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  • BDD Moderators: Keif’ Richards

Am I missing something? Need some relief, can anyone help here?

painenduser

painenduser

Bluelighter
Joined
Jul 13, 2011
Messages
404
Location
NJ
Ok this may sound stupid on my part but I woke up with a boat load of pain in my side today and I can't shake it. I am out of my D's and I had an extra Fent Patch the kind with the gel this time. So after UTFSE I tried cutting the top corner and using Q-Tip I rubbed some between my cheek and gum, I have a dry mouth so no need to swallow as I know you lose a lot from swallowing, I even got so desperate that I tried from Eagles post of rubbing some in the corner of my eyes (burns like a son of a bitch btw, don't try this at home kids!!! And I mean that Do NOT try ANYTHING I am discussing right now yourself, IT CAN KILL YOU!!!!), however I have probably used about 1/4th of the gel in the patch and nothing, no pain relief no felling weird no euphoria oh and did I mention NO FREAKIN PAIN RELIEF!!! Sorry for the caps but thats the part thats pissing me off is that Im not getting any kind of releif from administering the fent in all the ways that Eagle mentioned in his guide. http://www.bluelight.ru/vb/threads/424365-The-Eagle-s-Fentanyl-Patch-Guide

Please tell me what Im doing wrong so I can get rid of this pain otherwise I will have to ask my mother to take me to the hospital for an injection of Dilaudid, but with a 75mcg patch there should be no reason why I'm not able to control the pain, mind you I am also wearing a 75mcg patch as well.

Any ideas?
 
Maybe it's just growing tolerance. If you're using it for legitimate purposes and not recreationally, you really should have just skipped all the slicing up, rubbing in your eye, gumming it etc. and just gone straight to your doctor.

As sekio said, it might be some new condition arising up. Either way, go see a doctor.
 
sekio said:
Go to the hospital. Don't worry about controlling the pain, worry about whats causing it....
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Oh I know whats causing it, its a chronic issue due to my liver disease. I get really bad visceral pains, its very similar to the pain a liver cancer patient would have. Thats why Im hesitant to goto the hospital because all they are going to do is dope me up anyway, and since I cant drive myself there, there is no sense in me going. If it were a pain different from what I am used to then I would definitely go but this one is my chronic pain.

And nAON, I dont use it recreationally. This is really the first time I tried it cause I have the extra patch. But really the only thing they are going to do it hop me up on Dilaudid and then tell me to go home. I need a transplant so there is nothing new. I would be able to tell, but this pain is in the exact same spot it always is. The Dr's at the ER dont even take images anymore because we all know what the problem is. I just wound up a couple days short on my D's because its been a bad week for me pain wise and this happenes ever so many weeks or so. They dont even admit me anymore because they said there is nothing more they can do until I get a transplant, so Im just trying to be creative to get some relief for the night.
 
If it's a periodic breakthrough pain, you may be able to get some stronger meds from your doctor for it as well as your normal pain meds.

If you're just trying to make the most of your fent for this pain, smoking fent off foil is probably the fastest and strongest ROA. You're going to have to be careful with dosage, and I can't really advise you on that since I don't know your tolerance. And smoking fent isn't something you want to get into a habit of.

Either way, i'd recommend trying to score some stronger pain meds legitimately for breakthrough pain. Messing around with fent can get nasty.
 
My uncle had to have a liver transplant and lived with us for about a year, I used to witness him in extreme pain and I sympathize for your situation. What kind of patch do you have?
The ideas I am running on how to help your situation would first be potentiation of the opiate (for the transdermal patch, apply heat to the exterior with a heating pad, since P450 cytochrome inhibitors only exert an effect on first phase metabolism I don't think that would be much help) then considering a different route of administration (saline spray considering 89% bioavailability of intranasal fentanyl?).
If you haven't gone to the hospital yet, respond with some more info. I'm sure there's something that can be done to increase the alleviation of your pain.
 
Try taking ibuprofen or naproxen and smoke a few cigarettes to draw out the effects of the fentanyl. Playing with that gel is so dangerous, just don't take anymore opioids for now.
 
I have a very high tolerance, I was on 100mcg/hr patch with 4-8mg Dilaudid for breakthrough, right now I have the Watson gel patches, so yes Im trying to make the most out of what I can until I can see my Dr next week when I can ask him to increase my Dilaudid from 30 a week to 40-50 a week. Right now though I am only on the 75mcg/hr patches because he wanted to see if I could do just as well with the 75's as I did with the 100/s. So yes I have a high tolerance, and I am trying to do it legit, but since my Dr is only in my area once a week and I don't want to have to goto the hospital I just want to make due with this extra patch and then see him next week and get some more D's. I don't want to smoke it though because my understanding is that the relief is very short lived and you will go through the patches quickly. I would rather find a way to use it and make it last as long as possible but give me the best bang for my buck so to speak. Hope that makes sense.
 
