Fentanyl epidural dose

Common Questions and Answers about Fentanyl epidural dose

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Avatar m tn I recently underwent a lumbar epidural block. Being in EMS for over 8 years, I naturally wanted to know what medications would be given prior to the procedure and in what quantity. I was informed that I would be receiving 2mg of Versed, and 50mcg of Fentanyl; both IVP. I have never taken anything stronger than tramadol for pain, so I expected to get significant relief from the fentanyl during the procedure.
1855076 tn?1337115303 ve faced discrimination with CP patients. I switched from my first PM clinic because they had me on a boatload of meds (Fentanyl, oxycodone, Ativan, and Ambien.) I was way overmedicated. They insisted I needed them. So I took off the Fentanyl patch (not knowing what I was in for. I don't recommend CT off it.) I then went into pain management that was connected to my primary care. Initially they took me way down to a low dose, at my request.
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 I am 52yrs.old female with severe osteoporosis.52% bone loss,kyphosis,& so much pain i am on the edge.I have suffered 3 compression fractures,that when the last one happens I heard the bones crunch so bad that it sounded like eggs crushing. I have been taking slo-release morphine for 4 yrs.My dose has been at 100mg.BID & 10mg statex for break thru pain.I also take Lyrica.However the pain is increasing & I can only sit,lay stand for 5-10 minutes at a time.
7879163 tn?1411591644 I had a great talk with my OB and she said that she doesn't dose the epidural with any pain medication, which I'm completely happy about no painkillers. I'd watched on a few childbirth videos where they mixed in fentanyl with the epidural and the women were itchy and I'm not good with itchy! It really sounds like she was either extremely exhausted and/or had a pain medication in with the epidural.
Avatar f tn I have been in pain for 7 years, with a plate in c5-6, in constant pain I am on oxycodone 10mg 4xdaily soma 350mg 4xdaily naproxen 500mg 2xdaily lorazepam 2mg 4xdaily Pls help with the pain I go to pain clinic to get cervical epidural but no more. I have had 4 of them and 52 trigger injections in 2 visits. Any Help? mscontin and fentanly i was on but was afraid to have to go up the ladder so I tappered off.
Avatar m tn Fentanyl can be very difficult to come off. The withdrawals seem to be harsher and last longer than other opioids. But you are lucky to only be at 12 mg over 4 weeks. Did your doctor have you on something else before he put you on the Fentanyl? I ask that because Fentanyl isn't normally used as a first-line drug for pain. If you were on something else, that would factor into your withdrawal. You can read lots of withdrawal hints over on the Substance Abuse forum.
7486246 tn?1391323511 I stalled at 7cm for a bit but made it to 9cm within the hour, I had a second dose of Fentanyl and awaited 10 cm. By than the hormones had taken over my nerves causing uncontrolled tremors in my legs, perfectly normal at this stage, Dr. had me push and after 3 hardcore pushes he was out. He came out weighing 9.949 lbs. 21 3/4in. Long.
Avatar n tn I began taking it even when I did not need it for pain and became addicted and tolerant to the medication... About 5 months ago, I got on Fentanyl Patches at 25mcg then increased it to 50, and now am on 75... I need to get off this and tried last month and I couldn't, it was too hard... My question is, what is the right way to get off of the Fentanyl without wanting to die. I am a registered nurse and am getting my nurse practitioner degree and will be done with my masters degree shortly...
Avatar m tn Hello Novermhead, You've asked a good question. Oxycontin is a sustained release medication and I am surprised that you are taking four, 40mgs tablets per day. 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.
1931709 tn?1335833095 I'm just curious if I choose not to have an epidural during delivery, will they still be willing to give me pain meds with an iv? I don't want an epidural, but I would be willing to take something to take the edge off! Any thoughts or stories of natural child birth?
Avatar m tn What is the dose of the fentanyl patch that you are applying? Is it the equivalent dose of what you are currently on? If not, you may not get equivalent pain relieve from the fentanyl patch.
