Addyman
Bluelighter
That's what you --should-- do I believe
If I was in chronic pain... I wouldn't have so much control, though, lol
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BDD Moderators: Keif’ Richards
Dr switched me to Fentanyl Transdermal patch from Dilaudis and have some question...
- Thread starter painenduser
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That's what you --should-- do I believe
If I was in chronic pain... I wouldn't have so much control, though, lol
Violenza666
Bluelighter
It's hard... really hard. I'm still learning how to control myself. It's like the first 2 weeks of the month are amazing then the last 2 are horrid and I spend alot of money.
Addyman
Bluelighter
Sounds like if I'm ever in pain that requires loads of pain meds
I better rob a pharmacy
I kid I kid
Violenza666
Bluelighter
It truly is horrible. My whole back is fucked.... and the diagnoses keep piling on. Apparantly I have decreased bone marrow in the spine as well.. I had no clue. I have degenerative disc disease with disc dessicatoin. Bulging discs all down my spine, multiple disc herniations in the lumbar spine.. disc dessication in the L spine... Discs collapsing on themselves.. half the time when I type it or talk about it I leave shit out there's so much shit wrong.. I'm 31 not fucking 70.. It's insane. I take Opana 30mg ER, Roxicodone 15mg 6 x a day, Soma 350mg 3x a day, Ibuprofen 800 3x a day, Valium 10mg 2x a day it multi tasks for my anxiety and my back... 2mg klonopin a day. I have a script for Gabapentin I don't take... Had one for lyrica before that I never took.. lol
It sucks.. I wish I could just take it for fun.. but I don't and i can't. Getting epidurals here and there fucking sucks too.. But the worst part is everyone wanting to be your bff because of the shit you're on.. Get them fucked up then when you're sick and looking they're nowhere to be found. I have basically had it with people. I can count my "real" friends on one hand.. the rest of em can either fuck off or they're fun to get high with here and there.. but even giving shit to people fucking blows because half the time you know what they really want to be around you for... it's quite the buzzkill.
Oh and the insomnia is a bitch too!
*rant over*
painenduser
Bluelighter
Trust me I completely understand. I have a bad back to but right now they finally today decided to send me for xrays and shit to find out whats going on there, So only time will tell how their going to treat that.
My problem is (and trust me I understand the age thing) I'm only 37 years old and I have end stage liver disease and the pain comes in from having hepatocellullar disease which is an inflammation of my liver and spleen which causes internal cancer type pain in my abdomen aka visceral pain. There is no good way to treat the pain other then with pain meds mainly I think right now because I can not afford anything like interventional pain management like nerve blocks ect because I'm on welfare until my disability kicks in so I have no money to pay for them, medicaid wont pay for them but they will pay for my meds. Oddly I shouldn't even have this disease as I don't have hepatitis which is a main cause, but I did kill my liver from drinking when I was in kidney failure (didn't realize proly cause I was drunk) that my kidneys shit down due to a severe infection. Then my liver shut down and I was hospitalized for 2 months 2 years ago and they told my family I wasn't going to survive, but I did. Then last year I had my gall bladder removed and wound up being readmitted just after being released from that with a collapsed lung, pneumonia and MRSA in the blood that I some how got during surgery which caused even more damage to my liver. So all this together has caused my liver to hurt like its cancerous and the pain is outrageous! Now mind you this is with out fully understanding whats happening with my back which my mother has degenerative disks so its possible that whats going on with me, and I see her in pain and I know what she goes through so I can completely empathize with you there. So right now my treatments and meds are limited because they don't want to cause more damage to my liver (oh yeah I forgot to mention that I did recover from the full renal failure but not with out serious damage to my liver), however I keep trying to tell the Dr's I dont give a shit if the meds are going to cause more damage as I wasn't supposed to survive anyway so everyday I am alive is a bonus, but I'd much rather live a shorter happy pain free life then live a longer miserable constantly in pain life, many think I'm nuts for saying that but I think its perfectly normal and only people like you guys who live in pain daily can truly understand where I'm coming from.. The worst part to my main pain is its not like muscular skeletal pain where nsaids can help or laying down rest ice or heat pack, none of that can help my pain
As for people wanting the shit Im on I say fuck them bro, your in pain not them screw em 
Anyway my rant done, time to apply m first patch and see how it goes. I have a feeling I'll be on the dilaudid for most of the day until it kicks in. I'll keep you all posted! Wish mw luck!