I would seriously recommend NOT rubbing fentanyl gel in your eyes, as you said it, and I imagine it would, burns like hell. There could be any number of inert substances in there that cause damage to your eyes which are very fragile. Please be careful before experimenting with non-standard ROA's.

As stated I'd recommend seeing your pain management doctor or going to the hospital.

I hopre that your pain can be relieved soon.
 
Tripman said:
I would seriously recommend NOT rubbing fentanyl gel in your eyes, as you said it, and I imagine it would, burns like hell. There could be any number of inert substances in there that cause damage to your eyes which are very fragile. Please be careful before experimenting with non-standard ROA's

I hopre that your pain can be relieved soon.
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Oh I am well aware of the risks on that it was only a tiny bit based on eaglemans fent post and since the little tiny bit burned like hell I wouln't do it again, but that also why I tried it on the eye I can't see out of anyway, so no worry of losing my vision lol :)

The problem with going to the hospital at this hour or even at the time I posted this is that I can't take myself as my truck is out of commission plus I don't drive on pain meds and its too late and was too late to have my mother take me over there. I mean its not going to kill me, Ill just be in alot of pain until Monday. I have been in worse pain for longer but try not to be. Like I said I have the spare patch, worst care, Ill bite the bullet and stick the other patch on and worry about the coming down part some other time.
 
Do you have ambulance cover. Remember if it gets out of control that this service is there for a reason.

Remember that if you use up all your fentanyl early, as you said there will be the coming down part. Also there will be less pain meds to use in the long run, which could potentially have you left in more pain at a later time. Has your doctor got an after hours number or a registrar you can call and get in touch with? I imagine at least communicating the issue and your dilemma with your doctor will be helpful in that he will know about it as soon as possible and either organise to have something done about the issue or advise you on what to do. Remember it's his/her job to manage your pain and if this is not happening you have every right to ask him for further help.
 
So, do you have on a matrix or gel patch at the moment?

Have you tried applying heat to the patch you're already wearing?

I know it works with matrix patches, but I have no experience with gel patches. I guess it would probably work with either one, I'd have to look it up to say for sure.

Hit it with a blow dryer in 5 minute intervals for about an hour. Intervals meaning 5 mins on, 5 mins off. This will speed the release of the fentanyl.
 
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Sadly, he has no after hours support, his support is to just goto the ER, and it would only be one patch but its only one patch, Im not planning on keeping 2 patches on all the time just for 3 days which will carry me until Monday. So I wont be using up any patches I cant part with. I still have my 4 left in the box of 5 using this one. I got an extra patch from when I was in the hospital 2 weeks ago. So its an extra patch and once I see him on Monday he will take care of me an up my D's so as long as he ups my D's Ill be fine. I do appreciate the concern though, honestly I do, but the pain isn't right now bad enough to get me to call and ambulance. Worst case if tomorrow Im no better, I can always get my mom to take me to the hospital then. But Im sure I can get this patch to cover me for the night some how.


Tripman said:
Do you have ambulance cover. Remember if it gets out of control that this service is there for a reason.

Remember that if you use up all your fentanyl early, as you said there will be the coming down part. Also there will be less pain meds to use in the long run, which could potentially have you left in more pain at a later time. Has your doctor got an after hours number or a registrar you can call and get in touch with? I imagine at least communicating the issue and your dilemma with your doctor will be helpful in that he will know about it as soon as possible and either organise to have something done about the issue or advise you on what to do. Remember it's his/her job to manage your pain and if this is not happening you have every right to ask him for further help.
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Well I hope things work out for you man. Do make sure you keep us informed in here, I hate seeing someone in unnecessary agony.

Appalling that a doctor in his area of specialisation does not have an after hours support. I guess I am more used to psychiatry though where they always seem to have a registrar on call to deal with crises.
 
Tripman said:
Well I hope things work out for you man. Do make sure you keep us informed in here, I hate seeing someone in unnecessary agony.

Appalling that a doctor in his area of specialisation does not have an after hours support. I guess I am more used to psychiatry though where they always seem to have a registrar on call to deal with crises.
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You know what the problem is Trip, Since all the lawsuits started hitting the NY/NJ area a few years back all the Dr's who were prescribing pain meds bailed, and there are now only pain mgt specialists and the specialists are few and far between, so I can't even split and go to a new Dr because none are taking new patients and they definitely won't take someone like me who is on what they consider to be high dose narcotics. It really is sad. Te DEA has made it nearly impossible for people who are truly in pain like me to get the help we need. It fucking sux. Pardon my language, but this is a topic that angers me to a point you can not believe.

