Fentanyl dosing information
Common Questions and Answers about Fentanyl dosing information
actiq
Oral 24-hour Morphine (mg/day) Fentanyl Patch (mcg/hr)
225 to 314 mg/day 75 mcg/hr
However, this is just a calculation based on the limited medical information I was presented. Since I do not have your liver and kidney status, it will be difficult for me to recommend the exact dosing regimen. Please consult your provider using this as a guideline.
2. If you are on Opana ER 30mg, why are you still taking Dilaudid?
//en.wikipedia.
This is not a drug to live on. I was on both fentanyl and dilaudid at very similar doses. I tapered the fentanyl until my dosage was low enough to switch entirely to an oral opiate. Then I tapered until I reached 100 mg oxy and 40 mg dilaudid. When I got there I jumped cold turkey. It was by no means pleasant but the acute physical w/d's were like a very bad flu and lasted around a week. The other stuff took about 3 weeks. By a month I felt almost normal except for sleep.
Within 24 hous you should begin to feel tje fentanyl working, and after a day or two after you apply the 2nd patch, the level of fentanyl in your system will stablize.
You can do a couple of things to make sure the patch is working. First, make sure that patch is properly applied and second, acquire the covers for the patch. Information about proper application of tjeeethe patch and the covers is is on the patient information you should have received with the medication.
what is the half life of oxycodone in cats? I've heard it works well for pain in cats. I'm trying to get more information on what may help my 12 year old cat. I'd like to have my questions in order before I pay my/her vet?
Is there a chart that I can use to convert fentanyl patch strength to the Opana Er strength?
I was replying to your original post which was asking people online what amount of Fentanyl you should take...This is where I was saying that only your Dr. can provide that information. And was just letting you know that it's unusual for a Dr. to put someone on two types of long acting medication...Hopefully you were able to speak with him today...
May I ask what surgeries or procedures you have had? What type of pain do you suffer from?
Again...hope things went well today...
s comments that medications affect everyone differently and what may work for someone may not work well for you. But given my recent medication change to Opana ER, I have found information all across the internet from other chronic pain patients that are being switched from Oxycontin to Opana ER due to their doctor's unwillingness to continue to prescribe the medication due to bad press and associated fear from DEA prosecution.
My GP started me on 50 mcg of levothyroxine. I also take tramadol and fentanyl patch for chronic pain, and oramorph occasionally for breakthrough pain. Since I started levothyroxine, I went immediately from being cold all the time, to perspiring profusely. My blood pressure has shot up, and is around the 190/100 mark or thereabouts. I have horrible;le tinnitus, and my chest aches, and generally I feel weird. Is it possible my dose is too high for starters.
But I think the Fentanyl may be covering the hydrocodone withdrawal. Fentanyl is very strong and the withdrawals can be long and difficult. Maybe you are one of the lucky ones but it's possible that 'it just hasn't hit you yet. I found the first few drops of the Fentanyl were easy but the lower I got the harder it became. I hope you can escape them and find a way to manage your pain.
Although methadone and fentanyl are also heavily protein bound and as such require reduced dosing in patients with cirrhosis, the metabolism of these agents does not yield toxic metabolites, and hence they, along with hydromorphone, may be better tolerated37,38 (Table 2)."
".....Hydromorphone and fentanyl appear to be the least affected by renal dysfunction, and fentanyl has less hemodynamic disturbance (due to lack of histamine release associated with other opioids).
The fentanyl patch strengths go up to 100 mcg/hr and the prescription leaflet shows dosing up to 300 mcg/hr so there is a lot of wiggle room with the fentanyl patches to hopefully give her some relief.
That is fabulous that her cancer is in remission!!! Often even when this occurs, extreme pain can still be left behind from the treatments - especially radiation therapy.
Ah -- now this makes sense.
Theoretically, the Duragesic patch should be covering your bodies need for opioids.
Perhaps there is a problem with absorption from the patch?
Your doctor may have access to a urine test that can show if you're putting out fentanyl metabolites. This will check whether or not you're absorbing the medicine.
I used to break out from the patch, and after the two or three days, would apply triamcinalone cream or some other topical steroid to the site.
I doubt seriously that her Doc went straight to fentanyl. Meds like fentanyl are usually employed when all else has failed. While your wife may have chosen to not adopt strong opioids, it doesn't mean others should also. Additionally, you can't compare cases....What your wife has, may or may not be anything comparable to someone else's condition.
Lastly, saying "In the current chain of comments here, I think Dr.
25 mcg/hr is often the starter dose of Fentanyl. They do make 12.5 mcg/hr patches that contain 12 mcg/hr Fentanyl but this lower dose is fairly new. I am also on the Fentanyl patch, dosed at 50 mcg/hr. I take 10 mg oxycodone IR as needed for breakthrough pain. So another thing to assess is if your pain level is consistently high throughout the day or if it is only high during certain periods of the day.
Please let me give you a little history. I hve been going to pain management for spine issues. Have been on opiods and fentanyl patches for over this time too. Went to a new pain management and he started to increase my meds every month. 15mg of oxy every four hours and the patch 75mcg every three days. He had given me a series of epidurals and the last one, inflamed a bulging disk and I went to the ER in severe pain. Have not been to an ER in over five years.
s a good chance that you need to have your fentanyl dose upped. Ideally, breakthrough pain meds should be taken only for that - periodic times when the long lasting medications aren't quite enough. They should not be used as "additional dosing".
I would suggest talking to your doctor about adjusting your fentanyl dose up, even slightly. You may still need or want to request a refill on the breakthrough meds so that you have some on hand in case you find you need them.
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