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  • BDD Moderators: Keif’ Richards

been on fent 100mcg for over 6 years ... advice on switching to pills ? best ?

skippy321

Greenlighter
Joined
Dec 10, 2012
Messages
16
they stopped making my brand which I would imagine would be affecting so so many peeps since everyone is so sensitive to each brand .. 8o


butt ,,,,
Im wondering for extended 24hour relief are there any gd pills suggested after or equal with fent with same or better results:?


i have had incredible results with fent 100mcg and 15iroxy for breakthrough

any advice --- i want to have a gd conversation with pain management -- thx so very much

my best to all

peace n respect
 
been on 100mcg fent patch for about 10 years ... need to switch ? advice at all .

any ideas of good combos --

extended relief to take place of my current fent patches

and currently oxyir 15mg for breakthrough



any success or horror stories --

I cant find the patches that actually work well (just my luck )

but plz any advice will help --

im obviously nervous after taking the same medicine for 10 years --- :(

thk u n respect my friends for any help ...

bless
 
Fent is very strong and known for hellishly intense withdrawals. Luckily it is very short lasting so so are the kicks. However if you're switching onto another opiate you won't kick at all if the dose is right. Just 1 patch a day? Could be much worse. It depends what you need meds for (guessing chronic pain). I would suggest oxycodone or morphine. Those are really the only opioids that are both strong and not a waste to take orally. As a chronic pain person myself, I highly recommend them both for great duration, analgesia, and help with the mental aspect. Oxy is a wonder drug when it comes to back (especially lower back) pain. Morphine does not produce as strong of a head "high" but has more overall analgesia and longer lasting.

If you are on the IV route I would suggest hydromorphone (aka dilaudid) or oxymorphone (aka opana)

Edit: forgot methadone/Suboxone, but IME neither are great with analgesia, and methadone is probably the last habit you want to start
 
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I was on the 75s and 100s for about 2 years and the WDs can be friggin nasty. If your doc is cool and you have a
good relationship with him, the transition can be easier. I switched from Fent to Opana ER, back before they made them
suck, with Oxy 30 IR for breakthru. Now my doc wrote me a script for a few patches, 50mcg, on top of when of starting
the new meds to ease my body through the transition of pain meds. It wasnt too bad and the pain relief was about the same.
Have you tried and of the ER morphines, methadone, Oxy? Whatever works best for you is what it comes down to.
Good luck
 
We don't allow cross-posting the same threads so I merged your thread from NASADD into this one.

Your options are basically morphine, oxymorphone, hydromorphone, oxycodone, or methadone. They are available in the extended release formulations MsContin, Opana ER, Exalgo, and OxyContin. The methadone has a very long half-life so doesn't require an ER version to last all day.
 
The methadone has a very long half-life so doesn't require an ER version to last all day.
Pain-killing effects don't always last all day though. When someone is on methadone for pain they are usually prescribed it more than once/day. That can also enable them to take a lower total daily dose.


Everyone's going to be different, but I would pick oral oxymorphone or hydromorphone over oral morphine for pain, for a number of reasons.
 
In my opinion, your best bet is to start incorporating non opiate medications to aide in pain relief. In my experience, lyrica or gabapentin is one of the best pharms for helping opiates do their job, hydroxyzine and other antihistamines also help a lot. Muscle relaxers are a good choice aswell


Time and time again, morphine proves to be the most effective painkiller despite technological advances, has been for thousands of years, and will be for many to come.


Things to consider, pregabaling/gabapentin, hydroxyzine, mucle relaxrrs , nmda antagonists like tramadol or dxm, and snris like amitriptyline.


I still say exercise is one of the best painkillers despite being so simple, if your pain allows for light exercise like walking around the block, definitely start investing your time in exercise, not only will it reduce the sensation of pain, but it will raise your pain threshold, improve blood flow and health, ect...
 
In my opinion, your best bet is to start incorporating non opiate medications to aide in pain relief.

