Fentanyl vs hydrocodone

Common Questions and Answers about Fentanyl vs hydrocodone

actiq

Some of you may have seen the recent news surrounding hydrocodone, but I wanted to share it here for those of you who haven't as it’s an important issue that could potentially affect millions of people. To give you a brief overview, an advisory panel to the FDA has recommended tighter restrictions on hydrocodone-containing drugs, which would essentially classify them among the most dangerous prescription medications available to patients.
I was recently prescribed Fentanyl 25 mcg for my abdominal adhesion pain. I have been taking Hydrocodone or percocet off an on for a while now and finally got the point where I was needing it every day to function. I have had 5 surgeries in the past 4 years so that is part of the reason I am where I am. So, my question is about the Fentanyl. The first week I was using it, it was great. I felt better and had more energy than I have had since I don't know when.
i have severe osteoarthritis in my lower back and have been taking norco (hydrocodone 10/325) for several years. my dose is 4 (40mg) - sometimes 5 per day. i went down to 30mg and began going through withdrawal. i'm affected at night with body aches and restless legs that drive me crazy. However, if i stay at 40mg, which i'm doing now, then i'm ok.
I have break through pain, and have been on a pretty high dose of Hydrocodone fir a couple of years now, and I have worked my way up to 50 mg Fentanyl patches but am scared to continue taking the amount of Hydrocodone I have been taking. How much Hydrocodone is safe with 50 MG Fentanyl patches? Thank you all.
In my personal experience, I've found Norco (hydrocodone) to be more effective. All percocet did for me was give me constipation and make me parnoid. LOL!
I am disabled and have chronic pain, especially abdominable but includes RA, fibromyalgia, etc.; meaning that my pain is constant and "all-over". I have been taking some form of "-codone" for 16 years; mostly hydrocodone. My pharmacist got all upset that I was getting too mush acetamenophin so my Dr. switched me to oxycodone. Actually they did not help as well, so my Dr. sent me to a pain clinic at a local hospital.
Tramadol although a good medication for some, is not as strong as Hydrocodone. The truth is narcotics are safer fo ryour body than too much ibuprophen or accetomiohine(? spelling) which besides liver damage can cause ulcers in your stomach. Do you know why your DR changed your Meds to something less powerful if you were complaining of pain?
My question is: Does Roxicodone work as well as Percocet? Background information-- I was in a near fatal MVA 14 years ago and now suffer with chronic pain 24 hours a day/everyday. For 13 years I have used a durogesic patch and percocet together with lower to stronger strengths at the present. For 8 years I have used a durogesic 75mcg patch changing it every 48 hrs.- due to BREAK THROUGH PAIN. Along with the patch I use Percocet 7.5/325 mg 4 tablets a day.
Incidentally, she reminded me that she was on the patch for a while but thought it was morphine instead of Fentanyl. I don't remember as she's been on so many meds that I can't keep track of them. She liked the IV machine with the push button the best. I watched her nurse change the morphine casette one day and was amazed at the size of the thing! It looked like it might hold four oz. or so. Yeah, I hope you never have to be in the pain my poor wife has endured for six years.
gave perscribed me Hydrocodone as well as the Hydrocodone that i was already getting from my Neurologist. I started using them more often (vs. taking them "as needed") and I realized that I couldnt function on a daily basis if I didnt have them. This past Christmas (December '06) I somehow managed to go through 8 bottles of Hydrocodone (qty. 20 - 10/325) in less than 3 weeks.
I prefer the fentanyl patch because it is all pain med -- fentanyl is a pure opiate agonist, like morphine, where as Butrans depends on a medication that is part agonist / part partial agonist. But either patch should be worn only by those who are opiate tolerant. Even the circular provided with the Duragesic patch warns against using the patch in those who aren't used to opiate analgesics. Have you tried Oxycontin?
Personally, I think for most people tolerance builds a little bit faster on short-acting medications because the medication peaks rather quickly (30-60 mins vs. 2 hours for ER meds) and stays at the peak level for a very short amount of time (30 mins vs.
Ive heard a lot of people say Sub did nothing for pain or very minimal at best. I am planning on going on one or the other to get off hydrocodone once and for all, but I have both chronic and acute pain and will need pain control. difficult spot.
I think there is a misconception out there that 50 mg of painkiller A is equivalent to 50 mg of painkiller B in terms of potency, half-life, withdrawal, etc. This is just not true. The quantity matters when making comparisons, as does the method of administration (oral vs injected vs snorted vs smoked). Just google "equianalgesic table" and you will see what I mean.
