Opioids Question About Fentanyl Patches

[TheFDA]

So, my best friend sent me a couple of Fentanyl Patches in the mail today (they're 50 mcg/h each). I've never used Fentanyl Patches before, & I could really use some advice...

First of all, I'm incredibly hesitant to tamper with the extended release mechanisms in the patches or whatever, because I've heard way too many horror stories about people ODing -- including many people who were very "experienced" opiate users -- from abusing those patches, & I most certainly don't have a death wish.
On the other hand, though, I've been given Fentanyl IV after surgeries a number of times, & I can't deny that I really, really enjoy the effects of Fentanyl... Honestly, I prefer Fentanyl IV to Dilaudid IV by a lot (which I've at least heard is not too common). So I definitely don't want the Fentanyl Patches just going to waste, either.

To get to the point, I guess: How much of an effect would wearing a 50 mcg/h Fentanyl Patch the "normal" way have on somebody with a relatively mild Opiate tolerance have? Obviously it wouldn't have as nearly as potent an effect as Fentanyl IV I'm sure, but would it instead just produce like, a more long-term & subtle "Fentanyl buzz" or whatever? Or would it not produce any enjoyable effects at all?

Any & all help & insight that anybody can give me will be greatly appreciated!

 

[MartinFn]

i think you should try to wear one first.You should stick it to a place where the muscles don't move all the time(on your chest or on your heart,i stick it on my chest)and wait some hours to feel the warm feelin coming,i don't know your opiate tolerance,if it's not so high,the 50 will work great,you could take the hair dry thing(sorry for my english)and use it to heat the area that your patch is on,but BE CAREFUL,it's not a good advice if you haven't a high tolerance,it's just a way to make the fent work faster,else wait about 6-7 or 8 hours and see how it's going,you will feel warm and nice for 48 hours i think..Just be careful..

 

[lawyersgunsmoney]

So, my best friend sent me a couple of Fentanyl Patches in the mail today (they're 50 mcg/h each). I've never used Fentanyl Patches before, & I could really use some advice...

First of all, I'm incredibly hesitant to tamper with the extended release mechanisms in the patches or whatever, because I've heard way too many horror stories about people ODing -- including many people who were very "experienced" opiate users -- from abusing those patches, & I most certainly don't have a death wish.
On the other hand, though, I've been given Fentanyl IV after surgeries a number of times, & I can't deny that I really, really enjoy the effects of Fentanyl... Honestly, I prefer Fentanyl IV to Dilaudid IV by a lot (which I've at least heard is not too common). So I definitely don't want the Fentanyl Patches just going to waste, either.

To get to the point, I guess: How much of an effect would wearing a 50 mcg/h Fentanyl Patch the "normal" way have on somebody with a relatively mild Opiate tolerance have? Obviously it wouldn't have as nearly as potent an effect as Fentanyl IV I'm sure, but would it instead just produce like, a more long-term & subtle "Fentanyl buzz" or whatever? Or would it not produce any enjoyable effects at all?

Any & all help & insight that anybody can give me will be greatly appreciated!

The only time I came across Fentanyl patches, I stuck it on my arm and waited a couple hours and felt nothing. I was using a lot of pills and dope at the time and was at a funeral. I eventually decided to suck on the patch. I wouldn't recommend anyone do this because I was a zombie for a few days because of this. I weigh 260 pounds, so I don't know how this would affect you. I got wasted off of it but I wouldn't say there was any euphoria from it. It was really just an uncontrollable nod that lasted a long time.

PM me any other questions you have. I'd like to know what you decide.