I still say exercise is one of the best painkillers despite being so simple, if your pain allows for light exercise like walking around the block, definitely start investing your time in exercise, not only will it reduce the sensation of pain, but it will raise your pain threshold, improve blood flow and health, ect...
^This. I would also add that depending on the type of pain there are a number of non-opioid meds one can take in addition to the ones laCaster listed, and that there are also a number of other ways to help with pain in addition to exercise, (and even gentle exercise like light yoga can be very helpful). Things like meditation, mindfulness techniques, physiotherapy, massage, hypnosis (don't think of the old stereotypes of the swinging pocketwatch etc, hypnosis has actually been proven effective for reducing pain and need for analgesics as well as a number of other things), working on changing one's thinking about pain, distraction, supplements, etc. But for now it is will be necessary for someone switching from fentanyl to at least take enough drugs to alleviate withdrawal symptoms. Non-opioid meds can help with withdrawal symptoms too though.
 
Pain-killing effects don't always last all day though. When someone is on methadone for pain they are usually prescribed it more than once/day. That can also enable them to take a lower total daily dose.


Everyone's going to be different, but I would pick oral oxymorphone or hydromorphone over oral morphine for pain, for a number of reasons.

I didn't mean it literally. What I meant was that if they were looking for a long lasting pain med that methadone is an option along with the other ones I mentioned which were all ER formulations. It's not like ER versions last all day either.
 
I thank everyone for your advice :D-- I have knee tumors (pvns) 8( and some back broblems from an accident and most likely my gait or way I have been walking with the cane ..

The fenanyl has worked miracles yet I think it has had a good run -- More or less I was able to stay around 100mcg patch every 48 hourse for 10 years or so (thats a long time at one dose I feel - but if it works - why mess with it - ) -- amazing I didnt need to go up and just jumped around breakthrough meds from time to time always settling on 15mg oxy ir -- (my doc never will give 30 mg -- just asks to double up the 15's .. but ive been going through those more and more -

and now the fent isnt as good as it once worked unless I am able to get just one brand generic or the name brand -- and that is not avail anymore suddenly ( I feel crazy that my body is so sensitive but it is true ??? n im so surprised how many pharmacists n others just dont believe me n the comments under breath n to my face has surprised me to say the least ! )

I just think maybe this is a gd time to switch to oral format since the current combo suddenly is not an option and just isnt as effective it seems ... I wonder what my pain dr will say -- he is very kind and understanding -- but I think he has loved that everything has worked and stayed so much the same for so long .. well ill find out the day b4 christmas what he wants to do ----
;) thx 2 u all to give me some homework to do myself now to see what I feel may work or may ask about --- I thank you all for the suggestions of different directions to take and combinations ... I appreciate it all and thank u so very much ! thank u all for the list of extended medicines .. ill be doing my research and any more ideas plz send my way -- i will be checking back and will report what I end up doing as we get close to xmas eve..

I need to cross over n stay with opoids for now .. maybe after next operation I will try and remove the opoids or lesson them at that time -- (im also still seeking specialists who can really help with this rare pvns disease .. it is not easy n a bit scary - i started 12 years ago with operations every year but after constant tumor return I have decided until a dr can really remove the problem/ or be confident -- pain management has and continues to be the best for me at this point ) ... it allows me to live and care for my son n be a good more active father ! peace n respect to all -- thank you
 
I need to cross over n stay with opoids for now .. maybe after next operation I will try and remove the opoids or lesson them at that time -- (im also still seeking specialists who can really help with this rare pvns disease .. it is not easy n a bit scary - i started 12 years ago with operations every year but after constant tumor return I have decided until a dr can really remove the problem/ or be confident -- pain management has and continues to be the best for me at this point ) ... it allows me to live and care for my son n be a good more active father ! peace n respect to all -- thank you
Me and laCaster were just you could add different non-opioid meds and non-drug therapies in addition to the opioids, you don't have to quit opioids to do those things and you may find you are able to use less opioids.
 
Hey Skippy,
good luck whatever you decide to do, i'm on the 100 fent every 48hrs too, i have neuropathetic pain, and i'm a father too..I just wanna wish you the best, really from the bottom of my heart, dealing with fuckin strong pain, is really a BAD, BAD situation. I hope you'll get the most relief, from the meds that you and your dr will try to deal with the pain..and i think that in situations like this, except from the pain relief, the meds must have a paregoric effect too..%)Anyway my friend, the best wishes from me, to you and your son. Christmas time, children's time..hehe..:)..