Note: Not sure why I didnt read wikipedia before on this but this patch shouldnt be too bad, it says that the fent of 100mcg per hour is aprox = to 10MG of morphine an hour, and I can easily handle that, so once it titrates in and I get the full effect in like 6-8 hours I should have about 100MG of morphine, with the amount of dilaudid I take, I don't think I'm even going to notice a difference, unless, fent gives a more calming effect then dilaudid, because I notice that dilaudid rev's me up. Eh we shall see, but I'll keep yall posted so you know if you don't here from me through out the day, it may indicate that I had a severe problem and 'Im prolly at the hospital lol (I really shouldnt laugh about that
I am amazed though how they get 10MG's of fent in this little patch. I was expecting the patch to be thicker, instead it rather thin, and the fent is just mixed into the adhesive so as the fent gets delivered , I imagine that the adhesion may be come less and I'll have to tape it. I sure hope this gets rid of the pain. I think I may miss however the morning buzz of taking my dilaudid right when I wake up as this will give me round the clock relief which will be awesome because now I may be able to sleep pain free YAY!!!!
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painenduser
Bluelighter
Well 6 hours later, and I'm feeling pretty good. The pain has actually settled quite a bit and I'm feeling great. This so far is a good thing, however, interestingly I feel back to sleep for about an hour or 2 earlier and woke up with a rip roaring headache, not sure if that was from the fent or not as I sometimes get headaches like that if I take naps once I wake up in the morning so that may have been what caused the headache, though one of you mentioned getting bad headaches from fent. At any rate, I'm not feeling yet like this was to high of a dose, but what I was reading earlier that it could take up to the full first day to feel the full dose of the patch. So far so good. I appreciate yall chillin with me on this thread and giving the advise you did. Things are good, later I'll let you know if they gone from good to better or worse
painenduser
Bluelighter
well its been almost 18 hours since I placed on the 100mcg/hr patch and I feel amazing, this is the first time EVER, I have had no pain what so ever! OMG this stuff is just amazing! Thanks guys for all the facts, thoughts, advise, help, discussion, chat, and what ever else we did in this thread. Had a blast, learned a bunch and met some cool new friends in pain! Disposition feel free to do what you like with this thread, if you wanna lock it thats cool with me but, I wouldn't mind leaving it open if anyone else chooses to comment it's fine by me, but I don't know what the rules are for keeping threads open here. I'm sure we will meet again in another thread soon!
Jabberwocky
Frumious Bandersnatch
mcg is still a correct abbreviation of micrograms.
Alprazolam8129
Bluelighter
Some truley good stuff 
But the withdraws are horrid, but lucky you; your dilaudid will save your ass if your plugging (if you know what that is) or shooting it.
Fent can be great but once you cross that mcg dose that you can handle, shit gets ugly.
Be safe.
But the withdraws are horrid, but lucky you; your dilaudid will save your ass if your plugging (if you know what that is) or shooting it.
Fent can be great but once you cross that mcg dose that you can handle, shit gets ugly.
Be safe.
Violenza666
Bluelighter
Woah... Liver disease... I had weirdo pain in the liver... a tumor they said is benign and they also said it's inflammation.. That scares the shit out of me,
SpunkySkunk347
Bluelighter
- Joined
- Jan 15, 2006
- Messages
- 1,717
I have only ever had Fentanyl once before, and this was in the hospital immediately post-operation for fixing a broken femur.
As soon as I woke up after the surgery, I remember moaning in pain, and then hearing a couple staff rush over to me, one of them saying "get 100mcg of Fentanyl in his IV".
Now, I was very very dazed having just been under general anesthesia, so I don't remember it all too well, but I do remember I didn't feel any pain which is good thing considering I not only had a broken femur, but also a 9 inch incision down my leg that had been cut to the bone, two 3 inch incisions (one on my hip, and one on my knee) and a long metal rod that had been inserted into my femur through the knee cap (makes me cringe just thinking about it).
I remember that the "euphoria" (which I vaguely remember) was a lot more of a physical sedation and a lot less of a mental "high" - but then again, my perception of fentanyl's effects could have been easily distorted due to the circumstances.