 

[sebastianbell]

...

you could take the hair dry thing(sorry for my english)and use it to heat the area that your patch is on,but BE CAREFUL,it's not a good advice if you haven't a high tolerance,it's just a way to make the fent work faster,else wait about 6-7 or 8 hours and see how it's going,you will feel warm and nice for 48 hours i think..Just be careful..

could someone extrapolate on this? i'd like to learn how to speed up the absorption of a topical patch. right now i'm wearing a patch that numbs the area, not a fentanyl patch, and i want to know what i can do to "potentiate" it. please don't perceive this comment as a threadjacking, because in spite the differences in drugs they have the same ROA, and thus the answers to my question can also be applied to the OP's fentanyl. right now i'm in a lot of pain and am limited to relatively ineffective treatments; i just want to use the medications i have and get the greatest possible relief from them in the quickest possible fashion.

 

[jamesBrown]

i put on the patch and kept a hot, moist towel on the area. i don't know what steps there are to the hair drier method, but the prospect of keeping a veritable heat gun at my forehead sounds like a substitution of painful experiences. right now i'm in a lot of pain and am limited to relatively ineffective treatments; i just want to use the medications i have and get the greatest possible relief from them in the quickest possible fashion.

the "hair dryer method" im assuming means using a hairdryer to heat the area where the patch has been applied to your skin to potentiate the absorption of the opiate......im guessing this because i know that heat helps increase the amount of fentanyl thats absorbed in a given period of time.
Now, I really have no idea what you mean by pointing a "heat gun" at your forehead unless you are talking about applyling a patch on your forehead....which is something I wouldnt reccommend doing.
I also know you are talking about lidocaine patches and i dont think applying heat to them would do much....allthough it might....you shoiuld just do some research into the mechanism of action of that particular drug and delivery system. I recently was in the hospital and they had me on about 4-5 lidocaine patches at one time for a couple weeks and I tried using heat to increase there effect and didnt notice a diffence. I did this because i was also on alot of fentanyl patches at the time and was using a heat pack to increase there effectiveness, because my family was always around and it was too difficult to take them off and put them in my mouth without getting noticed.

 

[MartinFn]

Did anybody hear of DMSO?I know it's a liquid,and it makes your skin more absordable when you apply it on.I have never used it,so i DON'T of course suggest it to anyone,I just read about it in wikipedia and i found it interesting.The lidocaine patches works for strong pains?

 

[sebastianbell]

the "hair dryer method" im assuming means using a hairdryer to heat the area where the patch has been applied to your skin to potentiate the absorption of the opiate......im guessing this because i know that heat helps increase the amount of fentanyl thats absorbed in a given period of time.
Now, I really have no idea what you mean by pointing a "heat gun" at your forehead unless you are talking about applyling a patch on your forehead....which is something I wouldnt reccommend doing.
I also know you are talking about lidocaine patches and i dont think applying heat to them would do much....allthough it might....you shoiuld just do some research into the mechanism of action of that particular drug and delivery system. I recently was in the hospital and they had me on about 4-5 lidocaine patches at one time for a couple weeks and I tried using heat to increase there effect and didnt notice a diffence. I did this because i was also on alot of fentanyl patches at the time and was using a heat pack to increase there effectiveness, because my family was always around and it was too difficult to take them off and put them in my mouth without getting noticed.

thx for your response. i got them prescribed for a shoulder injury from basketball but yes, i put them on my forehead sometimes too (for tension and migrayne headaches). i'm still in high school and my doctor knows my sister got into some drug problems so i don't know if he will will prescribe something like fentanyl but i'll ask him next month. anyways i'm getting off track lol, today i put a patch on my shoulder and put a heating pad on it but it didn't work. i guess i'll do what i can to get comfortable enough to feel OK and watch some nba tonight lol! anyways thanks again for replying i'll look into this sum more

 

[Cane2theLeft]

^Are you talking about lidocaine (Lidoderm©) patches? If so, they may share a topical RoA with fentanyl but it stops there. Its a very different delivery system and you aren't going to be able to potentiate them with heat.

The fentanyl patch releases a certain amount of fentanyl consistently over an extended period and the heat can speed up the distribution. This isn't the case at all with the lidocaine patches which simply apply a 5% local anesthetic solution to the skin for 12 hours.

