Some tips for gaining control over how you use fentanyl.
Hi RyanRhino.
Personally I recommend my method of using fent, which I outline in this post: fent withdrawals are a bitch for sure but are so much harder to deal with when one is taking it erratically and chaotically (i.e cutting a patch in several smaller pieces and chewing or cheeking them, removing them to eat, putting back some older and some newer ones, not sure which are which and then you may well find your self in withdrawals which are changing back and forth over a day or so as bits of fent you've ingested kick in and other bits lose their efficacy....... so you can feel like you're simultaneously almost oding and yet massively withdrawing).......
You must completely stabilise your useage of fent before thinking about stepping down and reducing your dose gradually and as painlesssly as possible. Have a read of how I use fent and perhaps you might find something useful there/
Firstly, I think you really should be "cheeking" and sublingually using your patches rather than chewing them. You'll increase the amount of fent you get from the patches in your mouth massively if you simply stick them, as best you can, to the inside of your cheeks and even put one under your tongue. And then try to keep said patches in their exact places for as long as poss so that you can re-create the reservoirs of fent behind your buccal membranes that are automatically created with ease by your body under your first layer of skin when a fent patch is used "as directed" and stuck firmly in place on an area of skin.
Each time the patch moves slightly sets back your aim of getting the process going properly of the fentanyl in the patch dispersing through your skin and forming a reservoir - which then drains at a relatively stable rate directly into your bloodstream where it works it magic, removes pain, causes happiness and relaxation.
Fentanyl is highly lipophilic which means it's absorbed best when it's transdermally used - i.e. going through the membrane of the skin and straight into your system bypassing the liver. If you're chewing patches I'm betting a lot of saliva is being generated and I'd also bet that you're swallowing quite a lot of said saliva....... and what little fent has gone into your saliva is reduced still further when taken orally and subsequently dealt with by the liver (which destroys most of the fent) before "getting into your system" so to speak.
A transdermal matrix patch when having been used for 2 days transdermally but then taken off to be used in your mouth ("bucally" for a faster stronger high) should be cut in half. Take one half and fold it in half so that the sticky, "active" side is now on the two outer sides of the folded half-patch.
Then place it underneath your tongue, avoid eating or drinking and try to keep it still and stuck in one place.
Take the other half patch and cut it into two equal pieces, which you then stick to the inner sides of your two cheeks. Again avoid eating and drinking and try your best to keep the pieces firmly in place.
And most important of all imho: consciously try to avoid generating saliva and any saliva that does accumulate try not to swallow it.......just hold it in your mouth so that any fent in the saliva can be absorbed through the mucous membranes inside your mouth.
I've been prescribed and using fent for about 5 years now and have experimented extensively with different techniques and through trial and error have concluded that my current method of using a patch transdermally for 48 hours, then buccally for 24 hours: and this means you get the constant, steady opioid intake for 48 hours when wearing it transdermally, and then you get higher and have a bit of fun for the next 24 hours using the patch buccally...... and because even when you've removed a fentanyl patch from your skin it still takes a good 16-18 hours for the fentanyl levels in your system to drop by 50% and this is the commonly accepted half-life of fentanyl which has been scientifically proved.
And by the time you really start to be physically "missing" the patch you removed, and you've absorbed all you're going to bucally about 20 - 24 hours after removing the patch from your skin then it's time for you to re-attach a fresh one to your skin....so basically if you time it correctly you can mess about with the patch buccally on the final day of its 72hr dosing and still not have to endure withdrawals worse than about 50% of your prescribed transdermal fent doseage for not more than about 6 to 8 hours before the new patch kicks in, anywhere between 6 and 12 hours for it to totally reach it's peak, plateau phase.
Hope this info is useful. Feel free to pm with any questions you may still have and I'll do my best to help you out. Good luck and be safe.