Opioids Person with chronic pain, wondering what it would take to get Fentanyl prescribed?

[metalhip]

I'm on oxycodone 10mg 3 times day for chronic pain associated with avascular necrosis, which is basically where your hip slowly die and collapses on itslef. Needless to say, extremely painful. But by pain doctors don't seem to take me seriously considering my young age for getting such a disease.
Anyways, in order to give me a frame of reference, what conditions have guys personally have that enabled a doctor to give you fentanyl for it? or maybe a story about a friend you know? I know things have greatly changed since the "opioid crisis", but I still see people get fentanyl prescribed to them, and I can't imagine they have a condition that brings much worse chronic pain than mine.

Thanks for any help!

 

[BK38]

Please keep in mind I am not a doctor.

I personally don't think fentanyl is actually the best pain medication and is/was way overhyped in the medical world. It's very short lived and I don't really think it is as effective as oxycodone for pain management in my experience (I have a bad shoulder).

If I were you, I would literally arm yourself with as much research as you can and testimonies about how crazy painful/debilitating it is to have your condition, along with any copies of your medical records detailing said condition and tell them that 30mg oxycodone is not even close to cutting it. I would suggest asking to up your allowance of oxycodone before going the fentanyl route. 30mg of oxycodone for such a serious condition is laughable in my opinion and I don't see why they can't prescribe you something like 20mg or even 30mg, three times a day (a total of 60mg-90mg oxycodone per day). With that said, as with all strong opiates, there is a high risk of addiction/dependence.

Finally, I just wanted to say I'm so sorry you're dealing with such a terrible condition, especially at such a young age. Also, just something to be aware of, the way in which you framed your question is against BL rules I believe, as we can't coach you on how to "doctor-shop" or tell you how to essentially trick a doctor into giving you fentanyl because of some condition. I totally understand your desperation though, but again, I would avoid fentanyl.

I hope you can find a solution to improve your quality of life.

Best of luck to you!

 

[MsDiz]

Fentanyl is shit for chronic pain, it’s also the last thing you wanna have to be prescribed.

Ask for tapentadol, it’s an excellent painkiller and doesn’t have much recreational value.

 

[falsifiedhypothesi]

I don't think fentanyl will necessarily be the best thing for your pain. Different opioids work in slightly different ways and some are better for specific types of pain, just because fentanyl is the most potent doesn't mean it's going to be most effective for your pain. Also once you start on fentanyl it's going to fuck up your tolerance and cause other opioids to be less effective.

 

[metalhip]

Please keep in mind I am not a doctor.

I personally don't think fentanyl is actually the best pain medication and is/was way overhyped in the medical world. It's very short lived and I don't really think it is as effective as oxycodone for pain management in my experience (I have a bad shoulder).

If I were you, I would literally arm yourself with as much research as you can and testimonies about how crazy painful/debilitating it is to have your condition, along with any copies of your medical records detailing said condition and tell them that 30mg oxycodone is not even close to cutting it. I would suggest asking to up your allowance of oxycodone before going the fentanyl route. 30mg of oxycodone for such a serious condition is laughable in my opinion and I don't see why they can't prescribe you something like 20mg or even 30mg, three times a day (a total of 60mg-90mg oxycodone per day). With that said, as with all strong opiates, there is a high risk of addiction/dependence.

Finally, I just wanted to say I'm so sorry you're dealing with such a terrible condition, especially at such a young age. Also, just something to be aware of, the way in which you framed your question is against BL rules I believe, as we can't coach you on how to "doctor-shop" or tell you how to essentially trick a doctor into giving you fentanyl because of some condition. I totally understand your desperation though, but again, I would avoid fentanyl.

I hope you can find a solution to improve your quality of life.

Best of luck to you!

Thanks for you advice and well wishes, really appreciated!
My only question is this: I've talked to my insurance even they said "oxycodone 10 mg 3x a times a day? thats way within range", so no problem there. My concern is come pharmacy time. I feel like that's the bottleneck that everyone runs into. I have to use walgreens for my insurance. Do you find it difficult to get your pharmacy to allow to fill a prescription of something like the 90mg of oxycodone a day you mentioned?

