Fentanyl to morphine
Common Questions and Answers about Fentanyl to morphine
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Before I left the office she was kind enough to relieve my discomfort witha 10mg shot of morphine to cover the transition time. By the time I got the Rx filled an the patch on me ( that was about 4 hours ago ) most of the nice releive i got from the morphine was gone. I am now getting the creepy crawlers much like withdrawl and am very very cranky. My question is: Is 12mcg/hr of this stuff very much. The info I can get tells me its about 1/10 of a 500 vicodin an hour.
I don't know abt. the patch, it seems like it would prolong the withdrawl. Possibly delay the inevitable but give some relief. Are you withdrawling voluntarily or till your next prescription ? Usually by day 5 a person starts to feel better and alot of the really bad stuff is over. I really do think the fentanly is a bad idea but I know how being addicted goes, we just want it to go away. I hope the best for you and I wish I knew more abt. your situation to give a good opinion.
I was on morphine SR 60mg twice a day for years and my doctor switched me to fentanyl 25 patch. I ended up with severe withdrawal and went back to the morphine for a week until my next appt where he put me on the 50 patch. Still I am going through withdrawals. My pharmacist says I can't be but I know 100% that's what is happening. Anyone else deal with this?
Again, Fentanyl is 100 x as strong as Morphine... NOT 81% and NOT 40%. Call the pharmacy if you'd like to verify this.
You can get addicted to ANY Narcotic out there, from Vicodin to Percocet to Fentanyl....doesn't matter which one. And ALL will cause w/d if you use them to "get high" and then stop suddenly. It's not just the "Big Dogs" everyone....
Your body will develope a "TOLERANCE" to any Narcotic also.......and a Pain Dr.
I went cold turkey. First the morphine and then the fentanyl. I called my family doctor to advise him of what I was doing and he offered his support and yes, he said the same thing, there is no substitute for fentanyl. All he could offer was another opioid.
I have been through withdrawal before so I knew what to expect. The morphine wasn't a major problem but naturally the fentanyl was. I read up on withdrawal symptoms, stopped the patch and increased the water intake to start.
Hi! I was on Fentanyl 50mcg / Morphine for 3 years. I switched to Tramadol after day 12 of quiting ct. I did not like the Tram, so I quit that after 2 1/2 weeks.
Tramadol wd is like an Effexor wd. The Fentanyl wd, for me, was much more difficult.
Fentanyl patches can be very effective for severe chronic pain, and there is a low risk of abuse. If you need pain relief for nerve damage, ask you PM Dr. about the patch.
I was eating Hydrocodone like they were candy and having little relief. However I was allergic to Fentanyl. I also tried Morphine (slow release) and it did not work well for me. I am now on a low dose of Methadone (much to my despair) but I do not take that everyday as my body simple does not like those big drugs. I actually take it backwards. I use it when my hydrocodone won't touch my pain and I don't have to drive or be alert. Everyone is different.
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 thought you said you are on the Fentanyl but would prefer to return to the Morphine. Please clarify. And I do not think that once you take Fentanyl (25) and it doesn't work for you that morphine won't work for you again. We all have different systems and what works for one doesn't necessarily work for another.
I tried it at the 25 dose of Fentanyl and though it worked somewhat I was severely allergic to the adhesive. It scared me too.
You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone,
Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another.
You can find equal analgesic tables, and apps for calculating equivalent dosing online.
It may be a good choice for him. Depending on who you talk to Fentanyl is 80 to 100% stronger than morphine. However sometime it will have to end. There may come a time that his tolerance is so high and he cannot take a stronger medications. I assume he is being followed closely by a PMP.
Every one's pain is different and for some learning to "chill out...relax...listen to music.." just doesn't get it. I am glad that these diversions work for Doug. That's great news.
I've been tapering down my medications (and made some great progress.) So far got off the Fentanyl 75 mcg., oxycodone 40 to 60 mg. every four hours. I had some pretty moderate withdrawals going off the Fentanyl and oxycodone. Nothing like cold turkey, but difficult nonetheless.
I was switched over to morphine ER 30 mg. in the morning and 30 mg. at night. I already dropped to 15 mg. at night. I'm also supposed to take 15 mg.
Definitely ask your doctor about a taper on morphine. Google opiate equivalency and find how much morphine to start at, talk to your doctor about a realistic schedule. Fentanyl is stronger than morphine, so don't keep taking it until you feel good. That would be a lot. Stay at a tolerable dose until you talk to your doctor again. Did he give you any idea of how much to take?
I was on the fentanyl patch many years ago, but for several years, and at a high dose. After developing diabetes, my body temperature made the medicine enter my body too quickly and so created problems. At that time, there wasn't the option of oral - only IV. The only question I'd have is that the GI tract absorbs medicines in oral liquid form quite quickly - unless in a time release form - thereby reducing the slow release quality of the patch.
I did some research and apparently morphine, dilaudid and fentanyl are all in the same class of drugs. Would it not be contraindicated to give a patient who states morphine doesn't work some other related drug? Obviously, I'm not a medical professional.
But what happened? Why didn't anything work? Can someone give me some insight?
I am not a drug user. I've never used drugs a day in my life, aside from occasional alcohol intake.
How do I prevent this from happening again?
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