I thought I replied to this, but it looks like I haven't, so I'll re-type the gist of what I was saying:
I'm not chasing a high, and do not want to abuse this drug because it seems very scary. I want to know if it's working correctly, or if I need to go up to the next level. My doctor is leaving the decision up to me, but as I am inexperienced with this I'm not sure whether I'm getting enough of the drug or not. I'm still having pain, so I'm still taking oxycodone on top of it---this is where it gets confusing....
I know the oxycodone is working when I get a pleasant little buzz and the pain subsides. I'm not getting any buzz with this 50mcg/h patch and I have now had it on for 48 hours. I'm still having pain.
My doctor told me it would take an entire patch to reach blood levels that would be equivalent to the 120mg of oxycontin I was taking, and then to wait a second patch to see if it worked to relieve my pain. I'm anxious because I have felt no effects that I can distinguish whatsoever, and am wondering if I should move up to the 75mcg/hr more quickly than I had planned....my doctor doesn't usually subsrcibe narcotics, so she doesn't really know how to dose this or how to transition me from the oxycontin to the fentanyl, which is why I'm looking for help here.
I use the high as a baseline, I guess, for understanding that my drugs are working. Sure, it's a nice feeling---but it's not what I'm doing this for. I just want to know it's working. Maybe I have it on wrong.
Could it be possible that I won't feel anything until my second patch, when my doctor assumes my blood levels will be normal? Or is it more likely that I will not be getting any sort of feeling or release from this dose?
I would love some advice on whether or not to skip the second patch of the 50mcg/h and go straight to the 75mcg/h to manage my pain. I'm not looking forward to another three days of breakthrough pain.
Is it possible that this drug is working without giving me a high, but that it's simply not a high enough dose to do either (work or get me high)?
Sorry if this is unclear, I obviously don't know what I'm talking about in regard to these patches.
Thanks for any help!