 

[Fiori di Bella]

I’m on 20mg Oxycodone, 3 times/day and this month that was increased to 4 times/day due to
post op pain and an infection.
I have heard from 3 chronic pain patients that are now on Fentanyl and that had previously been prescribed Oxycodone and/or morphine, that they would much prefer to return to their pre-Fentanyl pain pills. I think it’s possibly because the slow and steady dose of Fentanyl never gives you that euphoric rush you get about an hour after taking an Oxy or morphine.
If this is something you really want, google Fentanyl reviews. Here you will see honest assessments of people’s feelings about Fentanyl and I’ve no doubt there will be a few people that mention preferring other opiates for the management of their pain.
Good luck, please let us know what you think or decide to do re: your pain issues.

 

[metalhip]

Please keep in mind I am not a doctor.

I personally don't think fentanyl is actually the best pain medication and is/was way overhyped in the medical world. It's very short lived and I don't really think it is as effective as oxycodone for pain management in my experience (I have a bad shoulder).

If I were you, I would literally arm yourself with as much research as you can and testimonies about how crazy painful/debilitating it is to have your condition, along with any copies of your medical records detailing said condition and tell them that 30mg oxycodone is not even close to cutting it. I would suggest asking to up your allowance of oxycodone before going the fentanyl route. 30mg of oxycodone for such a serious condition is laughable in my opinion and I don't see why they can't prescribe you something like 20mg or even 30mg, three times a day (a total of 60mg-90mg oxycodone per day). With that said, as with all strong opiates, there is a high risk of addiction/dependence.

Finally, I just wanted to say I'm so sorry you're dealing with such a terrible condition, especially at such a young age. Also, just something to be aware of, the way in which you framed your question is against BL rules I believe, as we can't coach you on how to "doctor-shop" or tell you how to essentially trick a doctor into giving you fentanyl because of some condition. I totally understand your desperation though, but again, I would avoid fentanyl.

I hope you can find a solution to improve your quality of life.

Best of luck to you!

You bring up g

 

[metalhip]

Thanks for the advice about framing my questions as "doctor shopping". I certainly wasn't my attempt at finding out what conditions fentanyl users have so that I can mimic them. It was more as a way to reference their pain to mine. Like if only people with deteriorating disks were prescribed them, then I would respect anyone who had that because clearly they have wore pain than me. But with this information, I would never pretend to have a deteriorating disk myself, especially since that's pretty much impossible.
And I guess I also wanted to know if any one else with my condition did have fentanyl prescribed to them, so then I wouldn't feel like such a drug user by asking my doctor for it. But I'd say overall, you guys have helped me see the light like that I should stick with the oxycodone I'm currently getting, and I appreciate the help getting to that conclusion.

 

[Fiori di Bella]

Thanks for the advice about framing my questions as "doctor shopping". I certainly wasn't my attempt at finding out what conditions fentanyl users have so that I can mimic them. It was more as a way to reference their pain to mine. Like if only people with deteriorating disks were prescribed them, then I would respect anyone who had that because clearly they have wore pain than me. But with this information, I would never pretend to have a deteriorating disk myself, especially since that's pretty much impossible.
And I guess I also wanted to know if any one else with my condition did have fentanyl prescribed to them, so then I wouldn't feel like such a drug user by asking my doctor for it. But I'd say overall, you guys have helped me see the light like that I should stick with the oxycodone I'm currently getting, and I appreciate the help getting to that conclusion.

I do think you probably should legitimately be seeking a higher dose, or perhaps more pills per day of Oxycodone from your doctor. This is based upon what you’ve said.
Do you feel that you could approach your doctor and let him/her know that your pain is not being adequately managed by the regimen you are currently on?
Are you seeing a pain management specialist?
If not, that’s who you really need to be seeing. They can really work out a plan that allows you to live life again, or at least a better life than one in constant pain.

 

[metalhip]

I do think you probably should legitimately be seeking a higher dose, or perhaps more pills per day of Oxycodone from your doctor. This is based upon what you’ve said.
Do you feel that you could approach your doctor and let him/her know that your pain is not being adequately managed by the regimen you are currently on?
Are you seeing a pain management specialist?
If not, that’s who you really need to be seeing. They can really work out a plan that allows you to live life again, or at least a better life than one in constant pain.

I am seeing a pain management specialist, but its pretty ironic because the smallest age difference between me and one of their youngest patients is probably 30 years apart. So the doctors in general are hesitant with dosage increase because of my age, but the reality is the condition isn't going anywhere, so why wait. But thanks for the advice. A good specialist is definitely key. So if anyone happens to have a great one in the South Florida area, I'd be forever grateful!

 

[falsifiedhypothesi]

I'm not saying that you should necessarily stick to the oxy if it isn't helping you, I think we are all just trying to say that jumping straight to fentanyl might not be the best thing for you.