Fentanyl vs oxycodone

Common Questions and Answers about Fentanyl vs oxycodone

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I have been using the fentanyl patch several years now. For me I had to increase the dosage, I think about ever three years. 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.

Oxycodone stays in your system longer - however it has the same 'effect' duration as Hydrocodone. I've always found Oxy to be stronger, but a bit more of a 'rough' (lack of a better description) high. Hydro took more pills, but the high was more euphoric for me -- peaceful but excited and full of energy - and can't stop talking. In the end - Oxy will probably take longer to over come WD's. We're talking maybe 2-3 days, but that's a long time when you are feeling sick.

Anyways, right now I am running 2 separate prescriptions, 1 for 60x40mg OxyContin (prescribed 1 pill twice daily), the other is 240x5mg Pms-Oxycodone (prescribed 2 pills 4 times daily). I REALLY NEED to stop taking this stuff...I'm sure this has been said before, but I do have legitimate pain that many neuro-orthopedic surgeons say "will never fully go away." First off, I want to get back to 1 prescription only, due to the potential legal consequences of "double doctoring.

The Fentanyl, which I'm on for my Long-Acting Med, is approximately 80 times stronger than Morphine. The Oxycodone (I use Percocet 10/325's for my BT Pain) is not as strong as the Fentanyl. Which meds are you on for your pain? As I said above, I'm very happy that you have found this site and I hope that you will enjoy the support that we offer here for you!! You might also, enjoy the Cancer Forum's. Here's the Link: http://www.medhelp.

I've read several posts from folks here who have used/are coming off of Duragesic (fentanyl) patches of varying strengths. Seems like most of these folks, however, have had them prescribed for legit reasons and have used them as directed. My question is, is anyone else familiar with the NON-approved methods of using these patches (that would include mainly ingeston)? Back in "the day", I would either cut them up or place them intact inside my mouth, and then. . .

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. Now I am on Fentanyl patches, 125 mg patch every other day. I also take 4 roxycodones a day, usually all at once at the end of the day. One is like taking a certs. Actually taking 4 at once is not much better. I have been on this regimen for 19 months.

I am on the 50 mcg/hr Fentanyl patch that I change every 48 hours. I take 2.5-7.5 mg of oxycodone IR for breakthrough pain. Oxycodone IR goes up to 30 mg strength tablets. I do have some questions for you so that I can better assist you: 1. How often do you change your patches (every 48 or 72 hours or something different)? 2. How many times do you have breakthrough pain each day?

Hello All I was wondering if anybody else out there has had any experiences of using fentanyl patches (especially uk durogesic and matrifen users that were previously on tilofyl or other brand gel based patches) that have had problems with withdrawal symptoms either from faulty patches, changeing to a different patch brand or changing over from oral morphine or other strong oral opioids like oxycodone, methadone, or dipipanone ? Which brand or type works best for you ?

I was just given a script for Fentanyl 100 mcg/hr from my doctor this evening. Prior to this I have been taking Kadian 30mg 3 times a day and 6 Percocet a day. I know nothing about Fentanyl and was wondering what the mcg/hr is and how long after I put this patch on does it start working and am I on the right dose? Is this 100 mcg/hr similar to my 90mg a day of the Kadian? How am I going to feel when this kicks in.

percocet (best is generic oxycodone by watson, NOT teva), is for outbreak pain, which is to say it goes to work faster. Norco(?) which I assume, from above, like Vicodin or Lorcet, is Brand for generic Hydrocodone, works on a time-release basis. Both contain the same synthetic codeine by dose; it is the other ingredients that make the meds different. I have been on (Percocet) Oxycodone for some 3 yrs. now for outbreak pain from fibromyalgia.

I have a huge island in the kitchen and put everyone's medicines on them (including mine by accident.) I sent my oxycodone in my uncle's bag. I was looking everywhere for them when my cousin emailed me and said when she was unpacking her dad's stuff she found my prescription. I called the NP and told her and she just refilled my script. And a couple of weeks ago when I had my daughter's graduation party, I had a bunch of things stolen.

My 84yr old dad has been on the Fentanyl patch for about 3 yrs. He started at 12.5 mcg, then 25mcg. He changed the patch every 72hrs. He felt good. No side effects. Last summer, after toe amputation surgery, he was put on 50mcgs for post-surgical pain. Since then he has been nauseous every day, losing weight due to no appetite, very sleepy and little energy. At first, we believed it was due to infections he was battling, strong antibiotics, anemia and low thyroid.

In other words, let's say you were taking 10mg oxycodone in short acting form (percocet) three times a day, you would be taking a total of 30mg of oxycodone. However, if you are prescribed 10 mg oxycontin (long acting version of oxycodone minus the acetaminophen that is in percocet) every 12 hours, you would only be taking a total of 20mg of the narcotic a day.

It's an old, cheap, and very effective long-acting pain medication. You really can't compare methadone vs. oxycodone on a mg-to-mg basis because methadone is a more potent medication. While any medication can be abused, the long-acting meds aren't as sought after by addicts as the short-acting meds like roxicodone. That's another plus that doctors consider when they offer opiate therapy. Any time you change medications you can expect problems.