MartinFn
 
^=This.= I would also add that depending on the type of pain there are a number of non-opioid meds one can take in addition to the ones laCaster listed, and that there are also a number of other ways to help with pain in addition to exercise, (and even gentle exercise like light yoga can be very helpful). Things like meditation, mindfulness techniques, physiotherapy, massage, hypnosis (don't think of the old stereotypes of the swinging pocketwatch etc, hypnosis has actually been proven effective for reducing pain and need for analgesics as well as a number of other things), working on changing one's thinking aboute pain, distraction, supplements, etc. But for now it is will be necessary for sormeone switching from fentanyl to at least take enough drugs to alleviate withdrawal symptoms. Non-opioid meds can help with withdrawal symptoms too though.


Yes seriously the best post you ha e ever posted hahaha! Grea5rt great advice, I
Love yoga, and if you are a dude you can do partner yoga, and ask a girl out on a partner yoga you will definitely get laid hahaha

I definitely agree that we will wd c0ming offf ent. However I thought he was just looking for other opiates , and I agree he should take morphine. Morphine suppository or vials for injection would provide the most relief. However iv morphine.is very addictive. I will just swallow your pills OP. if you stabiliZE , it doesn't matter what ROA you use, so just swallow thoufh

If I were the original poster, I would take oral morphine(extended release,; mscontin) Pregabalin, tramadol, and low dose klonopin 0.5 mg tops. If you stay on a steady-daily dosing basis and don't abuse your drug for example, follow directions on bottle, so if the bottle says take everyday, take it everyday. you will gain tolerance to the sedation, but good thing is that if you dont abuse the drugs and take them how they are intended, you lower your risk of dieing; even though you will gain tolerance to your meds and aslong you take them as prescribed, opiates retain their pain killing effec for a good amount of time. in other words, euphoria fades very quickly, and doesnt come back, but if you on abuse your pain ppills tolerance will take a couple weeks to accumlate where you get high, but that s not worth it!!!.

\The reason I say klonopin is because that's great muscle relaxant properties and it is it helps the opiate find it source to stop pain. i think thay have any likelyhood of seizures ect,, you dont want that, especially if you chose to add tramadoeil..klonopin is also a great axiolytic which will help with mental health. did you know that how feel mentally affects how you feeL physically. and vice cersa

Pregabalin is really the best non narcotic pain-killer on the market. We don't know exactly know why lyrica and its baby relative gabapentin are soo efficient an powerful synergizers with opiates and benzos to increase thr pain-killing effect. Try it out it will help with withdrawal sooo fucking bad1 lyrica is the shit for withdrawal. Gabapentin works alright, it just has shitty pharmacokinetic properties.. lyrica and gabapentin are the same drug really, lyrica was changed a little to have better absorption. both drugs have similar sensations

I suggest morphine because it reall is the best pain killer , tests have been done to prove this but the shit part is that morphine has bad oral bioavailability. However, this gives you superior pain killing affects when swallowed but the euphoria is diminished when swallow. in addition, you can plug your morphine pills in a solution up your butt, however if your pain was extremely bad and you got vial w/ morphine solution, you could try to safely inject morphine!!! Morphine is probably the best, it is cheap and kicks ass.' however!!!! please dont go the needles, you will get addicted to fucking fast. swallowing morpine is not that addictive, but the pain killing effects are amazing. mscontin would be good if swallowed with 15mg oxy IR for break throw pain

.I recommend tramadol only if you follow the directions on bottle, and take as intened you shouldn't go above 200 a day. And advice for tramadol is if you stack the doses throughout the day, the more pain killing effects . to get these best pain killing effects, i recommend 50mg three to four times a day, no more because it has shitty opiate effects like the opiate strength of codeine and not worth having a seizure or panic attack. But just because it has weak opiate effects doesbt mean it can't squash pain into the dirt!!! haha. Trams inhibits the reuptake of norepinephrine reuptake, releases serotonin, antagoniz nmda(nmda antagonists aide in releive pain so much).. ultram also antagonizes many serotonin receptors like 5HT-2c, and a nicotinic acetylchlmuotine antagonist... all these properties will synergize with morphine and make the pain killing effects exceptionally well. HOWVER!!!! do not exceed 150-200mgs a day, if it were me, i w0uld never go past 150. like i said, focus on all the other stuff it does and it not being an opiate because it sucks at attaching to mu receptors. what i am getting at is that this shit is not worth the risk without anti-convulsants like clonazepam and lyrica/gabapentin to prevent you from having a deadly mal-seizure.