Avatar f tn Besides an epidural, what else can they give you for pain? My first birth the epidural did not work at all so I'm not going to bother getting it again. Any help is appreciated!
Avatar n tn it may take a while to adjust each time u drop ur dose//or patch dose..have u talked to ur dr bout some safe meds to help u with all of these wd symptoms..also most taper a bt slower than u have...from 150 to 25 mcg is quite a fast taper.. There r also 12.5 mgc patches available..u r where u r so it is hard to move back up in dose....each time u dropped ur dose how long did it take for u to adjust to the lower dose? did ur dr give u anything to hap with sleep and anxiety?
Avatar m tn Wow! You take 300 mcg of Fentanyl every 3 days? That's a seriously high dose. Like mary said, you will develop a tolerance to opiates, which means you would keep requiring a higher and higher dose to reach the same level of effectiveness. You posted in the addiction forum. Do you abuse your meds? If not, then I agree that this would be more suitable for the pain management forum. Are you getting your meds through a pain management doctor?
Avatar f tn If I go 18-24 hours without dosing or even a reduced dose I get sick, and I only take hydrocodone. Fentanyl is a short acting drug which is why they make it in patches so it can be time released, the good news is that it typically means withdraw will be shorter. Best of luck to you, I just signed up on here today myself looking for some advice to get the monkey off my back. I'm sure somebody else here can be more helpful.
1901977 tn?1333991726 Does anybody have any recommendations about how not to move when they're giving you an epidural? I'm getting closer to the end so starting to think more about the actual delivery.
Avatar f tn ve never had the Fentanyl lollipops but I was on (what I think) was a high dose on the patch. I came off that gradually (on my own) and it wasn't too bad. I do know Fentanyl can be hard to come off CT but I would think in your situation in wouldn't be hard to taper you down. Why are they all of a sudden in such a hurry to switch to something else? Please do your research on methadone.
1644508 tn?1301001315 I had to have an emergency c-section a couple months ago.. and 1st, they ended up deciding to use fentanyl in my epidural bcs the anesthesiologist told me the suboxone does not enter the spinal cord, and should help at least some, without making my brain too fuzzy. (it did help-though my mind DID get somewhat fuzzy) and then 2nd.. after the c-section they continued giving me injections (via vein instead) over the course of the next couple days...
Avatar f tn t help me anymore he referred me to pain management. I recieved an cervical epidural on Septmber 21st...... and that didnt work either(that doctor told me after the 3rd epidural that i would need surgery).I did not go through with anymore epidurals because my parents wanted another opinion. After a year and a half in pain, and seeing numerous doctors(10).....I am very close to solving the mystery.
Avatar m tn I have a lot of experience with fentanyl patches but i must say you are on an incredibly high dose. Usually even in terminal cancer patients 300mcg/hr is the ceiling dose. 400mcg/hr is the equivalent of 960mg of oral morphine!!! (a 50mcg patch is equivalent to 120mg of morphine). That is truly an astronomical dose!!! Tapering from fentanyl patches is difficult as they cant easily but reduced in small increments.
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 Actually the symptoms you describe sounds as though you started on too high of a dose. Often we need to begin on a low dose (lower than we know will be effective) and gradually work our way up to a therapeutic level. It takes our system a certain amount of time to adjust to the opiates. Everyone is different. But the side effects that you described will go away or greatly reduce in time. How much time is strictly up to your system.
229538 tn?1300377767 What I didn`t relize is the doctor injected Fentanyl into me . Most of you know i`m on day 27 and now I am pretty jumpy . You guys know about my anxiety issues . I`m not setting here craving opiates but I am afraid of the setbacks. Please answer ..
Avatar f tn medications that weathergirl mentioned looking into, will require a large dose to equal the amount of fentanyl you are getting through your current dose. Of course, there is cross tolerance but once you get that far up in strength via fentanyl, you are still more than likely going to require larger doses than normal of morphine, oxymorphone, oxycontin, etc. There is also an option to ADD another long acting medication in with the fentanyl.