I am not comfortably recommending a specific medication as we are all different and contraindication must be considered. However that said the suggestion of Duragesic aka/ Fentanyl Patch seems an appropriate consideration. Methadone is an effective PM medication. It is one that you must be cautious mixing another opiate with for break through pain. So you may want to talk to your physician about a long acting opiate with a second short acting opiate for break through pain.
every 12 hours or switch to the fentanyl patch. I decided to try the fentanyl patch since I heard great things about it and I am glad that I did. I was having severe constipation issues that were ridiculous!! I was experiencing severe bloating, cramps, chest pain, and difficulty breathing. I tried fiber supplements, stool softners, miralax, gasx, milk of magnesia and none of them worked.
My doctor raised my hydro's to 7.5/750 every 4 hrs for breakthrough pain. I'm also on 50ccg/hr Fentanyl patch every 48 hrs. I was taking 5/325 hydro's every 4 hrs but it wasn't really working anymore. I'm just a little surprised that she upped the acetaminophen. Is that too high??
It will get better. I was taking 60 mg of hydrocodone, 180 mg of morphine, 6 mg of dilauded and 80 mg fentanyl patches by 10 in the morning most days. Keep your head up. You can do this.
Hey Gary, Jarileigh is correct that Fentanyl is a more potent narcotic than the hydrocodone and the even lesser potent Darvon. I am not "shocked" by his choice. It is also a long acting and time released medication similar but more potent than the MS Contin and Oxycontin. More issues and abuse seem to be associated with Oxy than Fentanyl. You should follow your physicians directions. If he prescribed the patch for you he obviously did so with good reason.
Put me on Butrans 10 MCG and Clonidine .1 for withdraw. I have been on hydrocodone for about 3 years on and off. Last year pain a lot worse and used more often. My problem is I really liked the hydrocodone as I felt great and finally had energy and felt like I had a normal life. Anyone know what kind of withdraw I will be going threw, how long? Will butrans help with pain? Will Clonidine help with withdraw? Going cold turkey started patch last night and still have pain after epideral?
a great thing about suboxone is that it is used as a treatment aid for opiate addicts, it last for a two days, the average half-life is 37hrs, which is hella long, and it gets rid of any physical wd's from any other opaite and also haults the cravings for hydroc or wahtever opiate...
I've been on everything from Fentanyl to Oxy to Hydrocodone for legitimate spine and shoulder injuries. After a couple surgeries I am left in a situation where I will always have some pain for the rest of my life...and I am less than 30. All of my prescriptions have been legitimate but at times I have certainly taken more than necessary....or taken more than prescribed to get through a tough physical event. Anxiety about the pain has been one of the biggest problems...
5mg 3x a day for a couple of weeks, then weaned off of that) and I have just gone from a 75mcg. fentanyl patch to a 50. This is following an accident from 10 weeks ago. After feeling good enough over the weekend to be up doing housework and light yard work, I woke up feeling pretty awful this morning. I don't know if I did too much over the weekend???? I felt good enough to do it, so I don't know how to regulate what I do. I woke up with my legs in spasms (esp.
I have recently been referred to a new pain management doc and he is in the process of adding/switching me over to Kadian for long-acting pain control vs. just the Norco I have been on....my question primarily is how long will it take for me to adjust to the change from short acting opiate to the extended release meds...
The cure is worse than the original problem. Hydrocodone (hydrocodine) is a opioid (narcotic) derived from codeine and thebaine. Hydrocodone (hydrocodine) is indicated for the relief of moderate to moderately severe pain. Methadone treats moderate to severe pain and is also used together with medical supervision and counseling to treat narcotic drug addiction or to help control withdrawal symptoms in patients being treated for narcotic drug addiction.
Just had one more comment for ya: back when my back pain was at its worst, I was looking at things like surgery, because I couldn't find a doc who would give me any kind of pain meds, or any kind of pain relief. I was so desperate I would've gotten what would've turned out to be an unnecessary back surgery out of that desperation.
Hi and welcome. Duragesic patches contain a Schedule II narcotic,Fentanyl, which will readily be picked up in a screen. In fact, any opiate or narcotic will be detected, depending on how sensitive the test is. Most companies use sensitive testing methods. The anti-inflammatory or n-saids (Ibuprofen or aleve) are over the counter and may or may not control your pain, and they aren't narcotics and of course don't require a script. (so if they show up in the screen, it would be okay).
He said it's difficult because she doesn't have insurance at the moment, but he's just glad to see her off the pills. I don't know first hand, but that was one story I've been told, when it comes to an addiction vs.