trust me i had a grandmal seizure on 350mgs ultrams, could have diead, luckily i wasnt driving, i was at home with my dad and he made sure i didnt hit my head or choke on my vomidt;but with klonopin, and lyrica or gabapentin
 
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Me and laCaster were just you could add different non-opioid meds and non-drug therapies in addition to the opioids, you don't have to quit opioids to do those things and you may find you are able to use less opioids.

no doubt thank you and I agree --- I just started up my acupuncture again / also chiro and phys therapy 3 x a week --- I also have an herbal / vitamin program recommended from a friend out west but i want to give the list to the dr to review first b4 I start that new method (ill post it up 4 all after I get input from him ... :) thk u all 4 advice and help ! I will try almost anything and I do wish I could go down on the opioid but dont want to feel withdrawal during this time of year especially --- happy holidays all ! again thk u for being so open and honest -- peace n respect
 
8( thx so very much " laCster " much respect for all the super advice and suggestions ! time to gather my homework and have ready for my pmdr on xmas eve ( not a great day to switch :( after so so long but all will be fine -- positive thoughts ! thx so much everyone .. ill always be here 4 u all as well ! :D
yoga sounds nice --- it may be tough to do all moves but may work ?

peace n respect

bless n happy holidays skippy321
 
thank you everyone 4 the advice ! -- my pain dr wanted to do between an oxymorphone like opana er or a long lasting diloudid .. I decided to go with the opana er 40mg -- he said it would be a gd starting point after all these years to try it twice a day -- so 80 mg per 24 hours --

my luck - my insurance didnt wanna pay -- i objected it and believe they will approve tmro --

so hopefully aftter my yoga appointment I will pick up the new pain system and cross the fingers ... otherwise if ins wont budge ill find one that is covered - im sure oxy is or i think the ex diloudid is covered too --

I didnt choose the diloudid at 1st because although it worked in the past for breakthrough -- I found it to work weaker and short short term than others and then found maybe it was the low bioavailability --

now I see the opana also is low bio ......as well ? 10 % I believe ???

It seems so low and such a waste of medicine
plus now I read so much about the formula changing and now the bio is even less and some dont have any relief ?

any opinions on the opana er and the bio issue ? -- i sure im just tryin to find things to worry about - lol -- I really just want it to continue to help and hold back any withdrawak --

I hope the 40mg opana 2x a day will be kinda equal to 100mcg an hour of fent --

i know everyone acts different --- Im actually amazed and thankful I was able to keep a similar / same dose for years n years n just switching breakthrough from time to time ?

it was a really good run with the patch -- they saved my life and saved my sons childhood with me ! quality of life instantly changed and it showed for years ! I am so very thankful -- but sometimes change is good !

thank you all for being so kind and any other info or advice I thank u all for !

I hope everyone is enjoying the holidays ! peace n respect --

I suffer chronic back and knee pain -- mostly from PVNS tumors in the right knee :( and left knee issues as well -- but PVNS is the culprit !
I was / am on 100mcg fentanyl patch for years n years
oxyir 15mg 150 per month for breakthrough
tizanadine 60 per month
also klonopin 2mg per evening for rls and other reasons

the klonopin works well too --- but I see so many warnings with opiates n benzos ??
I have been on it with oxy n fent for ever -- never a problem n dr feels it is fine ---

i wonder if the interaction is similar with opana ? --

anyone else use any benzos with opiates -- the pain causes stress too n m,ore -- i would imagine alot of pain patients use -- not abuse benzos -- I imagine thats ok --- I certainly dont want to worry about that too ----
(sometimes the more u read about the more worried u get --- lol -- ) j/k -- Knowledge is power !

thx again all

happy holidays 8(
 
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