Fentanyl to morphine conversion

Common Questions and Answers about Fentanyl to morphine conversion

actiq

Avatar m tn I am currently taking Opana ER 30mg /2 TID for long term spinal pain due to breaks and fusions. I am going to try replacing that for a short time with a Fentanyl Patch to see if I have any improvement in Pain Mgmt. I am just wondering what regimen I should use to safely do this. For example. Is it as easy as waiting 12 hrs. after my last Opana ER and then apply the patch (it's a 3 day patch) then take another ER once the 3 days has expired?
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.
Avatar f tn Before I left the office she was kind enough to relieve my discomfort witha 10mg shot of morphine to cover the transition time. By the time I got the Rx filled an the patch on me ( that was about 4 hours ago ) most of the nice releive i got from the morphine was gone. I am now getting the creepy crawlers much like withdrawl and am very very cranky. My question is: Is 12mcg/hr of this stuff very much. The info I can get tells me its about 1/10 of a 500 vicodin an hour.
Avatar f tn The original poster may also want to consider a morphine pump or a spinal cord stimulator as the dose of fentanyl is extremely large despite tolerance such that the side effects can become intolerable given dosing as high as this.
1326023 tn?1274867436 Please somebody tell me what 300 milligrams of morphine to take every day is equal to in fentanyl patches?I really need to know this if I want to live a happy life.My right leg is very messed up for the rest of my life,unless they ever give me a knee replacement.I know I am physically addicted to strong opiates.But I have to be in order to stand the pain at all.
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 There are many other meds available at much lower doses. Fentanyl is approx 88 times stronger than morphine. I am just bewildered as to why he would start with 50mcg, maybe it was a mistake. The advice above is very good. Especially in the summer, you need to watch that the patch stays on, because they fall off and then you have to make sure that your mother doesn't get overheated, because the medicine can be released at a much faster rate...
Avatar f tn 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. I never thought there was help and didn't ask. The dr decided I needed it and any dr I have spoken to told me that I'll be on these the rest of my life.
Avatar m tn would they switch you over to fentanyl and then taper the fentanyl and then move you to an oral med???
Avatar f tn I have asked three pharmacists about saliva tests and they could not believe I was discharged with no follow up to talk to anyone. They said it is extremely difficult to detect fentanyl in saliva and that these tests are not normally used for fentanyl patch users. They said urine tests are much more reliable and that I should have been given a urine test in their opinion.
Avatar n tn Again, Fentanyl is 100 x as strong as Morphine... NOT 81% and NOT 40%. Call the pharmacy if you'd like to verify this. You can get addicted to ANY Narcotic out there, from Vicodin to Percocet to Fentanyl....doesn't matter which one. And ALL will cause w/d if you use them to "get high" and then stop suddenly. It's not just the "Big Dogs" everyone.... Your body will develope a "TOLERANCE" to any Narcotic also.......and a Pain Dr.
Avatar m tn gave me the percocets but gave me MS cotin 15 3 x a day. How is that going to compare to what i was on . Also i have had morphine in past an it doesnt agree with me i had reaction to it ! I need to find dr that will keep me on what i was on but how do i find one?
Avatar f tn My history is a bit complicated and I had other meds involved as well as some health issues. Tapering is the way to go with Fentanyl, if possible.
1490116 tn?1304817137 re on. They do it as a conversion, but have never heard of people going from methadone to Fentanyl, it's always the reverse & as a way to get off it. I STRONGLY encourage you to do a lot of research about the risks of using Fentanyl & truly weigh it out. There are risks with every medication, but having not done my research in the beginning & finding it all now I see how dangerous this medication truly is.
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 n tn I don't know abt. the patch, it seems like it would prolong the withdrawl. Possibly delay the inevitable but give some relief. Are you withdrawling voluntarily or till your next prescription ? Usually by day 5 a person starts to feel better and alot of the really bad stuff is over. I really do think the fentanly is a bad idea but I know how being addicted goes, we just want it to go away. I hope the best for you and I wish I knew more abt. your situation to give a good opinion.
326947 tn?1252591233 It is always best to stay at the lowest possible dosage so that you do not get to the point where you have no more options to go up on your dosage. there is a point to where doctors will no longer adjust your dosage up as it interferes with your breathing capabilities. If the dose your on now is not working after you have given it sufficent time then talk to your doctor about having a break thru medication instead of raising the dosage of the fentanyl.
Avatar m tn I was on morphine SR 60mg twice a day for years and my doctor switched me to fentanyl 25 patch. I ended up with severe withdrawal and went back to the morphine for a week until my next appt where he put me on the 50 patch. Still I am going through withdrawals. My pharmacist says I can't be but I know 100% that's what is happening. Anyone else deal with this?
Avatar f tn I have never heard of a morphine patch. I have only heard of Fentanyl, or duragesic patches. I am sure they are similar though. They could have euphoria, itching, nausea, dilated pupils, sweating, overall sense of well being, constipation, etc. What have you noticed?
Avatar f tn I went cold turkey. First the morphine and then the fentanyl. I called my family doctor to advise him of what I was doing and he offered his support and yes, he said the same thing, there is no substitute for fentanyl. All he could offer was another opioid. I have been through withdrawal before so I knew what to expect. The morphine wasn't a major problem but naturally the fentanyl was. I read up on withdrawal symptoms, stopped the patch and increased the water intake to start.
Avatar n tn Is this morphine or Fentanyl? Are you sure it's point 75 (.75) or is it 75? What is the admin. route?
Avatar m tn im not sure what mg but i expect him to start me on 15 of morphine. will the morphine help me? should i talk to him about another option such as percocet? im scared that the low beginning dosage will affect my quality and comfort even more.
1157044 tn?1318300124 I was forced to make the decision to finish my getting off the remaining fentanyl patch dosage I was on (75mci/hr ) and morphine sulfate (60 mgs/daily) cold turkey as of last Tuesday , February 2nd . This after my last taper beginning the Monday of the week before which lowered the fentanyl patch from 100 mci/hr to the 75mci/hr. I took the fentanyl patch off 5:30 that evening and had my last morphine sulfate dose that a.m.
369629 tn?1237812958 took me off the fentanyl and put me on morphine sulfate every 12 hours the switch was very easy and i am feeling much better,but its still an addiction drug but i guess i have to live with that if i want to be pain free witch i am for now i fine i am a little sore but i rather feel a little pain then what i was feeling before so thanks for your help.... i think this is a good drug...
906738 tn?1251010478 I will tell you that Fentanyl is one of the strongest medications out on the market and to replace it is going to be hard. With your body being used to the Fentanyl, other opiates will not compare. I'm sorry that your having such a hard time. Think about using the tape.