Fentanyl oxycodone conversion

Common Questions and Answers about Fentanyl oxycodone conversion


Avatar m tn My moms doctor took her from taking 4 percocet 10s a day to fentanyl patch 50 mg every 72 hrs...is this normal? She has rheumatoid arthritis.
Avatar n tn Fentanyl conversion is not a atraight conversion from one opiate to another. Because the delivery systems are very different- oral versus transdermal. It is very likely the conversion dosage rate is fine- however since you are going from oral meds to transdermal - it needs to build up in the bloodstream and the tissues so that you are receiving a steady dose.
Avatar f tn Converting Fentanyl to equal 360 mg of Oxycontin with the opioid calculator results in 300 mcg/hr. This is the largest dose conversion that is shown in the fentanyl prescription leaflet that comes in the box with the medication. So your doctor's thoughts that you need to keep going up on the Fentanyl patch are CORRECT. There is another option for you.
Avatar f tn I have been prescribed fentanyl and it wouldn't stay on me when I was active bc I'd sweat so my Dr changed me to Butrans 15 mcg plus 10mg of oxycodone for bt. I have 2 nerves left and right that are damaged , spinal stenosis, degenerative disc disease, and no fluid between S1-L5... Upon that I have a bakers cyst in my knee and damage to my left hip... I have been on 50 mcg of fentanyl and 6 ten mgs a day for btpm. My tolerance has become high bc I have been in pain since 1999.
Avatar f tn And the dangers with Fentanyl, especially as it comes in Micrograms and not milligrams...it makes conversion even more tricky. We live in a world where there are people who scour the internet all day and read sites like this and use them in ways that they shouldn't...I am NOT trying to say you, or even the OP...but this is why I don't post things like the conversion tables or things in that way as I don't ever want to say that it's ok to use them ourselves... So...
Avatar f tn Hi gracie255, 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. I read your Profile and I will add you to my Prayers!! Bless your heart, you are such a Brave Lady!! There's really not much of a comparison between the 2 meds.
Avatar n tn I too use the Fentanyl 75mcg Patch along with the Oxycodone. There are many conversion tables available through the internet and Doctors also use theconversion method when finding the right dose for you. Fentanyl is one of the strongest pain meds on the market and it will take a high dose to reach the equivalency. For instance: 77.5mcg of Fentanyl= 150mg of Oxycodone per day. This calculates to approx. 2, 80mg of Oxycontin per day.
Avatar n tn It may be that the conversion to fentanyl was too high a dose... given your description of symptoms, they aren’t typical withdrawal, but sound more like the fentanyl dose was too high.
Avatar m tn I am in pain management x 1 year and currently on Mylan Fentanyl Path every 48 hours along with Oxycodone x 30 mgs. a day. I was the victim of a drunk driver. I am always here to help answer questions from any member and ask a question if I need information.
Avatar f tn I ran the calculator for you by converting 120 mg of oxycodone administered via 80 mg + 40mg of Oxycontin daily and the fentanyl strength computed is 50 mcg/hr. This calculator is VERY conservative when converting oral opioids to Fentanyl TD. So I also entered 4200 mcg and had it convert back to oxycodone. Doing this shows that 175 mcg/hr is equal to a total daily dose of oxycodone of 210 mg.
Avatar f tn If I understand your question, you were on 40mg oxycodone / day and for some reason your doctor moved you to the 25 mcg / hour fentanyl patch. You felt better on the oxycodone and would like to return. Does that summarize your situation? You also remark that you don't feel the patch working and that is not surprising. Transdermal medication requires time to come up to a therapeutic dose.
Avatar f tn m not sure how all of this works but some medications can break down in your body and show up as another med. Fentanyl may have some of the same ingredients as Oxycodone. Did your Dr retest you? If not, I was ask him to do it. I would also tell him about these tests only being 95% accurate and ask him to research one med showing up looking like another med. I take it there was also Fentanyl in your system along with the Oxycodone?
Avatar n tn All I know is that they will use a conversion chart to do that transition. I asked the PCP what to expect, and she said that I would feel some discomfort for the first couple of weeks but that it wouldn't be bad. She really wasn't convincing though. I have been on 75mcg/q48hrs for 4 years. I am sure that I am very dependent on this stuff. Why all the fear you may ask??
Avatar f tn I do have Oxycodone 5mgs for breakthrough pain. will the Oxycodone help? I am despite for help.
Avatar f tn Thank you for being here. I was hit by a car as a pedestrian 26 years ago. Had many surgeries & hundreds of procedures. Left with a few chronic conditions, including neuralgia & truly unbearable pain. I’ve been a the fentanyl patch for years & on oxycodone, but have been trying to get to the lowest amount possible. I’m off the fentanyl patch entirely, as of 2 months ago.
Avatar f tn If your doctor does it properly, there should be no withdrawals. It was a big fear of mine as we switched meds a lot. But they have a conversion chart they use so it's not usually an issue. Also, talk to your pharmacist. They have a wealth of knowledge and can help allay an fears. Having a good relationship with your pharmacist is nearly as important as having a good relationship with your doctor. Which narcotic are you coming off and which are you switching to?
725248 tn?1316162245 my mother takes 100mcg fentanyl patches and is also prescribed 15mg oxycodone pills for breakthrough pain. The dose for the oxycodone is 15mg but she can take two at a time, up to 3 times daily. That's 90 mg of oxycodone plus the 100mcg patch of fentanyl..... I know that her back pain is real, however this seems like an excessive amount of pain medication. Any thoughts? She had a failed back fusion surgery in 2001 and switched from Oxycontin to the patch in January.
Avatar m tn m really not sure of the exact conversion but I do know methadone is a good deal stronger than oxycodone. I do believe that it would be possible to take methadone with oxycodone for break-through pain if your doctor prescribes it at your next appt. One of our Community Leaders posted a medication conversion chart in her journal. It's handy for getting an idea of the equivalency of different pain meds.
1836543 tn?1318355809 for 2 years I have been on 15mg x 4 oxycodone per day and 75 mcgph fentanyl patch. If I stop only the oxycodone will I go through bad withdrawals or will the fentanyl help?
Avatar m tn Oxycodone/roxycodone? Are you taking this? Fentanyl and roxicodone/oxycodone all all opiates. That's a lot if taken together. It just depends...
Avatar n tn Conversions from one opiate to another are typically done reducing the new opiate dose by 20-30% for cross tolerance. Converting from fentanyl back to oral pain meds is a difficult conversion, and may require adjustments by your doctor. Do not adjust the dosage on your own or take more than you are currently prescribed without your doctors permission and guidance.
Avatar f tn I have been going to a pain management/spinal doctor for the past 2 months and am on Oxycodone, Kadian, Neurotin(sp?), & have just started the 12mcg patch of Fentanyl today (5/8/09). I am wondering what can I expect from this patch - the good, the bad & the ugly? I am not a newbie to oral pain meds as I was in a pretty bad car accident 11 years ago where I crushed part of my knee & messed up my leg. But, the pain patch thing is totally new to me.
890735 tn?1261421725 Hi, I am not sure of the exact conversion rate but Fentanyl is 40 times stronger than morphine so taking that into consideration it sounds correct. Also doctors normally start Pt's out on the 25mc of Fentanyl and then titrated up as needed. Rarely is a Pt started out on higher doses. This way your put on the lowest amount that will treat your pain. Tolerance issues being considered the lowest dose is the best. I hope this answers your question.