fentanyl dosage iv

where your optimal dosage lies and you just need to work closely with your doctor to titrate up your dosage of long acting medication. I think the Fentanyl should lie somewhere between 200 mcg/hr and 300 mcg/hr with another long acting opioid medication added at bid or tid dosing.

Initially when I saw that you were on 175 mcg/hr of fentanyl I was shocked as that it is a really high dosage of fentanyl! So you are getting almost twice as much oxycodone through Fentanyl TD. I'm very surprised that your doctor wants to keep upping the dosage. I don't think that is the right approach. Have you considered getting a second opinion from another pain management doctor?

on the 5th day i got upto 40 mills of methadone and it all calmed down so thats the stage im at now 40 mills of meth then im coming of the meth and going onto sebetex next but i hope the change this time isnt going to be as bad as the fentanyl change iv come of off just about every drug in my time but that realy was the worst time iv ever had sorry i just got a phone call and lost my train of thought yeah very happy so far .

i am a ten yr plus fentanyl patient dosage 200mcg i am desperate i have a history of long term chronic pain and want to quit.

Im on suboxone and I take 3 quarters a day of the tablets, im getting all four of my wisdom teeth removed and will be sedated,they are doing a IV and local anesthesia. I do not want to tell the surgeon because they will look at me differently. What should i do taper myself to a quarter a day and then not do any the day before and of the surgery? What should i do and will i be ok if i do that?

Hi Asia, First, I want to welcome you to the PM (Pain Management) Forum and let you know that we are glad you found this Forum. We are all CP (Chronic Pain) Patients that help each other with our own expertise and experiences that we have developed through our own CP Issues. We would never tell you which is better for you. This is something that only you and your Doctor can make that decision!!

Since December, I've been taperiNg down my Fentanyl patch, after about 6byears at 100 mcg every 3 days.At that point I went down to a 50mcg every 3 days. I made the move because I had recentlycome across a GREAT supplement that really did what it said, as far as really helping with my pain, called Laminine, which I use faithfully and yes! sell it for 35.95 a bottle or 3 for 107.95, NO S&H! ANYWAY, though pain levels have decreased, I've become increasingly depresseed and SO fatigued.

I have lower back pain , and have received Radio Frequency Legioning twice 3 years apart. Once with good results for a period longer than expected along with Patches, and once with extremely poor outcome with Dropfoot and nerve damage the outcome. Two different Dr.'s . I am still on Fentanyl but have had nothing for Dropfoot pain which is thoroughly debilitating. Chris.

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.

hello well iv been weend of the fentanyl i was on 300 milss of fentanyl every day i was stabalised with methadone after two weeks of being stabelised my pain in my back is becoming unreal again every morning the pain is so bad i just lay there in pain the thought of movin is unberable.

ve seen of fentanyl detox and my own year long, slow methadone recovery, I think fentanyl and methadone are only different in dosage. The full synthetic nature and side effects of both methadone and fentanyl make them very close tie for the worst detox ever. As I vomit and shat myself in my yard from methadone detox, I remember wishing I was a heroin or any other kind of addict. Anyway, mute point, but wanted to share. How much and how long methadone use have you got under your belt bullseye?

Yes, it's called an equal analgesic table. You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone, Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another.

No, with fentanyl on board you will have no withdrawal symptoms from the vicodin. However, it takes two or three days for the fentanyl to reach a steady dosage in your bloodstream, so you may need to overlap with the vicodin a bit as your body gets used to the change. You will not get a "buzz" or as you put it, increased spike in energy from fentanyl that you experience with vicodin.

With fent I found the withdrawal period was much longer and more intense. What fentanyl dosage were you on? Why did you doctor refuse to fill?

I've been on fentanyl 50mg for 7 months and I really want off of it now. I tried to just rip off the patch several months ago...very bad move. It was terrible. I've read where you could cut the patch if it was a mylan patch only. I also read where someone went from 50mg to 25 to 50 then went 25 to 50 to 25 and then 25 to 25 to 25mg as a way to work my was down on the dosage. I'm really scared.

Hello gys girls i dont no if anyone is on here still from when i was on that extream amount of fentanyl anyway iv stayed of thge fentanyl and went onto methadone whitch iv come off now and gone onto sebutex it was quite easey changing over from meth to sebys i felt like i had the fue for a week thats all no horrors or anything like you get from drink or outher hard drugs whitch iv done anyway thats not my question my question is i personaly fill like coming off these sebutex is going to a bit ha

The Fentanyl that is. It was pointed out that the dosage is most likely low and I should be on the 50mcg patch, but I'm not a big fan of the patch in general. Maybe the dosage issue has just soured me, but I feel like having the patch on all the time, and the possibility that it could stop working short of 72 hours is an issue for me. I ask for advice because my PMP brought up taking a sabbatical from the meds.

They are givin me fentanyl. Which is a narcotic. But am i back at square one? Im still expieriencin the withdraws.

I am into day 4 of no fentanyl {was using 200 mcg} for years. Trying my best to not go insane. Anyone want to chat?

im an adict i was clean for 5 years i had a freak act of nature hapend and my kidneys and liver gave up on me the hospital put me on fentanyl and oxycodone iv been on a high dose sins june last year i fill like poo im not myself and the fact i was clean for 5 years im realy unhappy i fill worse of now than any outher drug iv taken before perscribed drugs are a hole noughther ball game and i dont no wear to start any ideas coz i cant live like this much longer

monday i had a hard w/d but sedate my self with xanax valium and carmabazepine i got on prescription. yesterday i felt better but i made in fentanyl iv with 10% of an old patch i used only 12 hours and today same. my question is:WILL WIThDRAWAL COME BACK AFTER THIS 2 SHOTS?

I can tell you they usually use medications named Versed (which is an amnesic and makes you sleepy and not remember the procedure) and Fentanyl (an IV pain medication). These two drugs together produce the sedation for the procedure and you will be comfortable. Most people don't remember the procedure at all.

IV Versed (Midazolam, a benzodiazepine) presurgery. In the OR suite, more IV Versed, INhaled oxygen, IV Fentanyl (A potent opiate), followed by IV Propofol (This actually is what knocks you out), and the IV Pancuronium Bromide (For muscle relaxation, so the machines can breathe for you) It is common at times to administer reversal drugs depending on how much was given and your response when you come out of anesthesia.

Fentanyl can be very hard to come off. I truly believe this is an end of life medication. You've made tremendous progress. Personally, I think it's easier to taper down the Fentanyl and then taper the pills. You can more easily adjust the dosage of pills than the patch. Are you using a gel-filled patch or the flat one?

So I would just discuss with your doctor the fact that the fentanyl is no longer working. I have heard that fentanyl tends to work a lot longer than longer acting opioids in pill form before effectiveness begins to wane. The options that your doctor will most likely present to you are, an increase in fentanyl (which will require wearing a couple of patches versus just one), an increase or change in breakthrough pain medication and/or an addition of a long acting medication in pill form.

FENTANYL IS A DANGEROUS DRUG!!! You mind has no idea of what changes are going on in your body with this drug. Please be aware of this.

I've been on Fentanyl 50 patch and sublingual fentanyl 600micg ( A bit like the Actiq Lollys)10 times a day for 3 years for pain as a result of Cancer and treatment. I now want to come off it by reducing the sublingual fentanyl(Actiq Lollys) first. I am now down to 4 a day over 3 weeks but have suffered sweats ,diarrhoea and anxiety in the process. My Drs supporting me but am I going too quickly ? if I go slower will there be less side effects or will I get the withdrawal symptoms any way?

Fentanyl dosage iv

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