There was a story one of my family members told me about when they opened up a 100mcg/hr Fentanyl patch, loaded up the contents into a syringe, and main-lined it. Very very foolish indeed. Needless to say, they went unconscious immediately after injection (he told me it hit him so fast, he couldn't even take the rig out of his arm before he was knocked out) and woke up hours later in a pool of vomit. It's a good thing he was "opiate tolerant", or else he very well might have died. He was probably thinking the same thing that most people do right before they overdose on fentanyl: "It's only a single unit of the medication, so there's no way I could be taking too much." Think again. No matter how many times it gets said, it is still worth it to say it again because it just might prevent an overdose for someone lurking the thread and reading these comments: Fentanyl patches contain a massive amount of fentanyl; a 100mcg/hr patch is meant to deliver 100mcg per hour for 72 consecutive hours. If taken all at once, this dose will kill most people. Fentanyl is ~40x as potent as heroin. Due to the extremely small amount of fentanyl actually needed to produce desirable effects, it is extremely difficult to measure out a dose accurately, and it is very easy to take way too much. Proceed with extreme caution when using fentanyl.
As soon as I woke up after the surgery, I remember moaning in pain, and then hearing a couple staff rush over to me, one of them saying "get 100mcg of Fentanyl in his IV".
Now, I was very very dazed having just been under general anesthesia, so I don't remember it all too well, but I do remember I didn't feel any pain which is good thing considering I not only had a broken femur, but also a 9 inch incision down my leg that had been cut to the bone, two 3 inch incisions (one on my hip, and one on my knee) and a long metal rod that had been inserted into my femur through the knee cap (makes me cringe just thinking about it).
I remember that the "euphoria" (which I vaguely remember) was a lot more of a physical sedation and a lot less of a mental "high" - but then again, my perception of fentanyl's effects could have been easily distorted due to the circumstances.
There was a story one of my family members told me about when they opened up a 100mcg/hr Fentanyl patch, loaded up the contents into a syringe, and main-lined it. Very very foolish indeed. Needless to say, they went unconscious immediately after injection (he told me it hit him so fast, he couldn't even take the rig out of his arm before he was knocked out) and woke up hours later in a pool of vomit. It's a good thing he was "opiate tolerant", or else he very well might have died. He was probably thinking the same thing that most people do right before they overdose on fentanyl: "It's only a single unit of the medication, so there's no way I could be taking too much." Think again. No matter how many times it gets said, it is still worth it to say it again because it just might prevent an overdose for someone lurking the thread and reading these comments: Fentanyl patches contain a massive amount of fentanyl; a 100mcg/hr patch is meant to deliver 100mcg per hour for 72 consecutive hours. If taken all at once, this dose will kill most people. Fentanyl is ~40x as potent as heroin. Due to the extremely small amount of fentanyl actually needed to produce desirable effects, it is extremely difficult to measure out a dose accurately, and it is very easy to take way too much. Proceed with extreme caution when using fentanyl.
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painenduser
Bluelighter
Just to argue semantics...its 100ug/hr.......
Ahhhhh you are correct sir, however playing with semantics, again we are both correct as one could use µg, ug or mcg they all refer to the same unit of measure. I specifically chose mcg/hr based on the printing on the patches themselves. Please see the picture below
LOL So as you will see I am more semantically correct as I was just repeating as it is written on my meds
Maybe you'll get me next time lol
painenduser
Bluelighter
It's OK disposition, as you will see in my previous post, I put Doug back in his place, lol the whole semantics this is a joke between Doug and I from another thread
Some truley good stuff
But the withdraws are horrid, but lucky you; your dilaudid will save your ass if your plugging (if you know what that is) or shooting it.
Fent can be great but once you cross that mcg dose that you can handle, shit gets ugly.
Be safe.
Yes it sure is good stuff, this has been the best I have felt in 2 years to be honest, and I don't mean a high. I find that the Fent does not give me a high, but does make me a tad drowsey, but it has knocked out 100% of the pain and while the dillies did a good job at that as well, there was more of a high but, you were constantly up and down due to it being a short acting narc. I was on MS Contin at one point as my long acting pain reliever and it didn't do shit for me.
