Oxycodone vs fentanyl

Common Questions and Answers about Oxycodone vs fentanyl


I have been using the fent<span style = 'background-color: #dae8f4'>a</span>nyl patch several years now. For me I had to increase the an style = 'background-color: #dae8f4'>doan>sage, I think about ever three years. I am now on the 50 mg patch with meds for break through pain. I an style = 'background-color: #dae8f4'>doan> go to a pain management an style = 'background-color: #dae8f4'>doan>ctor, and it is much better for you to talk to your an style = 'background-color: #dae8f4'>doan>ctor about the pain not being controlled. Your body becomes tolerant and increased an style = 'background-color: #dae8f4'>doan>ses are expected. I am surprised your an style = 'background-color: #dae8f4'>doan>ctor hasn't already increased the an style = 'background-color: #dae8f4'>doan>sage after such a long time taking the same pain killer.
Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne stays in your system longer - however it has the same 'effect' duration as Hydrocoan style = 'background-color: #dae8f4'>doan>ne. 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-Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne (prescribed 2 pills 4 times daily). I REaLLY NEED to stop taking this stuff...I'm sure this has been said before, but I an style = 'background-color: #dae8f4'>doan> 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 "an style = 'background-color: #dae8f4'>doan>uble an style = 'background-color: #dae8f4'>doan>ctoring.
The Fentanyl, which I'm on for my Long-acting Med, is approximately 80 times stronger than Morphine. The Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne (I use Percocet 10/325's for my BT Pain) is not as strong as the Fent<span style = 'background-color: #dae8f4'>a</span>nyl. 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 an style = 'background-color: #dae8f4'>doan>se fent<span style = 'background-color: #dae8f4'>a</span>nyl patches (and eventually oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne) 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 methaan style = 'background-color: #dae8f4'>doan>ne 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 methaan style = 'background-color: #dae8f4'>doan>ne taper will create less withdrawals.
I had a bone marrow transplant and am in remission thank God. I was put on 5mg oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne 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 oxycoan style = 'background-color: #dae8f4'>doan>ne to treat the distraught/depressed feelings and that, without constant escalation of an style = 'background-color: #dae8f4'>doan>sage, the oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne was not going to be effective in the long term. I gave the fent<span style = 'background-color: #dae8f4'>a</span>nyl another try and found that having a constant stream of this opioid in my system and an style = 'background-color: #dae8f4'>givean>n several months to "smooth out" I am starting to climb back into a life that is rewarding and full of opportunity.
5 mg of oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne IR for breakthrough pain. Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne IR goes up to 30 mg strength tablets. I an style = 'background-color: #dae8f4'>doan> have some questions for you so that I can better assist you: 1. How often an style = 'background-color: #dae8f4'>doan> you change your patches (every 48 or 72 hours or something different)? 2. How many times an style = 'background-color: #dae8f4'>doan> 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 an style = 'background-color: #dae8f4'>doan>ctors 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 fent<span style = 'background-color: #dae8f4'>a</span>nyl 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 oxycoan style = 'background-color: #dae8f4'>doan>ne, methaan style = 'background-color: #dae8f4'>doan>ne, 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 oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne. 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 roxycoan style = 'background-color: #dae8f4'>doan>nes 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 an style = 'background-color: #dae8f4'>doan>se of fent<span style = 'background-color: #dae8f4'>a</span>nyl.....or opioid, for that matter. as far as fent<span style = 'background-color: #dae8f4'>a</span>nyl 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 (oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne) is stronger than Vicodin (hydrocoan style = 'background-color: #dae8f4'>doan>ne). Percocet is typical prescribed in 5mg an style = 'background-color: #dae8f4'>doan>ses. Hydrocoan style = 'background-color: #dae8f4'>doan>ne is also typically prescribed in 5mg an style = 'background-color: #dae8f4'>doan>ses. at these levels percocet is definitly the stronger drug. Norco a brand of hydrocoan style = 'background-color: #dae8f4'>doan>ne 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 fent<span style = 'background-color: #dae8f4'>a</span>nyl patch because it is all pain med -- fent<span style = 'background-color: #dae8f4'>a</span>nyl 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 an style = 'background-color: #dae8f4'>doan>ctors will increase the breakthrough meds while decreasing the Fent<span style = 'background-color: #dae8f4'>a</span>nyl so you won't have much withdrawal. Once pyour off yhe Fent<span style = 'background-color: #dae8f4'>a</span>nyl, 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 Fent<span style = 'background-color: #dae8f4'>a</span>nyl 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 oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne 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 oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne in short acting form (percocet) three times a day, you would be taking a total of 30mg of oxycoan style = 'background-color: #dae8f4'>doan>ne. However, if you are prescribed 10 mg oxycontin (long acting version of oxycoan style = 'background-color: #dae8f4'>doan>ne 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 methaan style = 'background-color: #dae8f4'>doan>ne vs. oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne on a mg-to-mg basis because methaan style = 'background-color: #dae8f4'>doan>ne 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 roxicoan style = 'background-color: #dae8f4'>doan>ne. That's another plus that an style = 'background-color: #dae8f4'>doan>ctors consider when they offer opiate therapy. any time you change medications you can expect problems.
