Fentanyl dosing pediatrics

Common Questions and Answers about Fentanyl dosing pediatrics

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Avatar n tn Go and take him to be checked out by your Doctor for reasurrance especially as you have some knowledge.
Avatar m tn 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?
Avatar f tn Is there a chart that I can use to convert fentanyl patch strength to the Opana Er strength?
Avatar n tn 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.
Avatar f tn 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.
Avatar m tn m sorry that you are having problems with your pain. I KNOW that there is NOTHING stronger than the Fentanyl Patch. A 25 mcg Fentanyl Patch is a VERY low amount. If you are to try a higher dose it MIGHT give you the relief that you need. :) We REALLY aren't qualified for give you dosing advice. You RALLY need to discuss this with your Doctor.
Avatar f tn 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).
Avatar f tn 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.
Avatar f tn 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.
Avatar f tn 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.
Avatar f tn t believe any real harm has been done. She simply wanted to get an idea of the dosing required of fentanyl to equal the oxycontin she is taking now. It is not like the original poster can just run to the local drug store and buy 3 fentanyl patches and slap them on. Now if the original poster decides to buy them off the street, well that is their perogative and whatever happens, happens at that point.
614471 tn?1221179194 ive just come off fentanyl patches onto the morphine so i can taper down, my aunt who died was addicted to heroin so i know a bit about it so i just wanted to know the equivalent so i can understand roughly how much morphine im taking. thank you to anyone that can help. kind regards, carrie.
Avatar m tn Opana ER is the strongest opioid medication in pill form and the next tier up is the Fentanyl patch based on pharmacology. It is 2x stronger than Oxycontin, again based on pharmacology (i.e., you may find that Oxycontin is more effective regardless of the fact that the strength of Oxycontin is lower than the strength of Opana Er. I have never tried Oxycontin; however, my physician said that we would try it if the Opana ER isn't effective.
Avatar f tn 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.
Avatar m tn Hello! I been over on the Painmngmt. mainly but have a question regarding Fentanyl i hope someone can help me with. I'm currently weaning down on Fentanyl 25mcg. This is my 5th day and my schedule looks like this. 1st keep 2 25mcg patches on for 3days. Next put 2 25mcg keep those on for 3days. Next put 1 25mcg and leave that on for 3 days and the last put1 25mcg patch on and leave on for 3days. After this i'm done. I was started on 25mcg and went quickly up to 100mcg whithin 4weeks.
874891 tn?1240432420 Addicted to Fentanyl patches , wondering how long i have to be in withdraws before starting suboxzone. Can I take clondine while in withdraws,any advice apperciated.
Avatar m tn every 12 hours or switch to the fentanyl patch. I decided to try the fentanyl patch since I heard great things about it and I am glad that I did. I was having severe constipation issues that were ridiculous!! I was experiencing severe bloating, cramps, chest pain, and difficulty breathing. I tried fiber supplements, stool softners, miralax, gasx, milk of magnesia and none of them worked.
9258244 tn?1402972453 An oral opiate is much easier to come off of than fentanyl strips. You will get more consistent dosing and take tiny steps down until you are off comfortably. Why suffer if you don't have to?
7282682 tn?1397237735 They usually use a cocktail of meds like Fentanyl, Versed, Ketamine or Benadryl. It won't jeopardise your recovery. They bring you out of it really fast.
Avatar f tn 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.
Avatar f tn Ni nubbin, The reason that you are suffering the withdrawals is because you were put on way to low a dose of the Fentanyl. When you have been on the mthadone 40 mg's for 15 years and are switched to 25 mcg's of Fentanyl Patches you are way under-dosed. :( If your doctor had done it properly you wouldn't have had nearly the trouble and withdrawals that you are going through now. I'm so sorry that this happened to you!!
Avatar f tn Call your local pharmacist. We at MedHelp are not allowed to give out dosing instructions. Your pharmacist will be able to tell you exactly how to dose the medications. If your regular pharmacy is closed on Sunday, call any pharmacist availabe at your local grocery store or drug store such as Walgreens, CVS, or RiteAid.