Hi, I have been on fentanyl 75mcg and oxycodone 5-10 mg/day for the last year - ischemia and trigeminal neuralgia. I really want to get off these meds b/c of addiction issues etc. My doctor maintains that I have probably developed a tolerance to these meds. (tolerance vs meds - same thing??). In any event I stopped the oxycodone 10 days ago and my doc tapered the fentanyl patches to 40mcg for 1 month then 12.75mcg for the next month. Also rx'ed clondine and klonopin for anxiety.

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. A person taking a 50 mcg/hr Fentanyl patch is the analgesic equivalent of 100 mg/day of orally administered morphine sulfate. Oral methadone is 4 times more potent than oral morphine at lower doses, but 12 times more potent at higher doses. 7.

That is 150 mg of Oxycontin less than what you were taking through Fentanyl vs. 90 mg of Oxycontin more than you were taking. It now makes perfect sense to me why you are in so much pain on the Fentanyl. Converting 360 mg of Oxycontin to Fentanyl results in 150 mcg/hr...this is conservative. Converting Fentanyl to equal 360 mg of Oxycontin with the opioid calculator results in 300 mcg/hr.

Some of the pain medications are a bit harder for the liver to metabolize than others ie. Fentanyl vs. Oxycodone. Fentanyl is harder for the liver to metabolize and Oxycodone basically just flushes right through as long as there is no acetaminophen added. I take Milk Thistle and Dandelion Root everyday as they both assist the liver with detoxification and will not interfere with the potency of any medications you may be taking.

5 mg bid yields a 5 mg increase in oxycodone vs. a 15 mg increase. The 7.5 mg oxymorphone ER dose bid would be the closest in terms of equivalent oxycodone dosing. So conversions are not simple and to spare folks of all of this math, I leave it out and provide only what I think is necessary to answer the question.

He went to the hospital and is ok- htank God. He was taking 10 mg oxycodone ER. Does that mean that he got 10 mg of oxycodone all at one time? Would that not be the same thing as taking two 5mg percs?

I've gone through them with Fentanyl (tapering down and could manage but dragged on) and oxycodone a couple of times when I couldn't keep my meds down. I found the oxycodone pretty tough but I always wind up dehydrated. If you're happy with the methadone for your pain management, why do you want to come off? Or are you just trying to find out what it would be like if you chose to come off? There's sort of an expert on the Substance Abuse Forum here called Gnarly.

Basically it's for people who have already been taking something like oxycodone daily or hydromorphone daily and they've started to get break-through pain with those medications, so they need something stronger and something long-lasting. But, since fentanyl is so strong, much stronger than morphine, oxycodone, or even hydromorphone...

At my most medicated I was on 75 mcg. Fentanyl every 48 hours, 30 mg. oycodone every 4 hours, a special compounding cream made specifically for me, lidocaine patches, ibuprofen 800 mg. every 6 hours, Robaxin 10 mg. 3 times a day, 90 mg. Cymbalta a day, 1 mg. Ativan 3 times a day. I've also had a variety of procedures along with the 9 surgeries. I decided, after a lot of thought, that I want to get off all my medications to sort of reevaluate my pain.

Sorry you are having a problem getting meds filled. I too am on 75mcg fentanyl/48hrs and 4 oxycodone/day for break through pain. I ran into the same problem getting my prescription filled. I had major back surgery 09/30/10 and am on disability now. Finally had to move in with my daughter. That's 2hrs away from my doctor. None of the pharmacies in our area will fill my script. I called Medicare and they helped me with a mail order pharmacy.

It is my understanding that you cannot get either hydrocodone or oxycodone without the acetaminophen. Oxycodone is no longer manufactured without the apap at least it is still unavailable in my state. Hydrocodone is simply not made without the apap. Otis brought up a several good point that I neglected to mention. Primarily all pain medications have side effects, some worse than others. Often how your system reacts is based on ones individual make up. My pain med contains acetaminophen.

After I got out of the hospital, the pain clinic team put me back on the oxycodone, and we both figured that now that I'm getting better, the oxycodone won't bother me any more. Well, it will be a week tomorrow, and I'm still getting bad nausea with it, though only occasional vomiting. I'll be talking with the pain clinic NP mid-week, and I'm thinking of asking her to put me back on the morphine.

I had the option of taking them 3 times a day (every 8 hours) vs. 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.

I have extreme back pain and I am taking dilaudid and fentanyl. I have tried to come off the pain meds and I can't because of the pain. What are the risks if I get pregnant. The doctors say that I will need some type of pain medication to be able to have quality of life. What if any narcotics can be taken durning the entire pregnancy? Please help, my obgyn said we will deal with it when it happens but I am not satisfied with that answer.

didn't work, oxycontin and percocet...i hate anything with oxycodone so i got off that. I went back on the fentanyl patch 75mcg and within almost 2 months i went up to 150mcg b/c my tolerance was so high. I detoxed cold turkey and it was the worst and most painful, scariest thing that ever happened to me. But, it was the best thing that i could do for my body. I still deal with a lot of pain but I will never touch those evil patches again. I am trying to find other ways to ease my pain.

Injection vs. Oral or IR VS SR Oxycodone produces more euphoria and a faster onset of action! So, if you compare oral Dilaudid to Oxycodone, without question, Dilaudid(Hydromorphone)IR is less addictive than Oxycodone IR(Percocet). Even correct dosage of Oxycodone produces ''Morphine-like'' Euphoria With that said; Dilaudid(Hydromorphone) is more than twice as potent as Oxycodone and if a person injects Hydromorphone it too is highly addictive!

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