Hi, I have been on fent<span style = 'background-color: #dae8f4'>a</span>nyl 75mcg and oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne 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 an style = 'background-color: #dae8f4'>doan>ctor maintains that I have probably developed a tolerance to these meds. (tolerance vs meds - same thing??). In any event I stopped the oxycoan style = 'background-color: #dae8f4'>doan>ne 10 days ago and my an style = 'background-color: #dae8f4'>doan>c 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 an style = 'background-color: #dae8f4'>doan>es 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 an style = 'background-color: #dae8f4'>doan>se of Fentanyl to Oxycontin and it came out to be 210 mg of Oxycontin. That is an style = 'background-color: #dae8f4'>15an>0 mg of Oxycontin less than what you were taking through Fent<span style = 'background-color: #dae8f4'>a</span>nyl 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 an style = 'background-color: #dae8f4'>15an>0 mcg/hr...this is conservative.
Fentanyl vs. Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne. Fent<span style = 'background-color: #dae8f4'>a</span>nyl is harder for the liver to metabolize and Oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne 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 an style = 'background-color: #dae8f4'>doan>ctor 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 Fent<span style = 'background-color: #dae8f4'>a</span>nyl (tapering an style = 'background-color: #dae8f4'>doan>wn and could manage but dragged on) and oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne a couple of times when I couldn't keep my meds an style = 'background-color: #dae8f4'>doan>wn. I found the oxycoan style = 'background-color: #dae8f4'>doan>ne pretty tough but I always wind up dehydrated. If you're happy with the methaan style = 'background-color: #dae8f4'>doan>ne for your pain management, why an style = 'background-color: #dae8f4'>doan> you want to come off? Or are you just trying to find out what it would be like if you chose to come off?
at my most medicated I was on 75 mcg. Fent<span style = 'background-color: #dae8f4'>a</span>nyl every 48 hours, 30 mg. oycoan style = 'background-color: #dae8f4'>doan>ne every 4 hours, a special compounding cream made specifically for me, lian style = 'background-color: #dae8f4'>doan>caine 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 oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne vs. a an style = 'background-color: #dae8f4'>15an> mg increase. The 7.5 mg oxymorphone ER an style = 'background-color: #dae8f4'>doan>se bid would be the closest in terms of equivalent oxycoan style = 'background-color: #dae8f4'>doan>ne an style = 'background-color: #dae8f4'>doan>sing. 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 fent<span style = 'background-color: #dae8f4'>a</span>nyl and oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne 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 oxycoan style = 'background-color: #dae8f4'>doan>ne 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 fent<span style = 'background-color: #dae8f4'>a</span>nyl is so strong, much stronger than morphine, oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne, or even hydromorphone...
If I remember correctly, you're trying to come off very high an style = 'background-color: #dae8f4'>doan>ses of Fent<span style = 'background-color: #dae8f4'>a</span>nyl and oxyco<sp<span style = 'background-color: #dae8f4'>a</span>n style = 'b<span style = 'background-color: #dae8f4'>a</span>ckground-color: #d<span style = 'background-color: #dae8f4'>a</span>e8f4'>do</sp<span style = 'background-color: #dae8f4'>a</span>n>ne. and did I just read yesterday that you are an style = 'background-color: #dae8f4'>doan>ne 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 an style = 'background-color: #dae8f4'>doan>wn 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 an style = 'background-color: #dae8f4'>givean> yourself.
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