Oxycodone vs fentanyl

Common Questions and Answers about Oxycodone vs fentanyl

oxycontin

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.
As many if you know I am tapering off of high dose fentanyl patches (and eventually oxycodone) prescribed for rheumatoid arthritis and Crohn's disease over the past 20 years. I take the medication as prescribed but I now believe I am being prescribed too much. My psychiatrist suggested going on methadone to help the taper from fentanyl. He said that since it has a longer half-life it is easier to taper from and that the methadone taper will create less withdrawals.
I had a bone marrow transplant and am in remission thank God. I was put on 5mg oxycodone as needed with the rx of 140 tablets per month. I was also put on 10 mg oxycotin extended release rx 60 per month 1 am 1 bed time. I have never used the entire 140 per month of the 5 mg but have been on both for probably 5 years now. I have never had any other drug issues or alcohol issues. I am ready to get off of the drugs and i think my pain level is at a point that I can live with it.
I realized that I was using the oxycodone to treat the distraught/depressed feelings and that, without constant escalation of dosage, the oxycodone was not going to be effective in the long term. I gave the fentanyl another try and found that having a constant stream of this opioid in my system and given several months to "smooth out" I am starting to climb back into a life that is rewarding and full of opportunity.
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? Many find that they have a lot of pain on the 3rd day while on the patch and some doctors will write for the patch to be changed every 48 hours vs every 72 hours.
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 ?
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.
People just need to realize that being on a 25ug/hr patch is still being on a pretty decent dose of fentanyl.....or opioid, for that matter. As far as fentanyl being like morphine, they are alike in their affinities to the mu opioid receptor and that is basically it. Fentanyl is metabolized into an inactive metabolite (norfentanyl) where as morphine is metabolized into one active (m6g) and one inactive (m3g) metabolite. And, heroin is metabolized into morphine.
Percocet (oxycodone) is stronger than Vicodin (hydrocodone). Percocet is typical prescribed in 5mg doses. Hydrocodone is also typically prescribed in 5mg doses. At these levels percocet is definitly the stronger drug. Norco a brand of hydrocodone that comes in 10mg pills, and is there for equivalent to 2 normal hydro pills. People get confused and think it is stronger because they are taking two pills in one.
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?
Sometimes doctors will increase the breakthrough meds while decreasing the Fentanyl so you won't have much withdrawal. Once pyour off yhe Fentanyl, it will be easier to get off the others. Look up the Thomas recipe ... it will help minimize any witohdrawals. Also stay very hydrated and no matter how anxious you are to come off, a slow steady taper is best.
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.
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.
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.
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.
So if you remember I converted your total daily dose of Fentanyl to Oxycontin and it came out to be 210 mg of Oxycontin. 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.
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. I have had experience with this because my enzymes went up while on Vicodin. My doctor switched me to Oxy and my enzymes have been normal ever since.
We all have to worry about dependency and possible withdrawals no matter what narcotic we're on. 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?
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?
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.
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.
I'm detoxing from fentanyl and oxycodone currently and it's a slow process. Each decrease puts me through a massive withdrawal. I have 2 more decreases before I'm off the fentanyl. 1. I sleep on the hard floor. I'm not sure why this helps, but it feels more comfortable, especially immediately after a decrease. 2. I take vitamins and I drink a TON of water. I feel dehydrated, so the more water I drink the better. My body feels like it is on fire from the inside out.
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...
If I remember correctly, you're trying to come off very high doses of Fentanyl and oxycodone. And did I just read yesterday that you are done for some reason with the dr that has been prescribing the patches and won't be getting any more from that dr? Maybe I dreamed that, I'm not sure....but you are down from 200 mcg to 100 on the patches, right? All things considered, your health issues and your drug history....going to inpatient detox would be one of the best gifts you give yourself.
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