Fentanyl vs morphine
Common Questions and Answers about Fentanyl vs morphine
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Don't have that problem with the biggest reasons I waited as long as I did on a 24 hour pain control. Morphine just don't work for me, so the patch was replaced with the morphine timethe patches! I can tell if I forgot to replace the patch and let it go a day later, I am hurting something fierce. For me, the patch is easier for me to "keep track" of my pain and when it's time to talk to the doctor about changing dosages or break through pain medication.
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?
"I cannot comment on non-medical usage of an opiate agonist in any constructive fashion. Sorry."
-- and you should be quite thankful you cannot. Nothing to be sorry about there. Even more blessed are you that you cannot get "what I was driving at" in my post, since it is, in essence, the edge of a big-assed precipice which most sane people NEVER drive at.
Never mind. No offense, but what I'm actually after are comments from those who DO know what I'm talking about.
Tom read the response I wrote under 'Pain vs Pills' DATED 11/03/00. Please read. FYI: In the future and past I have and will post most informative posts under different subject headings. I hope all of you have noticed this already. I post information related to the subject. I try to give factual information that will benefit the reader in someway to help in this horrible disease of opiate/drug addiction.
Doc...
sent me to a pain clinic at a local hospital. Now I am on Fentanyl patches, 125 mg patch every other day. I also take 4 roxycodones a day, usually all at once at the end of the day. One is like taking a certs. Actually taking 4 at once is not much better. I have been on this regimen for 19 months. Anyway about 4 months ago, the patches started not relieving the pain.
This just does not make sense that u had to lie that u were an addict and then only have options like sub. Be careful of the fentanyl patch even though it is excellent for pain relief. Fentanyl is 100 times stronger than morphine and 50 times stronger than heroin. Do the research. If you ever had to w/d from fent, suboxone for sure would not cover that. I tried the patch and let me tell you, I had noooo pain at all. I got off it just as quick when I did more research.
I finally got a script for my time released mophine. I am going to start it in the morning. Wish me luck.
I don't really think there's much of a difference, based on what I've read. Oxy, hydro, morphine are all full agonist opiates with similar analgesic properties and withdrawals. Now you can probably find big differences between these opiates and others such as fentanyl, methadone, and suboxone.
Can I start the bup now and just take the patches off or will that throw me into withdrawals? Or can I keep em both on (HIGH TOLERANCE I HAVE) I didn/t know people were on patches so much or had so much bup around. MR MICHAEL do you KNOW>
I like the bup better, can always get the 50 mg patches.
Incidentally, she reminded me that she was on the patch for a while but thought it was morphine instead of Fentanyl. I don't remember as she's been on so many meds that I can't keep track of them. She liked the IV machine with the push button the best. I watched her nurse change the morphine casette one day and was amazed at the size of the thing! It looked like it might hold four oz. or so. Yeah, I hope you never have to be in the pain my poor wife has endured for six years.
I prefer the fentanyl patch because it is all pain med -- fentanyl is a pure opiate agonist, like morphine, where as Butrans depends on a medication that is part agonist / part partial agonist.
But either patch should be worn only by those who are opiate tolerant. Even the circular provided with the Duragesic patch warns against using the patch in those who aren't used to opiate analgesics.
Have you tried Oxycontin?
They gave me soma and lortab post-surg in the hospital, unbelievable. One compassionate nurse did see me and gave me a morphine hip-shot, but that was it.
Anyway, I'm dazed and confuzed and have to keep working, I'm only 59, divorced and trying to keep my home, but it's a ridiculously miserable way to live. There's multiple bone spurs, fractures, bulging disks, and neurofibromas evident as well, so I just don't trust this implant to do s....
Fentanyl is a stonger form of an opioid. Opiate and opioid mean the same thing: Opiate is an adjective while opioid is a noun. Percocet is an opioid as is fentanyl. They are synthetic which means they are man made and not derived from a plant.
Good job on getting off the Percocet!
Within a two year period opiates like oxycodone and hydrocone stopped working I was switched to morphine sulphate within six months no amount eased the pain. After several MRI's I was told that I had several small cists on a nerve sheath coming off of L4 and L5 near my spine causing the pain in my left leg or stump( my left leg was amputated near the hip in 1990) for years I had tolerated this pain and its occasional out of control flare ups.
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I told the NP and she said she knows I'm careful with things but that the insurance probably wouldn't pay for a refill since it was so early. So she said we might as well try the Fentanyl patch and morphine. (She also knows my history with my ex so maybe that's why she wasn't too upset over it.)
She refilled my script early in January when I was going to Mexico and I would have run out in the middle of vacation. (My boyfriend's primary care doctor will not do this.
The Fentanyl, which I'm on for my Long-Acting Med, is approximately 80 times stronger than Morphine. The Oxycodone (I use Percocet 10/325's for my BT Pain) is not as strong as the Fentanyl.
Which meds are you on for your pain?
As I said above, I'm very happy that you have found this site and I hope that you will enjoy the support that we offer here for you!!
You might also, enjoy the Cancer Forum's. Here's the Link:
http://www.medhelp.
As Mary indicated, it is a large dose. Assuming you mean "mcg" vs "mg", this is roughly equivalent to 300 to 400 mg of morphine. You must be under a doctor's care.
I think there is a misconception out there that 50 mg of painkiller A is equivalent to 50 mg of painkiller B in terms of potency, half-life, withdrawal, etc. This is just not true. The quantity matters when making comparisons, as does the method of administration (oral vs injected vs snorted vs smoked). Just google "equianalgesic table" and you will see what I mean.
theres no half life after 5 days
So if you remember I converted your total daily dose of Fentanyl to Oxycontin and it came out to be 210 mg of Oxycontin. That is 150 mg of Oxycontin less than what you were taking through Fentanyl vs. 90 mg of Oxycontin more than you were taking. It now makes perfect sense to me why you are in so much pain on the Fentanyl. Converting 360 mg of Oxycontin to Fentanyl results in 150 mcg/hr...this is conservative.
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