Fentanyl metabolism

Common Questions and Answers about Fentanyl metabolism


Avatar m tn How often daily does he need the diazepam and the fentanyl now? The opana does the same thing as the fentanyl - - keep those as far apart as you can. Dont mix the lunesta and the diazepam in too close a dose. They will also mirror each others affects. Sounds like Doc Jeff could help a little more if he knew how many of what and at what times he takes them. You have a couple that are used for pain and a couple along the nerve pill line.
Avatar m tn wants to switch me from 120 #4 dilaudid a month that I just started taking 3 wks ago to fentanyl and 40 #4 dilaudid. What do you all think?. Also I should mention that whatever I do could effect weather I get a liver or not If they think I really need what I am taking since I had A drinking problem but not in over a year. I go to AA several times a week.
Avatar f tn s not prudent to suggest a specific opiate for you. It all depends on your metabolism of drugs. There are many ppl that find Fentanyl Patches very effective, I'm not one of them. I agree with Remar. Take your approved drug list to your prescribing physician and discuss it with him/her. Together you can begin a trial of opiates to find an effective one that is covered by your insurance.
Avatar f tn Pain management Dr gave her Norco, and the fentanyl patch starting at 25mcg. We have progressed for the last ten year up to 87mcg and cut out the Norco. She has a pinched nerve in her lower back about 2 months ago and was in severe pain. We admitted her in the hospital for approx 2 1/2 weeks. The Dr upped her patch to 100 mcg and gave her #1 Norco 1 3Xday, and ibuprofen. She is also on hypertension and cholesterol meds.
Avatar m tn Yes, Duragesic contains fentanyl and normal urine drug testing cannot measure the metabolites of fentanyl. So doctors must use a more accurate (and expensive) testing method called chromatography to detect the metabolites of fentanyl. Chromatography is also called mass spectrometry. Primary care physicians have been using UDT (urine drug testing) for years to monitor patient compliance in taking their opioid medications.
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 m tn Philnoir, I'm your biggest fan. Nowhere, on any forum (computers, pain management, washing machine repair) have I EVER found anyone as articulate, concise, and eloquent as you! Now that I've buttered you up, may I please ask you a question about your Rotation of Narcotics? (For those new to the forum), I understand that your physicians rotate your opiates to help avoid forever escalating dosages w/ tolerance, etc.
Avatar m tn I finally couldnt take it anymore and I went to my doctor and she told me that its probally because I have a fast metabolism and was going through the patch to fast and she wanted me to go up to 75 every 48 hrs. I told her that my body is always feeling weird and I want off it and will try other therapies and I think the fent is causing my too many issues. She then said we will ween you dow then. She put me on 37.
1364139 tn?1280791344 I use the fentanyl patch for my neck and back pain and my pain management doctor feels that it is okay for me to continue to wear the patch during surgery (he is an anesthesiologist). I talked to the pharmacist today and he said that I absolutely should take off the patch, and even should take it off a few hours before since the medicine is still in the body and releasing so I don't technically need the patch attached to my skin for the last few hours before the surgery.
1264863 tn?1391118193 I found when I was on Fentanyl that I gained a lot of weight. For me, Fentanyl seemed to change my tastes. I had not ever been a sugar user (in many, many years.) In the past few years, I had been working out hard at a gym and also being very careful about what I ate. I got out of the habit of getting to the gym when I started having a lot of surgeries, but I still was careful with what I ate.
Avatar m tn Does anyone know if having your Gallbladder removed slows down your metabolism? or does it speed it up? What have you experienced?
Avatar f tn If you really want to kick-start your metabolism, you may also try dividing your meals up into smaller portions that you eat more often throughout the day. Every time you eat, it helps your metabolism rise, so as strange as it may sound, eating frequently can help you lose weight or maintain a healthy weight. Take care!
1203175 tn?1265553335 Anyone know how to kick start your metabolism so you start losing pounds, other than weight loss medications? Will not use those.
1397290 tn?1357777871 Calorie-intake should be according to your physical activity. 2800-3000 is quite a lot, which if you don't gain of it, you should perhaps seek professional aid.
Avatar m tn My grandmother od 91 years had a traumatic injury to her hip and femer 2 years ago and has been on fentanyl and vicodin for pain control but due to the large amount of hardware and delays in healing she lives with constant pain and is getting weaker and more exhausted all the time. She just was seen by a pain management specialist and he recommended a morphone pump can anyone tell me what effects she can expect good and bad please? Will this help her?
Avatar f tn Hi, first of all thanks to whoever takes the time to read this. I've been addicted to fentanyl for about a year now and so desperately want to be off of it. I've been using about a 75mg patch everyday. I now have 4 100mg patches left and than I wont have anymore. Does anyone know how I can use these 4 to tapper down so I wont have to go through withdrawl? And is it enough to avoid withdrawl, at least the worst part of it?
Avatar f tn Plus, the longest it seems to work is 1-2hours. After a week he added fentanyl 25mcg/hr, which helped a bit more but the longest it seems to work is 11/2 day at the most and come 38 hours I start feeling sick. A week later and while on Percocet 10mg 4x a day and fentanyl 25mcg/hr I went into withdrawl so sever that I had to go to the ER and almost needed to be admitted do to my heart racing at 180bpm.
Avatar f tn I'm taking fentanyl patches and Percs
Avatar f tn Comparing the nonexistant original formula with Fentanyl...Fentanyl works much better on my pain. The pain relief is more consistent. I don't have the up and down roller coaster every 12 hours like I did on extended release pills. Your results may be different but BEWARE...Opana ER is different now and manufactured with plastic polymers (and some other junk) to make them crush resistant so that you can't snort them...similar to Oxycontin OP.
Avatar m tn The last couple years I have been watching myself so closely. I have noticed that hypo mania causes me to eat a lot and depressive states I hardly eat for days. I weight the same in my 40's as I did in my mid teens, most of the time. I normally weigh about 180 and am pretty fit, but months of mania in India lead to extreme situations that landed me at 130 pounds. I am trying to see if my appetite changes and then my mood, or if my mood affects my appetite.
Avatar n tn I have trouble gaining weight because i have a super fast metabolism. I way 102 (wich is a good weight for my age) and i eat ALOT. My friends make fun of me for being skinny, i mean my legs look so skinny that my little brother mad fun of me which REALLY hurt my feelings. I am also nicknamed pencil because I DON'T have "curves" or "hips" and my ankles and calfs are super skinny.I hate being called that.
Avatar f tn I'm not sure to whom you are addressing your question. I haven't done a lot of research on the subject, but since hypothyroidism does affect metabolism, I'd guess that alcohol metabolism would be altered, just as food metabolism is altered.