Conversions from one opiate to another are typically done reducing the new opiate dose by 20-30% for cross tolerance. Converting from fentanyl back to oral pain meds is a difficult conversion, and may require adjustments by your doctor. Do not adjust the dosage on your own or take more than you are currently prescribed without your doctors permission and guidance.
She has since tested negative for H Pylori, and has been taken off Razadyne(24 mg ) for memory problems, put on Exelon (6mg patch), then taken off it after two weeks and more nausea. She has been off the Exelon patch for 72 hours, and still experiences nausea when she moves about.
Still puzzling and frustrating. doctors are stumped (still) and I am feeling worthless because I cannot help her kick the nausea or find the cause.
Really looking for help here. Any will be gratefully accepted.
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?
Butrans 20mcg hour patch is what he has me on. When I looked at the conversion chart it said 20 mcg patch is equivalent to 60 methadone. Please please let me know if I read it wrong or Any info. Thank you. Also, it's for pain and I read that people sometimes need to take something besides the patch for break through pain.
These dreams were very real to her and she would then argue with her husband about why he said he wanted to do these things to her. He, of course, knew nothing of these "conversations and situations" she thought were so real. Additionally, when she focused on a subject she could not let it go until someone helped her make sense of it. Often she has had angry outbursts over the past few years also, has been afraid of descending stairways, falling, and dark places.
I was told that the procedure would be to switch me out suddenly. By that I mean they would stop the duregisic patch and switch me to Mscontin without any weaning of the duregisic. I know now that I have to do SOMETHING because this duregesic is not good for me anymore, however this sudden switching is scaring the heck out of me!!!! All I know is that they will use a conversion chart to do that transition.
Thank you femmy29
You got it RIGHT, I am not running out a buying them i was just curious as to what the dosage would be and YES my Dr is the one who WILL decide what I will be taking. As for break through, dunno..........
i wear the patch for 2 days and take the oxy 3very 8 hours, but now with the new oxys i want to change. we do NOT have them here in Canada yet, and i am nervous after reading all the horror stories from all the ppl in the USA.
She has since tested negative for H Pylori, and has been taken off Razadyne(24 mg ) for memory problems, put on Exelon (6mg patch), then taken off it after two weeks and more nausea. She has been off the Exelon patch for 72 hours, and still experiences nausea when she moves about. Recently, she started back on the lower dose of Razadyne. Her neurologist doesn't think the medicine is the cause of the nausea, though it could be aggrivating whatever is causing it.
Dr gone for a month per nurse. Nurse now said to re-apply patch. Also told cannot go back to oral meds per pain contract & no doctor will prescribe. In fact new insurance denied and no pharmacy would fill because of fake prescription opiod crisis. . I was switched because the garage generics were not working well, dr thought the patch would work better for me. I didn't apply patch yet.
She has since tested negative for H Pylori, and has been taken off Razadyne(24 mg ) for memory problems, put on Exelon (6mg patch), then taken off it after two weeks and more nausea. She has been off the Exelon patch for 72 hours, and still experiences nausea when she moves about.
Still puzzling and frustrating. doctors are stumped (still) and I am feeling worthless because I cannot help her kick the nausea or find the cause.
Really looking for help here. Any will be gratefully accepted.
Especially in the summer, you need to watch that the patch stays on, because they fall off and then you have to make sure that your mother doesn't get overheated, because the medicine can be released at a much faster rate... and as mentioned above, fentanyl affects the breathing, and can depress the breathing rate and in turn the heart rate....
those of you out there who used the duragesic patch for long term pain management and was switched out to oral medication, what was your experience like? Folks I have been on this stuff for 4 years (75 mcg/q48hrs), so I am sure the psychological dependency is extremely high. The depression I experience is threatening my mere existance. They can't find a antidepressant that helps yet (they have tried numerous ones). I have no one to get me through this and no health insurance.
I feel at such a loss in trying to help my Mother. I've gone back to Neurologist and am awaiting his advise, but he doesn't appear to be emphathetic to this issue. Her GP defers to the neurologist. My 81 yr old Mother in middle to late stage Alzheimer's. She is not on any anti-anxiety med except for Paxil which was prescribed about a month ago. She gets aggitated during the day at times and especially sundowners time.
According to the conversion charts that I normally refer to the fentanyl patch would need to be 125 mcg to equal what you are taking now, which would be delivered over a 72 hour period. As far as changing from one to the other I would guess that your physician would start you on a lower dose as you begin the fentanyl therapy, possibly only 25 or 50 mcg's. Fentanyl takes 8 to 24 hours after application before your body fully absorbs the dose.
t know where else to put this, but I was recently switched from Morphine 60mg ER to the Fentanyl Duragesic patch. I thought the weird flu like symptoms might be a result of the new drug, but apparently it has to be withdrawal from the Morphine.
I'm kind of miffed neither the doctor nor pharmacist even mentioned this could happen. I was naive and thought the new medication wouldn't create an issue with the switch, I was wrong.
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