I was informed that fentanyl was an opioid not an opiate. What is the difference? And I am aware how opiates work on our brain, the receptors, the release of too many endorphins, and seritonin levels from the opiates, that block our natural pain fighting endorphins. Does fentanyl patches do the same thing?
I had a gallbladder attack the end of March which lead to pancreatitis (the stone got stuck in the duct leading to pancreas) and a month long stay in the hospital 2 and a half hours away from my boyfriend, one year old and all the rest of my family. When discharged the end of April I was given scrips for fentanyl 50 and liquid morphine(I had a feeding tube nothing by mouth) the morphine was comparable to quitting Tylenol no problems at all.
Would you please let me know what strength his Doctor has put him on with the Fentanyl Patches? Since you are new to the Fentanyl they start at 12 mcg's and go as high as 100 mcg's, with different strength's such as 25, 50, 75 and can be combined to make an infinite strength by combining them all together. Fro instance, I'm on 87 mcg's. I've been as high as 125 mcg's after my THR (Total Hip Replacement). I've known of people being on a combination as high as 200 mcg's before.
Opiate is an adjective while opioid is a noun. Percocet is an opioid as is fentanyl. They are synthetic which means they are man made and not derived from a plant. Good job on getting off the Percocet!
My pm and I were talking about reducing my fentanyl dose from 25mcg to 12mcg. Before we really got to discuss it my insurance company said I had to switch from nucynta 50mg to opana er 15mg. I was just wondering if I can kill two birds with one stone. Should I be able to reduce fentanyl dose from 25 mcg to 12 mcg since Opana Er 15 mg has entered the mix?
i have a fentanyl patch 25mg/h. I am having severe back pain and have no health insurance is it safe???????
A lot of times, high doses of opiates actually ends up making chronic pain worse. It's called opioid-induced hyperalgesia. With the high doses of Fentanyl you're on, I wouldn't be surprised if you were dealing with this. http://en.wikipedia.org/wiki/Opioid-induced_hyperalgesia I would strongly recommend discussing your pain control with your doc, and exploring some alternative ways to manage your pain. Best of luck!
I have been on 50mcg Fentanyl patches (1 every other day/15 per month) along with 120 7.5 percocet per month for about 8 years. I generally take 2 percocet on the day I put on a new patch and 6 on the 2nd day as it wears off. I have never increased my doses over the years and have only had it prescribed by the same Dr. Over the last few months I have started to have bad side effects and my Dr. said I am likely developing hyperalgesia from long-term pain medication.
Now I'm tacking the oxycodone a week after getting decent sleep and it's just as difficult to come off as the fentanyl! I thought it would be easier, but I was dead wrong. I have the same exact symptoms of withdrawal. I hope it lasts for two weeks or less once off. I'm actually tapering off this med. not sure if I have the ability to quit cold turkey. This *****!
So don't think that by taking Hydrocodone, you are on easy street. Addicts call every opioid, not just Fentanyl, the devil. If you using it for chronic pain and taking it as prescribed and you have increased functionality from it, you have nothing to worry about. Less than 1% of chronic pain patients get addicted to their medications. This switch is better for your liver. Taking near the max or the max dosage of hydrocodone is toxic due to the Tylenol that is binded within the pill.
Have tramsdermal pain pump. Had 8 yrs of fentanyl 4 micrograms and dilaudid 2mg pumped in me for MV acct. QUESTION is how long will the withdrawal be? I'm on day 8 and only 20 hrs of sleep. With the worst case of RLS ever. Don't crave the drugs, but the racing thoughts r making me delirious. When does it get better. Snots, squirts and vomiting. Went on for 6 days. Liquid N-Quel works wonders also Amodium AD. Godsend.
Since this too has an opioid drug in it, it is possible you are feeling the effects of its withdrawal. The other possibility is that you can change your PM. The third possibility is to try physiotherapy and acupressure. Use a hard bed to sleep. Avoid a pillow. Roll a towel and place it under your neck while sleeping on the back and between head and shoulder when lying on the side. Initially this will be uncomfortable but with time the acupressure will do wonders.
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