Subscribe to MedHelp's free newsletter for Community Support, Experience, and Guidance.
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!
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 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?
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.
It is not a good idea to take non-prescribed narcs without your doctor's knowledge. A.) It can be dangerous. B.) If/when they find out, you'll be detoxing "really" fast. C.) It will mess up your detox schedule.
It sounds like your doctor is doing the right thing. When reaching higher and higher, escalating dosages of opiates, the ratio of therapeutic benefit to side effects gets worse.
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.
ve been using a lot because I already have a high tolerance to opiates, what I wanted to know is if withdrawal symtoms of Morphine are any worse than Tramadol, because I think I may need to progress to that eventually.
I have permanent nerve damage.
Oral 24-hour Morphine (mg/day) Fentanyl Patch (mcg/hr)
225 to 314 mg/day 75 mcg/hr
However, this is just a calculation based on the limited medical information I was presented. Since I do not have your liver and kidney status, it will be difficult for me to recommend the exact dosing regimen. Please consult your provider using this as a guideline.
2. If you are on Opana ER 30mg, why are you still taking Dilaudid?
I detoxed of 75 mcg every 48 hours of Fentanyl. All I can say is go VERY slowly. What kind of patch do you have?
Fentanyl withdrawal is a bit different than other opiates. Not as bad as methadone but pretty tough in it's own right. But it can be done.
At times I tried to go too quickly and that was a huge mistake. follow the Thomas Recipe and above all, keep yourself as hydrated as possible.
Best of luck. You can message me if you like.
So I'm on the Fentanyl 25mcg patch, switched from 180mg of Morphine ER because of tolerance. As I've said here before, but reiterating for those who may not know, it doesn't work for me. The Fentanyl that is. It was pointed out that the dosage is most likely low and I should be on the 50mcg patch, but I'm not a big fan of the patch in general.
My wife has been perscribed fentanyl patches and has been told not to eat grapefruit, does this apply to all citrus fruit ie.
You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone,
Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another.
You can find equal analgesic tables, and apps for calculating equivalent dosing online.
I've been tapering down my medications (and made some great progress.) So far got off the Fentanyl 75 mcg., oxycodone 40 to 60 mg. every four hours. I had some pretty moderate withdrawals going off the Fentanyl and oxycodone. Nothing like cold turkey, but difficult nonetheless.
I was switched over to morphine ER 30 mg. in the morning and 30 mg. at night. I already dropped to 15 mg. at night. I'm also supposed to take 15 mg.
The morphine will help for sure, it will give the synthetic fentanyl to leave your body. Definitely ask your doctor about a taper on morphine. Google opiate equivalency and find how much morphine to start at, talk to your doctor about a realistic schedule. Fentanyl is stronger than morphine, so don't keep taking it until you feel good. That would be a lot. Stay at a tolerable dose until you talk to your doctor again. Did he give you any idea of how much to take?
Then morphine. 60 milligrams like every other day. Quit those. But like 10 days ago I got some fentanyl patches. Not perscribed, but ive been cutting them in fours and eating the gel. Like a patch a day for 10 days. This was before I read all the bad stuff on fentanyl. I agree it was extremely bone headed to do this. And I'm stopping. My question is how bad will the withdrawal be after only taking it for a little more than a week. I took something called kratom to help with the morphine.
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.
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.
Recommended