If you are using Lidocaine patches, did your doctor say you could put them on your face? In the literature for the patches it says to never do this.

 

[THunder MuFF]

I use the Lidocaine patches for the chronic pain I have in my neck and they have been a god send. I have tried using other ones such as the Flector patches and they don't stick and suck. I have been given the choice of fentanyl patches but to be honest I have experimented with them before and they scare the hell out of me. I would much rather use the Lidoderm and 30mg roxys and oxys than using fentanyl patches. To me that's like playing with fire and I would hate to put one on and go into respiratory failure while I was sleeping or something. I've heard so many horror stories of even very tolerant opiate people biting the dust with these things.

 

[Paul Newman]

I have the patches at 75 and 50 as i have serious pain and every three days i change them so i have 125 of the trans dermal but also have 100 microgram sublingual tabs that dissolve under my tongue as a breakthrough painkiller.
When i first started on the patches they they built me up from 25s, just to be on the safe side, but as i had been on morphine for a year or so nothing hit me till i got to 75, so if you havent already done them you should get a wild buzz from 50 and it shouldn't floor you.
If you can get the dissolvable tabs, they are the dogs bollocks, they really soothe my pain.
Maybe cut them in half though to be safe.

 

[mygreenbic]

Personal experience in getting the most out of your fentanyl

I've been reading threads about potentiating, synergizing, and getting the most out of your fentanyl.
Most of what I have read is full of misinformation, urban legends, and hypocritical lectures about why you shouldn't take your meds other than how they were prescribed. Now this kind of angers me because an addict suffering from addiction comes on the boards asking for advice and instead he gets a lecture like if you abuse fentanyl you are going to die! Who are these people the us government, masters of terror based propaganda. So the person leaves with a lecture instead of harm reduction advice, tries something that sounds logical to him and doesn't realize a little technicality and he od's.

So for the people who were shunned away I will tell you what has worked for me in the past,. I will also warn you that drugs react different to everyone as we all have different metabolism, tolerance, brain chemistry, liver enzymes, etc. Use this list as a starting point for further research and please. use at your own risk. I realize that addiction is hell and if people like us have it on our minds to get high, we are going to do it, and a lecture could be emasculating giving us lower self esteem and less of a desire to avoid over dose

the following is a list of potentiating /synergizing drugs that work on most opiods but for the sake of this thread, I will disclose what has worked for ME in the past on Fentanyl
I will list a drug next to 2numbers from 1-10. Ten being most dangerous and most effective, respectively, sequentially.

Example : 1 random drug. 10 (highdanger) 1 (lowest effectiveness)
remember this is a list of potentiators and /or synergists for FENTANYL (although most work across the board this is a fentanyl thread) although many of the items on the list are from years of personal interest based research, please just look at it as an opinion based list—that has worked in my experience
This list is not in any special order

AGENT DANGER EFFEECTIVE

amphetamine salts 9 8
clonazepam 8 8
temazepam 10 8
hyrdroxyzine hcl/pam 2 9
diphenhydramine 3 7
diazepam 10(long halflife) 9
flexeril 8 9
Gfj 5 5
Cimetidine 5 6
gabapentin 2 7
mirtazapine 9.5 9
alprazolam 9 9
dxm 10 10 note (both # for . dxm are dose dependant)
other opiods (full agonists) 9 9
cat's claw 4 7 (nmda antagonism)
alcohol 10 5
Cannabis 2 8
Mdma 10 9 (note: after you come down from the mdma, you probably will be in one of the worst withdrawals in your life)
clonodine aka catapres 5 9
ketamine 6 7
--------
I base this list on the proper ROA prescribed. If you wish to use a different ROA please do research first, ask questions. You can't ask questions once you are already dead.

DISCLAIMER -- I hold no responsibility for the use and outcomes of this list. It is simply an archive of personal experience and opinion. Use at your own risk.
Anomymous

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