I have tried so hard find this Dr who is willing to even treat me, because I have to fight all the time because most Dr's tell me I'm lying about my pain because cirrhosis is not a painful disease, but they forget that I have Hepatocellular diseases which is what causes my pain because it causes an enlargement of my liver and spleen, way past just being "inflamed" The enlargement pushes on the lining that surrounds your internal organs which has tons of nerve endings throughout it. This is where my pain comes from. The Dr I'm seeing now a few weeks ago was going to start me on a full taper off all my meds until I had a fit in his office because he misunderstood what my GI Dr told him so he started a taper, then while in his office I called my GI Dr and told him to speak with my Pain MGT about my pain because he said you told him I shouldn't be in any pain. Well after that phone call I was put on 100mcg/hr fent patches, but then he realized he didn't want me on such a high dose he wanted me on 75mcg/hr which is what I'm on now and with any hope he'll keep me on this dose because this is the best I have ever felt, but I still get major break throughs and being that I have no money and no insurance I cant get nerve blocks so I have to live on pain meds, then again they don't even think nerve blocks will work for the visceral pain I'm in. So thats the battle I fight with my pain. An being that I had the extra Fent patch I just figured I could use it to help out and I figured out a way and its starting to work. I put a gob of it on a Q-tip and rubbed it on my gums and inner cheek and the pain is subsiding!! Although it must me something with the ROA because I had done that hours again and Im just now starting to feel the relief from it, so its a goo thing I didnt use to much. But my tolerance was made very high by my Dr's because when ever I am admitted into the hospital they usually have me on 2mg's Dilaudid ever 3 hours IV and 2mg Dilaudid PO every 4 hours. Thats about equal to 368mg's morphine PO per day.. Holy shit thats alot but thats what I got on the opiate calculator I just used. But anyway, sorry for such a long messy reply, but I get pissed when I told about pain mgt dr's in my area. I do thank you for your concern bro it means alot to me. This is why I love Blue so much, everyone here really understands what I'm going through. Check out my post over in the DarkSide if you want to learn everything you ever wanted to know about me and how I got this way. Its interesting reading.. Sad though, but thats the story of my life, sad.
 
Shit man I'm so sorry your in so much pain and are getting such shit treatment, I had a very close relative who had the mopst horendous battle with cancer over 7 years but the pain management systems in the UK are obviously far better than the US.

Hope things get a bit easier today, your a strong person not to have resorted to non legit pain relief,I'm sure it puts thnigs into perspective fort many of us.
 
atm23 said:
Hope things get a bit easier today, your a strong person not to have resorted to non legit pain relief,I'm sure it puts things into perspective fort many of us.
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Thanks my friend. I normally would not have gone the non legit route like I did in taking the gel out of the extra patch, but since I didn't have any other choice tonight and it worked, I will say this, I will not do this unless absolutely necessary, and I do NOT CONDONE ANYONE DOING THIS. WHAT I DID CAN KILL YOU IF YOU DON"T KNOW OR MAYBE JUST THINK YOU KNOW WHAT YOUR DOING!! DO NOT TRY THIS YOURSELF!!!! So please don't make me repeat that! I can't stress enough how stupid this is to do (self not included), although even for me, it was a risky move. So just don't do it. Rant over :)
 
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^^ Ditto. It amazes me, however, if you think about it, it's not entirely the DEA's fault. If people hadn't been doing dumb things that got themselves killed, then the DEA wouldn't have had to be so tough on the Dr's who were over supplying users, which also got it on the streets and the black market. Some one needed to step in and now the DEA is the proverbial "Black Sheep" So while I hate the DEA for all the red tape, it makes me mad that some many people who got these drugs weren't educated enough to know how to uses them with out getting killed. Thats the real under lying issue. I mean because of that the DEA is now over reacting just as they are doing because of what Micheal Jacksons Dr. (seems like Im going off track here but youll understand in a second). MJ's lawyer stated that MJ died from ingesting Propofol so the DEA jumped the gun and is trying to my it a scheduled drug, however scheduled drugs are drugs that have a risk for use and abuse. Propofol has none as it is more then 99% gone from your system if it goes through FPM. But you can see the DEA's overreacting. They want to take a non-scheduled drug and make it scheduled because they believed it could be abused and therefore it must be scheduled even though thats not how the drug works. BS for sure.
 
painenduser said:
Thanks my friend. I normally would not have gone the non legit route like I did in taking the gel out of the extra patch, but since I didn't have any other choice tonight and it worked, I will say this, I will not do this unless absolutely necessary, and I do NOT CONDONE ANYONE DOING THIS. WHAT I DID CAN KILL YOU IF YOU DON"T KNOW OR MAYBE JUST THINK YOU KNOW WHAT YOUR DOING!! DO NOT TRY THIS YOURSELF!!!! So please don't make me repeat that! I can't stress enough how stupid this is to do (self not included), although even for me, it was a risky move. So just don't do it. Rant over :)
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TBH I was thinking more how you've managed not to be supplementing your script with other substances sourced illegally, I'm not in anyway suggesting this is a good idea just shows some real strength. I have no serious issues with physical health these days but there are many when I have been close to not carrying opn.

So big up to you Pain you got seom inner stregnth goping on there to be proud of.
 
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