I have heard the withdraw from fent is ugly, and I just hope I won't / don't have to find that anytime soon. As far as pligging the Dillies to over come the withdraws, yeah, I do know what it is, tried it one time and didn't find for me that it added to the effect of the D's perhaps a little quicker oneset, but certainly nothing to ever make me want to do that again. I have found that if I need the D's to help me in a pinch or if I need them to be stronger, I will crush and snort them and that hits me in less then 5 minutes and a 2 mg insufflated feels more like a 4mg PO. However I do not do this all the time because having been addicted to alcohol physically and mentaly, I am trying abstain from as many addictive behaviors with my narcs as I am already physically addicted to them since I have been on them for 2 years, so I'm trying to be careful. Which is why I will also post a disclaimer to anyone lurking this thread, I do not recommend anyone so anything said here other then take you meds exactly how they are prescibed to you by your doctor. Addiction to Opiodes are not fucking joke and just when you think you know what your doing, you can easily OD on this shit and kill youself! Oh and as for shooting, that is just out of the question for me. Not something I would ever feel safe doing not to mention I have read to many stories from those that have and how it shot their addiction to a new level, and one that most have said they regret.
Yeah luckily right now there is no tumor or masses but I have cirhosis (which is generally a painless disease) and hepatocellular disease, which due to the inflammation of my liver and spleen is VERY painful. They do not understand fully yet what caused the hepatocellular disease as it is normally caused by a viral infection such as hepatitis which I do not have, not to mention I was vacccinated for hepatitis so they likely hood would have been less for that anyway. I was quite a drinker and I know that this surely contributed greatly, but my Dr's all have agreed that I got sick way to fast in their opinions for it to have been the drinking alone, they say that there had to be an underlying condition that caused the drining to expidite my problems. The only thing I remember from the time as I was so sick I barely remember much from then as my ammonia level was over 175 and I had hepatic encephalopathy. I do recall however that I was told I had a severe kedney infection that caused my kidney's to fail which led to high toxicity and not knowing this and still drinking, my liver went into failure so I was in full renal failure. I was hospitalized for 2 months striaght and in ICU for most of that time.
A year later they finally decided to due a Cholecystectomy only to have me readmitted 2 days after release for difficulty breathing and finding out I had pneumonia, a pneumothorax (which was due inpart to the pneumonia as well as fluid retention which was probably ascities, and I some how got MRSA of the blood. I was told they were suprised I survived that. I am happy to report now however that I have not had a drink in a very long time, and my body has for the most part recovered with the exception of my liver. So while they still can't tell me if I would qualify for a transplant, I spend my days in a shit load of pain
I certainly hope they got your liver issues figured out.
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painenduser
Bluelighter
here here, SpunkySkunk, you know the sad part is that no matter how many times we give warnings like this there is always someone out there who feel like their invincible and can handle this shit in massive doses or they figure since they are not feeling the effects of the fent right away they can take more, only yo have OD'ed later on since they are taking it out of a patch. Unfortunately we can not prevent stupid, but we can sure warn about it!
painenduser
Bluelighter
Hey guys whom have used the fent patches, I noticed something I was wondering if this is a side effect yall have eve had. Since I have had the patch on my arm, right about over the triceps muscle , everything has been great, none of the typical opiate side effects other then a bit drowsy, however the muscle feels like someone punched me in the arm. It's kind of like the same pain one gets after getting an IM shot in the arm. Have any of you had this, or noticed anything similar? I'm not noticing any swelling or anything, there are no external signs of any adverse reaction to it.
Thanks!!
Thanks!!
painenduser
Bluelighter
Well that is actually what the directions say, to put it in a new spot every time you put on a new patch, however, this is my first patch and the first time I have used the patches, so I will be putting the next one somewhere else as directed. I was just wondering if I will feel the same thing when I put the new patch one and of this is infact a minor side effect. It's really no biggy just a curiosity.
I suppose you could consider transdermal a half-assed SC as the idea is to get the medication into the subcutaneous fatty layer through the skin or dermis which ever semantic you like better
. The only difference being that your not placing the patch in the subcutaneous fatty layer itself, I mean really though it's just a matter of semantics. lmao!! :D
Jabberwocky
Frumious Bandersnatch
can't say i've ever experienced anything like that from them and have never heard of the same complaint. i'd almost solely wear my fent patches on my shoulder/bicep area as well otherwise my pecs.
it was cool seeing a generic package of fent (drug porn haha) - i've only ever had jannsen cilag; i had a decent collection of empty boxes at one point till the realisation sunk in that they meant fuck all.
and yeah, fent withdrawals have been some of the most horrific physical withdrawals from any opiate i've withdrawn from.
and you probably won't, at least not anymore. duragesic are/were the jannsen cilag gel reservoir patch, durogesic are the polymer matrix. how you like dem apples
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