Unless you have a high opioid tolerance don't even think about wearing that! A 50 ug fentanyl patch (one that's not a shitty brand anyway) could hold me over and i can handle a fuckload of morphine (up to 1000mg's a day with my other meds) as well as dilaudid (IVed and snorted) and oxy (oral only) so if someone with no opioid tolerance wears one of these they are going to be very very fucked and dead if they don't get treatment.
Sorry to rain on your parade, but I knew something just jumped off the page about how absurdly high your dose-conversions are. As I remembered, every 100mcg/h of fentanyl as applied with the duragesic patch is more or less equal to about 150mg-200mg of oral morphine in a 24h period, which while it sounds like a lot, let me remind you that morphine has the absolute shittiest bioavilability when taken orally; on average only about 10-20% will be effecitvely used in your body compared to if you had an IV preparation of morphine. If you compare a 100mcg/h patch to the daily equivalent of oxycodone it comes up with about 120mg in the same 24h period.
I personally remembered this because I was using 175mcg/h at the highest amount before both my doctor and I noticed that I don't get any analgesic effects from it quite oddly, but I can still remember that since it appeared as if the fantanyl was doing absolutely nothing, but while I wasn't getting any pain-relief benefit out the fentanyl, it became a two-edged sword for me, and while I wasn't getting pain relief, I certainly was building up a dependence even though I didn't seem to feel anything from it, no matter how much I played with the patches.
The next drug my doctor and I tried for pain-management was a oral morphine sustained release preparation at 90mg.day; but as the dosing chart will tell you, 90mg/day of oral morphine is not anywhere
close to the "phantom dependency" I exhibited and in actuality, a conservative estimate of the amount of fentanyl I was using, if converted to oral morphine would be a whopping 700mg a day! God decided to play a practical joke on me in the days that followed my instant stopping of the fentanyl, and picking up a dose of oral morphine SR that wouldb't even be a token effort to reduce the withdrawal symptoms, let alone the pain I was having. The joke that God was holding in reserve just for this special occasion was to spring this medication chance right smack at the begging of a 4 day holiday. The day I stopped the fentanyl and picked up the 90mg of morphine a day jsut happened to be on the Thursday starting this extended holiday, and to add a catastrophe on an inconvenience, my doctor was gone both Friday AND Monday, What are the odds?
The whole week-end I tried to contact him, or speak to a doctors that share a doctor's case loads for the essential things such as prescription refills and whatnot, but even though I explained to the covering doctor the exact set of insane factors in this mess, he refused to "write the prescription early;" even just to get me to the point where I could sit down face to face with my primary care doctor who has been very helpful in my chronic pain issues, but since I ended up in the ER because I was pretty much forced to take 5 times my new prescription
just to even take the edge off the withdrawal.and the ER Doc was very mindful of chronic pain patients that unfortunately develop dependency and he wrote me up for 3 days of 200mg/day of methadone, since that was the previous medication I was on for pain management, and methadone was probably the best choice of medications in this instance anyways.
By the time my primary care doctor came back, he thought that the whole episode was just an issue of not waiting a couple of day before titrating the dose or something about me not being able to exhibit self-control with certain opioid medications
. The whole idea that jumping off an the equivalent of 700mg of oral morphine a day to less than 100mg/day wasn't even a concern in his mind when I got in to see him when he came back from vacation or wherever he was. He didn't even really want to hear about that a medication could both provide no pain management, and subsequently still leave a person dependent on it. I guess he just went in to his anti-abuse mode, and figured I was lying about the fentanyl not working to get more or to get a different, specific medication or something similar. All I know is that it wasn't fun!
Anyways, I'm sure you can find an exact conversion chart in the fenanyl user pamphlet that will make it easier to calculate the dose that will be recreational, but to give you an idea, the 275mcg/h was roughly comparable to almost 600mg/day of oral morphine, which didn't make for a great conversation when I wound up in hie emergency room on the Monday morning he was gone.
Here is a link with all the information you could ever want about converting doses between opioid pain-killers, including a nice section about the fentany duragesic patches, and how to calculate the mcg/h to other medications.
http://www.mywhatever.com/cifwriter/library/70/4932.html
And this is a narcotic conversion online application that was made to help people convert a daily dose of the more typical opioids to what the equivalent would be in a duragesic patch in terms of the mcg/h.
http://www.globalrph.com/fent.cgi